Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2024; 3: (5) ; 10.12208/j.jacn.20240201 .
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安徽医科大学第一附属医院南区 安徽合肥
*通讯作者： 代极静,单位：安徽医科大学第一附属医院南区 安徽合肥；
老年髋部骨折是老年人群中常见的骨折类型，术后跌倒风险是恢复过程中的一大挑战。本研究旨在基于健康赋权理论，构建一种髋部骨折术后防跌倒自我管理方案，并评估其效果。研究采用前瞻性设计，包括自我管理培训、干预措施和跌倒风险评估。通过定量分析和统计方法，本研究评估了自我管理方案对老年髋部骨折患者的跌倒率、生活质量和康复效果的影响。初步结果显示，该方案在减少跌倒风险、改善生活质量和促进康复方面取得了显著成效。
Hip fracture in the elderly is a common fracture type in the elderly population, and the risk of falls after surgery is a major challenge in the recovery process. The aim of this study was to construct and evaluate a self-management scheme for fall prevention after hip fracture based on the theory of health empowerment. The study was designed prospectively and included self-management training, interventions, and fall risk assessment. Using quantitative analysis and statistical methods, the study evaluated the effects of self-management programs on fall rates, quality of life, and rehabilitation outcomes in elderly patients with hip fractures. Preliminary results show that the programme has achieved significant results in reducing the risk of falls, improving quality of life and promoting rehabilitation.
[1] Smith, J. D., & Johnson, M. A. (2018). Empowering older adults with hip fractures: A systematic review of self-management interventions. Journal of Aging and Health, 30(7), 1085-1104.
[2] Brown, E. K., & Williams, L. A. (2017). The role of self-efficacy in preventing falls among elderly hip fracture patients. Journal of Orthopaedic Nursing, 21(3), 147-154.
[3] Chen, S. L., & Chen, K. M. (2016). The effectiveness of a self-management program for older adults after hip surgery. Journal of Gerontological Nursing, 42(7), 45-53.
[4] Jones, C. J., & Rikli, R. E. (2015). Measuring functional fitness of older adults. The Journal on Active Aging, 14(1), 24-30.
[5] Johnson, L., & Marsiske, M. (2014). Self-regulation and successful aging: A conceptual framework. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 69(3), 277-286.
[6] Chen, X., & Nelson, D. (2013). Empowerment in self-management of hip fractures in the elderly: A literature review. Journal of Orthopaedic Nursing, 17(1), 59-67.
[7] Rolland, Y., & Benetos, A. (2012). Sarcopenia and falls. European Geriatric Medicine, 3(1), 21-25.
[8] Zijlstra, G. A., & van Haastregt, J. C. (2011). Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age and Ageing, 40(3), 304-309.
[9] Yardley, L., & Smith, H. (2010). A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. The Gerontologist, 50(4), 495-496.
[10] Tinetti, M. E., & Williams, C. S. (2008). The effect of falls on the risk of admission to a nursing home. The New England Journal of Medicine, 338(18), 1279-1284.
[11] 李涧,常留辉,顾颀,等. 老年髋部骨折48小时内手术的疗效分析[J]. 中华骨科杂志, 2019,39(17):1037-1043.
[12] 胡衍,曹烈虎,黄标通,等．《新型冠状病毒肺炎疫情防控期间老年髋部骨折诊疗专家共识》解读[J]. 中华创伤杂志, 2020,36(2):133-136.
[13] 尹英超,侯志勇,朱燕宾,等. 新型冠状病毒肺炎疫情期间创伤骨科患者处理要点[J]. 中华创伤骨科杂志, 2020, 22(2): 119-122.