关键词: 骨质疏松性骨折, 老年人, 护理, 横断面研究

Abstract:

Objective To examine the current state of care services for geriatric osteoporotic fractures in Chinese hospitals and to provide a basis for the improvement of these services and the formulation of related policies. Methods In September to November 2023，a stratified convenience sampling method was used to investigate the implementation of care services for elderly patients with osteoporotic fractures in 621 hospitals across 31 provinces （autonomous regions and municipalities） in China. A self-designed questionnaire was utilized for this purpose. Results A total of 621 hospitals participated in the survey，with 432（69.57%） tertiary hospitals and 189（30.43%） secondary hospitals. Over 95% of hospitals provided health education on diet，medication，fall prevention，and early functional exercise for elderly fracture patients. Less than 80% of hospitals provide specialized training on osteoporosis treatment and secondary fracture prevention for medical staff. Only 263 hospitals（42.35%） routinely conduct bone density tests for patients over 50 years old with fractures，while 221 hospitals（35.59%） routinely conduct bone metabolic biochemical tests for such patients. Less than 50% of hospitals provide specialized services，such as geriatric osteoporotic fracture clinics，for elderly patients with osteoporotic fractures. Additionally，39.77% of hospital departments have not developed postoperative care plans for elderly patients with osteoporotic fractures. The lack of specialized care teams（91.63%），insufficient investment in care resources（88.08%），and the absence of policy support（77.45%） are identified as the primary factors impeding the provision of care services for elderly patients with osteoporotic fractures in hospitals. Although some care services in tertiary hospitals are superior to those in secondary hospitals（P<0.05），they are still far from adequate. Conclusion The development of care services for elderly patients with osteoporotic fractures in Chinese hospitals needs improvement. It is recommended to further standardize and enhance the content and methods of health education，intensify clinical assessments related to osteoporosis in elderly fracture patients，improve the professional care capabilities of medical staff，and at the same time，the state should introduce relevant policies to support and promote the construction and development of hospital care services for elderly osteoporotic fracture patients.

Key words: Osteoporotic Fractures, The Elderly, Nursing Care, Cross-Sectional Study