Analysis of influencing factors and nursing strategies for recurrent fractures in elderly patients with osteoporosis
老年骨质疏松患者再骨折影响因素分析及护理对策

摘要

目的 分析老年骨质疏松患者再骨折影响因素分析及护理对策。方法 回顾性分析 本院在2024年1月-2025年12月期间收治的500例老年骨质疏松患者临床资料，收集患者一般资料、临床诊疗数据及随访信息，采取单因素分析及多因素Logistic回归分析筛选再骨折的独立影响因素，综合临床实践制定护理对策。结果 500例患者随访期间发生再骨折78例（15.60%）。单因素分析可见，年龄、性别、体质量指数（BMI）、骨密度T值、吸烟史、饮酒史、基础疾病、脊柱侧弯病史、抗骨质疏松治疗依从性、跌倒史及再骨折发生相关（P＜0.05）。多因素Logistic回归分析可见，年龄≥75岁、骨密度T值≤-2.5、吸烟史＞10年、2型糖尿病史、抗骨质疏松治疗依从性差及有跌倒史为老年骨质疏松患者再骨折的独立危险因素（P＜0.05）。结论 老年骨质疏松患者再骨折发生率较高，其发生可因多种因素共同影响，应针对相关危险因素采取个性化护理干预，加强健康管理，提升患者的治疗依从性，减少再骨折风险。

Abstract

Objective To analyze the influencing factors of recurrent fractures in elderly patients with osteoporosis and propose nursing strategies.
Methods A retrospective analysis was conducted on the clinical data of 500 elderly patients with osteoporosis admitted to our hospital from January 2024 to December 2025. General information, clinical diagnosis and treatment data, and follow-up information were collected. Univariate analysis and multivariate logistic regression analysis were used to screen for independent influencing factors of recurrent fractures, and nursing strategies were developed based on comprehensive clinical practice.
Results During the follow-up period, 78 out of 500 patients (15.60%) experienced further fractures. Univariate analysis showed that age, gender, body mass index (BMI), bone density T-score, smoking history, alcohol consumption history, underlying diseases, history of scoliosis, compliance with anti osteoporosis treatment, history of falls, and occurrence of re fractures were correlated (P<0.05). Multivariate logistic regression analysis showed that age ≥ 75 years, bone mineral density T-value ≤ -2.5, smoking history>10 years, history of type 2 diabetes, poor compliance with anti osteoporosis treatment and history of falls were independent risk factors for refracture in elderly osteoporosis patients (P<0.05).
Conclusion   The incidence of recurrent fractures in elderly patients with osteoporosis is relatively high, and its occurrence can be influenced by multiple factors. Personalized nursing interventions should be taken to address relevant risk factors, strengthen health management, improve patient treatment compliance, and reduce the risk of recurrent fractures.