Contemporary Nursing
Contemporary Nursing. 2026; 7: (6) ; 10.12208/j.cn.20260295 .
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华中科技大学同济医学院附属同济医院骨科 湖北武汉
*通讯作者： 陈莹,单位：华中科技大学同济医学院附属同济医院骨科 湖北武汉; ；
目的 分析老年骨质疏松性骨折患者的护理风险因素，探讨基于风险评估的分级干预策略的临床应用效果。方法 选取2025年1月至2025年12月收治的100例老年骨质疏松性骨折患者为研究对象，采用便利抽样法分为观察组和对照组各50例。对照组实施常规护理，观察组在常规护理基础上实施基于护理风险评估的分级干预策略。比较两组患者并发症发生率、再骨折发生率、护理不良事件发生率及护理满意度。结果 观察组并发症发生率为8.0%，显著低于对照组的22.0%（P<0.05）；观察组再骨折发生率为2.0%，低于对照组的10.0%（P<0.05）；观察组护理不良事件发生率为4.0%，显著低于对照组的18.0%（P<0.01）；观察组护理满意度为96.0%，高于对照组的84.0%（P<0.05）。结论 老年骨质疏松性骨折患者存在多维度护理风险，基于风险评估的分级干预策略能够有效降低并发症和再骨折发生率，提高护理安全性和满意度，值得临床推广应用。
Objective To analyze the risk factors of nursing for elderly patients with osteoporotic fractures and explore the clinical application effect of the hierarchical intervention strategy based on risk assessment. Methods A total of 100 elderly patients with osteoporotic fractures admitted from January 2025 to December 2025 were selected as the research subjects. They were divided into the observation group and the control group with 50 cases each by the convenience sampling method. The control group received routine care, while the observation group received the hierarchical intervention strategy based on nursing risk assessment in addition to the routine care. The incidence of complications, re-fracture incidence, incidence of nursing adverse events, and nursing satisfaction were compared between the two groups. Results The incidence of complications in the observation group was 8.0%, significantly lower than 22.0% in the control group (P<0.05); the incidence of re-fracture in the observation group was 2.0%, lower than 10.0% in the control group (P<0.05); the incidence of nursing adverse events in the observation group was 4.0%, significantly lower than 18.0% in the control group (P<0.01); the nursing satisfaction in the observation group was 96.0%, higher than 84.0% in the control group (P<0.05). Conclusion Elderly patients with osteoporotic fractures have multiple dimensions of nursing risks. The hierarchical intervention strategy based on risk assessment can effectively reduce the incidence of complications and re-fracture, improve nursing safety and satisfaction, and is worthy of clinical promotion and application.
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