Contemporary Nursing

Objective To analyze the risk factors of nursing for elderly patients with osteoporotic fractures and explore the clinical application effect of the hierarchical intervention strategy based on risk assessment. Methods A total of 100 elderly patients with osteoporotic fractures admitted from January 2025 to December 2025 were selected as the research subjects. They were divided into the observation group and the control group with 50 cases each by the convenience sampling method. The control group received routine care, while the observation group received the hierarchical intervention strategy based on nursing risk assessment in addition to the routine care. The incidence of complications, re-fracture incidence, incidence of nursing adverse events, and nursing satisfaction were compared between the two groups. Results The incidence of complications in the observation group was 8.0%, significantly lower than 22.0% in the control group (P<0.05); the incidence of re-fracture in the observation group was 2.0%, lower than 10.0% in the control group (P<0.05); the incidence of nursing adverse events in the observation group was 4.0%, significantly lower than 18.0% in the control group (P<0.01); the nursing satisfaction in the observation group was 96.0%, higher than 84.0% in the control group (P<0.05). Conclusion Elderly patients with osteoporotic fractures have multiple dimensions of nursing risks. The hierarchical intervention strategy based on risk assessment can effectively reduce the incidence of complications and re-fracture, improve nursing safety and satisfaction, and is worthy of clinical promotion and application.

Osteoporotic fractures; Elderly; Nursing risk; Intervention strategy; Prevention of re-fracture