Establishment of a local nursing model for the prevention of femoral neck fracture in the elderly

老年人骨折是多种因素综合作用的结果，如骨质疏松症、过去和现在的生活方式、社会参与状况、家庭环境和日常生活的环境因素、身体因素如身体和运动功能，以及心理因素如害怕福尔斯。从当地护理的各个方面评估老年人的生活方式、社会参与状况、健康状况和生活质量，对当地护理系统预防骨折是重要的。因此，有必要在评估骨折原因的基础上，提出预防骨折的局部护理模式。本研究调查了65岁以上老年女性骨折与生活方式、生活质量、健康状况、福利设施利用、温泉使用、社会参与状况等的关系，并试图构建预防骨折的地方护理模式。结果，骨折经历与使用健康促进设施或温泉之间没有相关性，但在使用这些设施或温泉的人中观察到高ADL评分。那些经历过骨折的人在过去1年中入院和咨询医生的比例高于那些没有经历过骨折的人。那些经历过福尔斯或骨折的人的社会活动和生活质量评分较低。这些结果表明，预防老年人骨折，有必要将温泉和健康促进设施纳入护理系统，加强预防福尔斯的措施，并建立促进社会参与和提高生活质量的网络。

AbstractFractures in the elderly are caused by a combination of several factors, such as osteoporosis, past and present lifestyle, state of social participation, environmental factors of the home environment and everyday life, physical factors, such as body and motor functions, and mental factors, such as fear of falls. It is important for the prevention of fractures in the local nursing system to evaluate the lifestyle, state of social participation, health conditions, and QOL of the elderly from various aspects of local care. It is necessary to propose a local nursing model for the prevention of fractures based on evaluation of the causes of fractures. In this study, we investigated the relationship between fractures in elderly women, aged more than 65 years, and their lifestyles, QOL, health conditions, utilization of welfare facilities, visits to hot springs, or state of social participation, and attempted to construct a local nursing model for the prevention of fractures.As a result, there was no correlation between the experience of fractures and utilization of health promoting facilities or hot springs, but high ADL scores were observed in those who used these facilities or hot springs. Those who had experienced fractures showed higher rates of admission and consultation of physicians in the past 1 year than those who had not. Those who had experienced falls or fractures had lower social activities and QOL scores. These findings indicated that it is necessary for the prevention of fractures in the elderly to incorporate hot springs and health-promoting facilities into the nursing system, strengthen preventive measures against falls, and construct networks for the promotion of social participation and elevation of QOL.