| 孟欣欣,刘倩,王璇,等.基于互动达标理论的出院计划方案在老年腰椎骨质疏松性骨折日间手术患者中的应用.骨科,2026,17(5): 474-479. |
| 基于互动达标理论的出院计划方案在老年腰椎骨质疏松性骨折日间手术患者中的应用 |
| Application of the discharge planning based on interaction achievement theory in elderly patients undergoing day surgery for lumbar osteoporotic fractures |
| 投稿时间：2026-05-06 |
| DOI：10.3969/j.issn.1674-8573.2026.05.012 |
| 中文关键词: 互动达标理论 出院计划 老年 骨质疏松性骨折 日间手术 |
| 英文关键词: Interaction achievement theory Discharge planning Elderly Osteoporotic fractures Day surgery |
| 基金项目:武汉大学中南医院临床护理研究项目（LCHLYJ202312） |
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| 中文摘要: |
| 目的 探讨基于互动达标理论的出院计划方案在老年腰椎骨质疏松性骨折日间手术患者中的应用效果。方法 采用方便抽样法，选取2025年6月至9月武汉大学中南医院脊柱与骨肿瘤科收治的行经皮穿刺椎体成形术的130例老年腰椎骨质疏松性骨折患者为研究对象。将2025年6月至7月收治的65例患者纳入对照组，实施腰椎骨质疏松性骨折常规护理；2025年8月至9月收治的65例患者纳入观察组，实施基于互动达标理论的出院计划方案。观察两组出院准备度、疼痛、日常生活活动能力（activities of daily living，ADL）、生存质量及出院后6个月非计划再入院率。结果 随访期间共脱落5例，最终纳入125例（观察组62例，对照组63例）。观察组患者出院时的出院准备度总分及出院后1周的ADL评分均显著高于对照组；出院时及出院后1周，观察组患者的疼痛评分显著低于对照组；出院时及出院后1个月，观察组患者的生存质量评分显著低于对照组（P<0.05）；观察组患者出院后6个月非计划再入院率显著低于对照组（P=0.028）。结论 基于互动达标理论的出院计划方案可显著提高老年腰椎骨质疏松性骨折日间手术患者的出院准备度，降低出院计划风险，有效减轻术后疼痛程度，提升日常生活自理能力，并显著改善患者的生存质量，降低出院后6个月的非计划再入院率，可为优化老年腰椎骨质疏松性骨折患者的术后管理策略提供科学依据。 |
| 英文摘要: |
| Objective To explore the efficacy of the discharge planning based on the interaction achievement theory in elderly patients undergoing day surgery for lumbar osteoporotic fractures. Methods Using the convenient sampling method, 130 elderly patients with lumbar osteoporotic fractures who underwent percutaneous vertebroplasty in the Spine Surgery and Musculoskeletal Tumor Department of Zhongnan Hospital of Wuhan University from June to September 2025 were included. Sixty-five patients admitted from June to July 2025 were included in the control group and receive routine nursing care for lumbar osteoporotic fractures; 65 patients admitted from August to September 2025 were included in the observation group and a discharge planning based on the interaction achievement theory was implemented. Observe the discharge readiness, pain, activities of daily living (ADL), quality of life, and unplanned readmission rate at 6 months after discharge of two groups. Results The total score of discharge readiness of patients in the observation group at discharge and the ADL score one week after discharge were significantly higher than those of the control group; at discharge and one week after discharge, the pain scores of patients in the observation group was significantly lower than that of the control group; at discharge and one month after discharge, the quality of life score of patients in the observation group was significantly lower than that of the control group (P<0.05); 6 months after discharge, the unplanned readmission rate of patients in the observation group was significantly lower than that of the control group (P=0.028). Conclusion The discharge planning based on the interactive achievement theory can significantly improve the discharge readiness of elderly patients undergoing day surgery for lumbar osteoporotic fractures, reduce the risk of discharge planning, effectively alleviate postoperative pain, enhance daily self-care ability, and significantly improve the quality of life of patients, and significantly reduce the unplanned readmission rate within 6 months after discharge. It provides a scientific basis for optimizing the postoperative management strategy of elderly patients with lumbar osteoporotic fractures. |
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