在初级保健中预防二次骨折:叙述性审查
Mawson Wang1,2, Markus J Seibel3,4
1Bone Research Program, ANZAC Research Institute, The University of Sydney at Concord Campus, Hospital Rd, Gate 3, Concord, NSW, Australia. mawson.wang@health.nsw.gov.au.
骨质疏松症护理缺口意味着大多数骨折患者不会接受骨质疏松症治疗. 初级保健中的有针对性的干预措施可以改善骨折预防和患者的治疗结果.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 整形外科 整形外科 整形外科
背景情况:
- 骨质疏松症是一个日益增长的全球健康挑战,特别是随着人口老龄化.
- 骨质疏松性骨折增加了死亡率和随后骨折的风险.
- 在二次骨折预防方面存在很大的差距,不到20%的患者在骨折后接受适当的骨质疏松症治疗.
研究的目的:
- 在初级保健中审查二次骨折预防障碍.
- 评估旨在缩小骨质疏松症护理差距的干预措施的有效性.
主要方法:
- 对定性和定量研究的文献综述.
- 分析关于障碍和干预有效性的共同主题.
主要成果:
- 关键的障碍包括医院和初级保健之间的沟通不良,不确定的责任和医生教育不足.
- 针对患者和初级保健医生的有针对性的教育干预措施显著改善了骨质疏松症的调查和治疗率.
结论:
- 解决骨质疏松症护理差距需要改善沟通,定义角色,并加强对初级保健医生的教育.
- 在初级保健中实施有效的二次骨折预防模型对于减少骨质疏松性骨折的负担至关重要.
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