[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100591040":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":29,"locations":38,"responsibleParty":57,"collaborators":18,"id":59,"slug":60,"hasResults":61,"nctId":62,"briefTitle":63,"officialTitle":64,"acronym":18,"eligibilityCriteria":65,"healthyVolunteers":61,"sex":66,"minAge":67,"maxAge":18,"enrollmentInfo":68,"targetDuration":18,"studyType":71,"phases":72,"briefSummary":74,"conditions":75,"keywords":18,"overallStatus":40,"whyStopped":18,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":81,"completionDateStruct":83,"leadSponsor":85,"locationsCount":86},{"fullName":5,"class":6},"The Fourth Affiliated Hospital of Zhejiang University School of Medicine","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Will accept the implementation of the \"Internet plus care program\" based on the FLS model in additio","EXPERIMENTAL","Informed by previous questionnaire survey results on orthopedic home nursing services-including \"Analysis of Current Needs and Influencing Factors for Orthopedic Home Nursing Services\" (319 orthopedic patients) and \"Survey on Nurses' Willingness and Influencing Factors for 'Internet+ Nursing Services' in Orthopedics\" (321 orthopedic nurses)-and through literature review on fracture liaison service (FLS) models, this study employs the Delphi method to develop an FLS-based \"Internet+ Nursing\" protocol. The protocol focuses on: 1) identifying and intervening in risk factors for recurrent fractures; 2) health education on fall prevention, functional exercise, and osteoporosis management; and 3) delivering continuous post-discharge \"Internet+ Nursing\" services through multidisciplinary collaboration, including online consultations with orthopedic, rehabilitation, nutrition specialists, and specialized nurses, as well as offline home visits.",[13],"Other: On the basis of routine nursing, the \"Internet + nursing program\" based on the FLS model is implemented",{"label":15,"type":16,"description":17,"interventionNames":18},"Will receive routine perioperative care","NO_INTERVENTION","You will receive routine perioperative care, such as orthopedic doctors and nurses will explain the method, function and significance of early functional exercise by your bed before surgery, and assist in routine functional exercise. After the operation, you will receive routine care, the responsible nurse will evaluate and hand over your situation each shift, and explain the postoperative precautions and rehabilitation exercise methods to you and your family members in the form of IPAD education videos and publicity brochures, and receive a 3-month follow-up",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"On the basis of routine nursing, the \"Internet + nursing program\" based on the FLS model is implemented","1\\) During hospitalization: After the patient is admitted to hospital, the coordinator will establish wechat contact with the patient face to face and establish a good trust relationship with the patient; The coordinator and the doctor will collect the patients' cases together, and then according to the patients' conditions and wishes, the diagnosis and treatment plan will be formulated jointly by multiple disciplines, including medicine, rehabilitation and nutrition management. 2) Before discharge: the coordinator helps the patient to make an appointment for return visit; Issue business cards of the team's online and offline services to patients and guide them to use wechat and online service application procedures (such as Zheli Care and Dr. Nari); 3) After discharge: patients keep in touch with the liaison staff at any time, and any abnormal situation will be contacted by the liaison staff; Team members supervised the patient's medication situation by punching in the mini program",[9],[25],{"name":26,"affiliation":27,"role":28},"Cheng li Yan, Bachelor","The Fourth Affiliated Hospital of Zhejiang UniversitySchool of Medicine","PRINCIPAL_INVESTIGATOR",[30,34],{"name":26,"role":31,"phone":32,"phoneExt":18,"email":33},"CONTACT","86+13757179391","yanchengli1208@zju.edu.cn",{"name":35,"role":31,"phone":36,"phoneExt":18,"email":37},"Yu yu Chen, Master","13958423189","1240815536@qq.com",[39],{"facility":5,"status":40,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"RECRUITING","Yiwu","Zhejiang","322000","China","CN",{"type":47,"coordinates":48},"Point",[49,50],120.07676,29.31506,{"lat":50,"lon":49},[53],{"name":54,"role":31,"phone":55,"phoneExt":18,"email":56},"chengli yan","+86 13757179391","yanchengli1208@zju.edu",{"type":58,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR","100591040","application-and-effect-of-internet--nursing-in-hip-fragility-fracture-patients-based-on-fracture-liaison-service-100591040",false,"NCT06975254","Application and Effect of \"Internet + Nursing\" in Hip Fragility Fracture Patients Based on Fracture Liaison Service","Application and Effect Evaluation of \"Internet + Nursing\" Scheme Based on Fracture Liaison Service Model in Patients With Hip Fragility Fracture","Inclusion Criteria Age ≥ 18 years\n\nVoluntarily signed informed consent\n\nDiagnosis of hip fragility fracture (closed type)\n\nScheduled for surgical intervention\n\nAdequate communication and comprehension abilities\n\nAbility of patient or caregiver to operate smart electronic devices\n\nExclusion Criteria History of psychiatric or neurological disorders (e.g., dementia, schizophrenia)\n\nPolytrauma (multiple fractures or major concomitant injuries)\n\nMetastatic cancer, metabolic bone disease, or terminal illness\n\nInsulin-dependent diabetes mellitus\n\nThyroid disease\n\nInability to participate due to other medical or social factors","ALL","18 Years",{"count":69,"type":70},94,"ESTIMATED","INTERVENTIONAL",[73],"NA","Fragility fractures, also known as osteoporotic fractures, are fractures that occur as a result of low-energy trauma or minor impact. They are the most serious complication of osteoporosis and are common bone diseases in the elderly. With our country gradually entering the aging society, the incidence of brittle fracture is increasing year by year, most often in the hip. Hip fracture refers to femoral neck, intertrochanteric and subtrochanteric fractures. Due to a series of complications caused by old age, weak body, many underlying diseases, significant decline in self-care ability and other reasons, it is also known as the last fracture in life. According to reports, within 1 year after hip fracture, only 30% of patients can recover to the functional state before fracture, 20% of patients will fracture again, and even cause lifelong disability, seriously affecting the long-term quality of life of patients, the reason may be related to the long course of disease, slow recovery, postoperative nutrition, rehabilitation exercise compliance, self-care ability decline and many other aspects. The fracture liaison service (FLS) is a nurse-centric, multidisciplinary approach to managing osteoporotic fractures that consists of three key elements: The core of identifying patients with fracture risk, assessing fall risk and initiating treatment to prevent refracture is to hire specialized coordinators to link emergency, orthopedics, rehabilitation, nutrition and other departments with community and family services to provide standardized management services for patients, reduce the incidence of refracture and promote the recovery of joint function of patients. Therefore, this study integrates FLS with \"Internet + nursing service\" and utilizes the advantages of \"Internet + nursing service\" in informatization to emphasize the risk assessment of re-fracture of patients at home after discharge, home health guidance (such as fall prevention, rehabilitation training and other related knowledge), online consultation of multidisciplinary teams, offline on-site service, etc., so that patients can be discharged from hospital. Access to ongoing medical care reduces the incidence of complications and promotes rapid recovery.",[76],"Fragility Fractures","2025-05-08",{"date":79,"type":80},"2025-05-16","ACTUAL",{"date":82,"type":80},"2025-04-01",{"date":84,"type":70},"2027-12-31",{"name":5,"class":6},1]