Effect of multi-platform extended care on postoperative self-efficacy and quality of life in patients with osteoporotic vertebral compressive fracture.

Objectives: This study analyzed the effect of multi-platform extended care on postoperative self-efficacy and quality of life in patients with osteoporotic vertebral compressive fracture (OVCF).

Methods: 162 OVCF patients who underwent percutaneous vertebroplasty (PVP) or percutanous kyphoplasty (PKP) surgery in our hospital from January 2018 to June 2019 were classified into a control group (n=78) and an observation group (n=84) based on the admission time. The control group was given conventional health guidance and follow-up by telephone, and the observation group got multi-platform extended care. The postoperative incidence of re-fracture, Oswestry dysfunction index (ODI) before and after intervention, self-efficacy and quality of life were compared between the two groups.

Results: Incidence of re-fracture in the observation group was higher than that of the control group (). The ODI scores of the two groups 3, 6, and 12 months after operation were lower than those on discharge (), and the observation group had lower OD scores than the control group 6 and 12 months after operation (). The self-efficacy scores of the two groups 6 months after discharge were higher than that on discharge (), and the index in the observation group was higher than that of the control group (). In addition, the scores of all dimensions of quality of life in two groups 6 months of discharge were higher than those on discharge (), and the scores in the observation group were higher than those of the control group ().

Conclusion: Multi-platform extended care can effectively reduce the risk of postoperative re-fracture in OVCF patients, facilitate the improvement of patients' lumbar function, self-efficacy, and quality of life, and improve the prognosis of patients, which is worthy of clinical promotion.