Objective To evaluate the application of osteoporosis self-assessment tool for Asians (OSTA) in screening of osteoporosis for postmenopausal women in community.Methods Total 793 postmenopausal women were included.OSTA were calculated and bone mineral density (BMD)was measured by dual energy X-ray absorptiometry (DXA).The correlation of OSTA index with DXA results was analyzed.Results The prevalence of osteoporosis and osteopenia was 18.3％ (145/793) and 47.7％(378/793) respectively,the remaining 270 women had normal bone mass (34.0％).According to OSTA index the rate of low-risk,medium-risk,high-risk osteoporosis groups were 61.9％ (491/793),29.5％(234/793) and 8.6％ (68/793),respectively.The BMD measured by DXA was positively correlated with OSTA index(r =0.559,P =0.000).The area under receiver operating characteristic curve (ROC) of OSTA for diagnosing osteoporosis was 0.736.Taking-1 as cut off value,the sensitivity and specificity of OSTA in diagnosis of osteoporosis was 73.1％ (106/145) and 69.8％ (452/648),respectively.Conclusion OSTA can be used as an effective index for screening of osteoporosis in postmenopausal women in community.

Objective:To explore the application effect of the intervention model based on hospital elder life program (HELP) in patients after hip fracture surgery.Methods:A total of 98 patients who underwent hip fracture surgery in the First Affiliated Hospital of Zhengzhou University from January 2019 to February 2021 were selected. According to the time of admission, 49 postoperative patients from January 2019 to January 2020 were set as the control group and they were given routine orthopedic nursing. A total of 49 postoperative patients admitted from February 2020 to February 2021 were set as the observation group and they were given the intervention model based on HELP . The out of bed activity time, postoperative complications and falls were recorded in the two groups after the intervention. Activity of Daily Living (ADL) Scale, Harris Hip Score (HHS) and self-made Rehabilitation Exercise Compliance Questionnaire were used to evaluate ADL, hip function and rehabilitation exercise compliance of patients in the two groups. Before and after the intervention, the self-made Early Rehabilitation Training Cognitive Questionnaire was used to evaluate the cognitive status of early rehabilitation training in the two groups.Results:After the intervention, the postoperative ambulation time of the observation group was shorter than that of the control group, and ADL score, HHS score and compliance score were higher than those of the control group, and the differences were statistically significant ( P<0.05) . After intervention, the scores of bed rehabilitation training, correct functional exercise, hip dislocation prevention, and lower extremity deep vein thrombosis prevention scores in the observation group were higher than those in the control group, with statistical significance ( P<0.05) . The incidences of constipation, DVT in the observation group were lower than those in the control group and the differences were statistically significant ( P<0.05) . Conclusions:The intervention model based on HELP is beneficial to early postoperative ambulation for patients with hip fractures, reducing the incidence of postoperative adverse event, and improving the patients' ability to take care of themselves in daily life.