Survey on the demand for home-based online nursing services for elderly patients with traumatic fractures and analysis of influencing factors
老年创伤性骨折病人居家网约护理服务需求调查及影响因素分析

摘要

目的 掌握老年创伤性骨折病人居家网约护理服务需求调查，明确其影响因素。方法 选择2023年5月份至2024年5月份我社区卫生服务中心服务范围内老年创伤性骨折病人对网约开展居家护理服务的需求进行调查研究，依据日常生活自理能力量表、FRAIL量表为患者提供问卷调查，通过一般资料调查、“互联网+”长期护理服务需求的影响因素。结果 共计发放了100份问卷，均有效收回，针对于出现老年创伤骨折病人，其居家服务需求评分：90.24±8.41分；问卷内不同评分：互联网+康复训练需求评分最高：3.52±0.51；互联网医疗护理第二：3.48±0.62分，互联网+信息管理与急救第三：3.42±0.62分；通过多元线性回归结果显示：患者因为年龄、受到教育的程序，家庭的整体收入水平，患者日常生活当中的能力水平，机体受到的损伤情况，对老年病人居家网约护理需求造成影响。结论 患者提供定点服务，掌握患者的服务需求，会对相关因素造成影响，故结合患者的需求，制定相应的护理模式十分必要。

Abstract

Objective To investigate the needs of home online nursing service for elderly patients with traumatic fracture and identify the influencing factors.
Methods 100 elderly patients with traumatic fracture treated in our hospital from May 2023 to May 2024 were studied. Questionnaires were provided for patients based on the daily living ability scale and the FRAIL scale, and the influencing factors for long-term care service demand through general data survey and "Internet +".
Results A total of 100 questionnaires were sent out, all of which were effectively recovered. The evaluation of the needs of elderly patients with traumatic fracture at home was 90.24±8.41 points; The highest dimension of Internet + rehabilitation training was 3.52±0.51; The score of Internet medical care was 3.48±0.62, and the score of Internet + information management and first aid was 3.42±0.62. Multiple linear regression results showed that age, education level, family income and impaired ability of daily living were the influencing factors for home network nursing needs of elderly patients with traumatic fractures (p<0.05).
Conclusion   Elderly patients with traumatic fracture have a high demand for home-based online nursing. Patients' age, level of education, per capita monthly income of the family, ability of daily living and the condition of injury will affect their service needs. It is very important to develop a reasonable online nursing service model for the elderly patients with traumatic fractures with the above influencing factors.