Application of co-management care model based on mobile platform in home care of elderly patients after hip fractures
10.3760/cma.j.cn115682-20210801-03401
- VernacularTitle:基于移动平台的共管照护模式在老年髋部骨折患者术后居家护理中的应用
- Author:
Xiaoyan WU
1
;
Huixian CHENG
;
Qunhua JIANG
Author Information
1. 上海市奉贤区中心医院骨科，上海 201499
- Keywords:
Aged;
Hip fracture;
Home care;
Co-managed care;
Mobile platform
- From:
Chinese Journal of Modern Nursing
2022;28(9):1183-1188
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of the co-management care intervention model based on mobile platform in home care of elderly patients after hip fractures.Methods:A total of 108 elderly patients who underwent hip arthroplasty in Department of Orthopedics of Fengxian District Central Hospital of Shanghai from June 2020 to February 2021 were selected by the convenient sampling method. According to random number table method, they were randomly divided into the control group and the observation group, with 54 cases in each group. After discharge, the control group received routine out-of-hospital care management, while the observation group received mobile platform based co-managed care home care management for 12 weeks. The hip function (Harris score) , activities of daily living (MBI score) , nutrition, quality of life (EQ-5D score) and incidence of complication were compared between the two groups.Results:Harris score, MBI score and serum albumin level of observation group after intervention were higher than those before intervention and EQ-5D score was lower than before intervention, and the differences were statistically significant ( P<0.05) . The Harris score and MBI score of the control group after the intervention were higher than those before the intervention, and the differences were statistically significant ( P<0.05) . After the intervention, the Harris score, MBI score and serum albumin level of the observation group were higher than those of the control group and the EQ-5D score was lower than that of the control group, and the differences were statistically significant ( P<0.05) . The total incidence of complications in the observation group and the control group were respectively 7.41% (4/54) and 31.48% (17/54) , and the difference was statistically significant (χ 2=9.990, P=0.002) . Conclusions:In the post-operative home care management of elderly hip fractures, the implementation of the co-management care model based on the mobile platform can effectively improve the hip function, nutrition and quality of life of patients, improve ability of daily living and reduce the occurrence of complications.
