Nursing intervention on senile osteoporosis treatment of pat

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Abstract Objective To study the nursing intervention on senile bone osteoporosis treatment of patients. Methods 126 patients with senile osteoporosis were treated with comprehensive care and intervention, including health guidance, psychological intervention, functional exercise, medication and anti-fall care, extended care. Results after six months the intervention group the total effective rate was 93.93%, 3% fall rate, compared with the control group significantly (P 0.05). Conclusion integrated care intervention can improve cognition in patients with bad attitudes and behavior of life, reduce pain, reduce falls, improve patient quality of life .

Key words osteoporosis in older nursing intervention

osteoporosis (Osteoprosis, OP) is the older of the common disease, is a result of bone low amount of bone micro-structural damage, leading to bone fragility, high incidence of systemic bone disease characterized by fractures. The main symptoms are pain, osteoporosis, easy to fracture, height loss and kyphosis. in our country over the age of 60 about osteoporosis 1.3 million people, it has been seriously affected and threatened the health and quality of life of older persons. from June 2008 to June 2009 Division I with nursing intervention with drug treatment of primary osteoporosis treatment in 126 cases, results were satisfactory , are reported as follows.

1. Materials and methods

1.1 Material Selection June 2008 to June 2009, hospitalized in our department were 126 cases of osteoporosis, male 32, female 91 cases, age (60 to 85) years, mean age (71.4 ± 8.5) years, 12 cases complicated with vertebral compression fractures, femoral neck fractures in 5 cases, 2 cases of radial fractures, all patients were treated with the United States LUNAR Corporation PIXI dual energy X ray absorptiometry of distal radius BMD test, t = -2.0 SD radius diagnosis of osteoporosis. the patients at hospitalization 66 patients were randomly divided into intervention group and control group 60 cases, two group sex, age, educational level, t value of the main clinical manifestations and compared, no significant difference, comparable.

1.2 method of treatment, all patients were using intramuscular injection of salmon calcitonin, oral calcium carbonate D3 tablets, 600mg / d, oral alendronate (Fosamax) 10mg / d or 70mg / w, for 6 months observation period. In addition to the treatment intervention group, but also the comprehensive nursing intervention.

1.2.1 Health education intervention after admission assessment by the nurse in charge of osteoporosis in patients with existing risk factors, if no fracture history, weight, smoking drinking, oral steroid treatment for 3 months or more, visually impaired, Alzheimer's disease, ill health, long-term without adequate intake of calcium, exercise less and so on. understand the patient and family awareness of the disease, determine the objectives of health education, targeted health guidance. set up a "House of osteoporosis", prior to discharge to the were issued membership cards, a healthy file. 2 from the one month, deputy director of physician and charge nurse to the patients and their families to explain the teaching methods of osteoporosis-related knowledge, including causes, prevention, treatment and functional exercise, fall prevention method, and compiled the content of health education manual distributed to patients at A prize competition, so that patients and their families have a correct understanding of the disease, understanding the long-term therapy and functional exercise adhere to the meaning, change unhealthy behavior.

1.2.2 repeated unhealed psychological intervention because of disease, with some patients due to pain, fractures, restricted activity, life can not take care of themselves, it is prone to anxiety, worries, disease treatment and rehabilitation at a disadvantage. guide self-assessment of their condition properly and give specific psychological counseling, symptomatic treatment to improve the psychological state of patients, reduce the burden of thinking, try to eliminate the family and the adverse social stimulus to the patient.

1.2.3 medication guide the non-steroidal anti-inflammatory drugs should be taken at 0.5 ~ 1h after the meal, to avoid stimulation of the gastrointestinal tract; use chewable calcium and alfacalcidol same time taking, can promote calcium absorption, postprandial 1 hours before bedtime is good. calcium required to achieve effective long-term use, take the time to increase the water intake of calcium to prevent urinary calculi; taking vitamin D, can not eat green leafy vegetables, and so reduce the absorption of calcium; taking alendronate to be fasting, but drinking 300ml of water to swallow, at least half an hour can not eat or drink, can not be supine, to reduce the stimulation of the esophagus. taking bisphosphonates without calcium and vitamin during the D.