An analysis influencing factors of subsequent fracture among elderly osteoporotic patients and nursing countermeasures
10.3761/j.issn.0254-1769.2025.06.011
- VernacularTitle:老年骨质疏松患者再骨折影响因素分析及护理对策
- Author:
Nan TANG
1
;
Yuan GAO
;
Qingqing SU
;
Mi SONG
;
Chen QIU
;
Mengqi SHAO
Author Information
1. 100853 北京市 解放军医学院
- Publication Type:Journal Article
- Keywords:
Osteoporotic Fracture;
Subsequent Fracture;
Aged;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(6):710-716
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore influencing factors of subsequent fracture among elderly osteoporotic patients and provide a basis for improving the management and early intervention after osteoporotic fracture.Methods A total of 14 349 elderly patients with osteoporotic fracture in 594 hospitals across 31 provinces(autonomous regions and municipalities)were selected by convenience sampling method from September to December 2023.A general information questionnaire and a clinical characteristics of fracture questionnaire were used.The univariate analysis and logistic regression were used to clarify the influencing factors and gender differences.Results A total of 11364 valid questionnaires were collected,with a valid questionnaire recovery rate of 79.20％.Gender,age,occupation,education,marital status,family history of osteoporosis,comorbid osteoarthropathies/rheumatism/ophthalmopathies,bone mineral density,risk of fall,risk of fracture grade,reasons and site for first fracture,whether to use walking aid and receive home rehabilitation guidance were associated with the occurrence of subsequent fracture.Gender comparisons found that widowhood,family history of osteoporosis,comorbid rheumatism,vertebral fracture,alcohol consumption,fall or no causative factor triggering the fracture,and educational level,home rehabilitation instruction were associated with the risk of subsequent fracture only in women(P＜0.05).Smoking was associated with the risk of subsequent fracture only in men(P＜0.05).Conclusion Osteoporotic subsequent fracture in the elderly is affected by multidimensional factors,with significant gender differences.The surveillance of key populations should be strengthened in prevention,control and intervention.
