The influence of the ACTED rehabilitation nursing model on the lumbar function of patients with lumbar osteoporotic fractures
ACTED康复护理模式对腰椎骨质疏松性骨折患者腰椎功能的影响

摘要

目的 探讨腰椎骨质疏松性骨折ACTED康复护理模式对患者腰椎功能的影响。方法 研究以本院腰椎骨质疏松性骨折患者作为研究样本，样本量筛选158例，收集时间点：2022年1月-2025年4月，按照康复护理模式将患者划分两组，常态化康复护理模式组79例，实施常态化康复护理模式，ACTED康复护理模式组79例，实施ACTED康复护理模式。结果 ACTED康复护理模式组VAS评分、ODI评分、焦虑、抑郁评分、椎体前缘丢失高度、伤椎Cobb角、PINP水平均低于常态化康复护理模式组，MBI评分、桡骨远端（ud）、中远骨密度1/3段骨密度、血钙、β-CTX、BGP、OPG水平、总有效率均高于常态化康复护理模式组（P<0.05）。结论 腰椎骨质疏松性骨折ACTED康复护理模式较常态化康复护理模式更能对患者腰椎功能进行改善。

Abstract

Objective To explore the effect of the ACTED rehabilitation nursing model for lumbar osteoporotic fractures on the lumbar function of patients.
Methods Patients with osteoporotic fractures of the lumbar vertebrae in our hospital were selected as the research samples. A sample size of 158 cases was screened. Collection time points: From January 2022 to April 2025, the patients were divided into two groups according to the rehabilitation nursing model. There were 79 cases in the regular rehabilitation nursing model group, who implemented the regular rehabilitation nursing model, and 79 cases in the ACTED rehabilitation nursing model group, who implemented the ACTED rehabilitation nursing model.
Results The VAS score, ODI score, anxiety and depression score, anterior edge loss height of the vertebral body, Cobb Angle of the injured vertebrae, and PINP level in the ACTED rehabilitation nursing model group were all lower than those in the normal rehabilitation nursing model group. The MBI score, distal radius (ud), bone mineral density of the middle and distal 1/3 segments, blood calcium, β-CTX, BGP, OPG levels, total effective rate, and satisfaction with rehabilitation nursing were all higher than those in the normal rehabilitation nursing mode group (P<0.05).
Conclusion   The ACTED rehabilitation nursing model for lumbar osteoporotic fractures can improve the lumbar function of patients more effectively than the normal rehabilitation nursing model.