老年髖部骨折病人接受手術治療後生活品質之探討

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老年髋部骨折病人接受手术治疗後生活品质之探讨

A Study on Quality of Life in Elderly Patients with Hip Fracture after Surgery

陈可旎 , 硕士　　导师：马震中　　

繁体中文

老年人；髋部骨折；生活品质；欧洲生活品质量表五面向； elderly ； hip fracture ； quality of life ； EQ-5D

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摘要 │ 参考文献 (54) │ 国际计量

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Purpose: The rapid global population aging, hip fracture incidence and prevalence rate with the growing population aging. The aim of this study was to investigate the changes in the quality of life of elderly patients with hip fracture after surgery and the related factors that affect the quality of life of elderly patients with hip fracture.
Methods: This study was conducted in a longitudinal study designed to face-to-face interviews and telephone interviews with elderly patients over the age of 60 who underwent hip fracture surgery in a regional hospital in the South. The interview time was divided into postoperative hospitalization and postoperative month A total of 62 cases were collected from April 1, 2016 to April 30, 2017. The study was approved by the Human Experimental Committee of E-DA Hospital (EMRP-104-023). The data were analyzed using a paired sample t-test to assess differences in overall quality of life and health status among elderly hip fracture patients during hospitalization and one month after discharge from hospital. Using repeated measures of variation to analyze the elderly hip fracture patients at different time points, sex, Age, fracture site and other variables can affect the overall health quality of life and conscious health status. 
Results: The results of this study were 19 males (30.6%) and 43 females (69.4%), with a ratio of 1: 3. The average age was 78.97 ± 7.6. The patients were mostly aged 70-79 years. The majority of Intertrochanteric patients are predominantly Bipolar hemiarthroplasty, and most patients with hip fracture are at home. Most patients with hip fracture have moderate pain(4 to 6 points ) during hospitalization; Another month after discharge, the majority of patients with hip fracture pain was mild (1 to 3 points). Significant differences were found in the health status of patients with hip fracture who were hospitalized in paired sample t and one month after discharge. Statistical analysis of repeated measures showed that the pain level was lower in the first month of hospitalization, The daily living activity of Bathing (one month after discharge) have significant differences in walking on level ground and overall health-related quality of life. In addition, age, the daily living activity of Bathing (discharged from hospital for one month), Mobility (one month from discharge) There are significant differences in status.
Conclusions: Results The daily living activity of elderly patients with hip fracture partially affects their overall health-related quality of life and conscious health. One month after discharge, they are better than the conscious health status during hospitalization. Therefore, it is suggested that health care workers should strengthen their ability to treat elderly patients Health care to prevent patients from falling off the fracture and improve and enhance their quality of life.

参考文献 ( 54 ) 〈TOP〉

于胜宗、张新仪、姚开屏、林宇旋、洪百薰(2009)。EQ-5D之效度分析-2009 年国民健康访问暨药物滥用调查结果。台北：行政院卫生署国民健康局。
连结：
吴启明、李淑芬、李美文、何清治、洪锦墩(2015)。台湾髋部骨折病人手术失败率之分析—以人口为基础的世代研究。台湾卫志，34，476-490。
连结：
林琼珠、姚吟莲、廖素满、庄淑娟、林金燕、林碧珠(2002)。探讨不同给药方式对脊椎手术病患疼痛控制之成效。荣总护理，19(1)，21-34。
连结：
洪秀娟、杨荣森、曹昭懿(2005)。台湾髋部骨折之流行病学。台湾医学，9，29-38。
连结：
黄喜南、杨荣森(2010)。老年人髋部骨折手术前後的考量。台湾老年医学暨老年学杂志，5(1)，22-35。
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。