COMPARATIVE ANALYSIS OF THE APPLICATION VALUE OF DIFFERENT NURSING MODELS IN ELDERLY PATIENTS WITH OSTEOPOROTIC FEMORAL FRACTURES

Lei Wang¹, Manli Tian², Yinghui Tan^3*

¹International Clinic Department, Qingdao Municipal Hospital, Qingdao, 266000, China - ²Psychology Department, Qingdao Municipal Hospital, Qingdao, 266000, China - ³Urology Department, Qingdao Municipal Hospital, Qingdao, 266000, China

Introduction: This study aims to compare specific effects of evidence-based nursing care and routine nursing on elderly patients with osteoporotic fractures. 

Methods: A total of 180 patients with osteoporotic fractures treated in our hospital, from March 2013 to March 2016, were selected as the study subjects. A randomized double-blind method was used to divide the mentioned patients into two groups, with 90 patients in each group. The observation group received evidence-based nursing interventions, while the control group received routine nursing interventions. Specific effects of the two different nursing approaches were compared in terms of complications during nursing and hospital stay, as well as the fracture healing rate.

Results: Based on statistics and follow-up visits, 7 patients of the observation group had complications during hospitalization with the probability of 7.78%. Besides, 28 patients in the control group had different degrees of complications with the probability of 31.11%. There was a statistically significant difference between the two groups (P < 0.05). The average hospital stay was (15.35 ± 2.73) and (28.56 ± 3.75) days for the observation group and the control group, respectively. However, the former was significantly shorter than the latter. Thus, there was a statistically significant difference between the 2 groups (P < 0.05). The rate of fracture healing was 98.89% (89/90) and 81.11% (73/90) for the observation group and the control group, respectively. However, the former was significantly superior to the control group. In this respect, there was a statistically significant difference between the two groups (P < 0.05). 

Conclusion: The evidence-based nursing interventions had positive effects on the elderly patients with osteoporotic fractures, with a higher rate of fracture healing. This could help the patients restore their health in a shorter time. Therefore, this nursing method has a wide application value in clinical practice.