| 郭双,郭月超,郝红丽,安文,王玉桃,刘娜,陈君.老年股骨粗隆间骨折患者术后锻炼依从性调查及影响因素分析[J].中国临床保健杂志,2023,26(5):674-677. |
| 老年股骨粗隆间骨折患者术后锻炼依从性调查及影响因素分析 |
| Investigation and related factors of postoperative exercise compliance in elderly patients with femoral intertrochanteric fracture |
| 投稿时间：2023-08-06 |
| DOI：10.3969/J.issn.1672-6790.2023.05.021 |
| 中文关键词: 股骨骨折 身体锻炼 肌力 治疗依从性 老年人 |
| 英文关键词: Femoral fractures Exercise movement techniques Muscle strength Treatment adherence and compliance Aged 〖FL |
| 基金项目:河北省秦皇岛市科学技术研究与发展计划项目(202101A079) |
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| 中文摘要: |
| 目的 调查老年股骨粗隆间骨折患者术后锻炼依从性及影响因素,为制定针对性措施提供依据。方法 以2021年1月至2023年1月于秦皇岛市第一医院行手术治疗的125例老年股骨粗隆间骨折患者为研究对象进行问卷调查,采用描述流行病学分析方法评估术后3个月的锻炼依从性,对其影响因素进行多因素logistic回归分析。结果 125例符合研究条件的老年股骨粗隆间骨折手术患者完成随访,调查资料完整,年龄范围65~80岁,以70~＜75岁为主,占比48.80%；男性46例,女性79例,男女比例为1∶1.7。老年股骨粗隆间骨折患者术后锻炼依从性佳69例,依从率为55.20%。多因素logistic回归分析结果显示社会支持程度越高(OR=3.010,P=0.034)和自我效能感越高(OR=2.678,P=0.045)的老年股骨粗隆间骨折患者术后锻炼依从性佳的可能性越高,下肢肌力等级≤3级(OR=2.804,P=0.033)的老年股骨粗隆间骨折患者术后锻炼依从性佳的可能性较低。结论 老年股骨粗隆间骨折患者术后锻炼依从性仍有待提高,其影响因素为社会支持程度、自我效能感和下肢肌力等级。 |
| 英文摘要: |
| Objective To investigate postoperative exercise compliance and its related factors in elderly patients with femoral intertrochanteric fracture so as to provide basis for formulating targeted measures.Methods A total of 125 elderly patients with femoral intertrochanteric fracture who underwent surgical treatment in the hospital were investigated between January,2021 and January,2023.The exercise compliance was evaluated by descriptive epidemiological analysis at 3 months after surgery,and its influencing factors were analyzed by logistic regression analysis.Results One hundred and twenty-five elderly patients with intertrochanteric fractures of the femur who met the research criteria were followed up and the survey data was complete.The age of patients was within 65-80 years,and the proportion of cases with age of 70-＜75 years was higher (48.80%).There were 46 males and 79 females,with a male to female ratio of 1∶1.7.In the 125 elderly patients with femoral intertrochanteric fracture,there were 69 cases (55.20%) with good exercise compliance.The multivariate Logistic regression analysis showed that the incidence of good exercise compliance was higher in elderly patients with higher social support (OR=3.010,P=0.034) and higher self-efficacy (OR=2.678,P=0.045),while which was lower in those with muscle strength grading of lower limb ≤ grade 3 (OR=2.804,P=0.033).Conclusions The postoperative exercise compliance still needs to be improved in elderly patients with femoral intertrochanteric fracture,and its influencing factors include social support,self-efficacy and lower limb muscle strength. |
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