医联体下社区老年人骨性关节炎筛查防治及生活质量评价

Objective To explore the clinical effect of screening and grading prevention and treatment of osteoarthritis in the elderly in the community under the mode of medical consortium and its impact on their quality of life. Methods A total of 800 elderly people who participated in osteoarthritis screening from January 2024 to December 2024 were selected as the subjects. The screening results were recorded, and the incidence of osteoarthritis was calculated. Osteoarthritis screening and baseline data investigation were conducted for the elderly, and relevant treatments were carried out after obtaining informed consent from the patients. A 6-month follow-up was conducted, and the treatment effects and quality of life of different treatment plans were statistically analyzed. Results All 800 elderly people completed the osteoarthritis screening. Among them, 398 elderly people were diagnosed with osteoarthritis through screening, with a detection rate of 49.75%. Among them, there were 250 cases of mild osteoarthritis, the detection rate was 31.25%, and 148 cases of severe osteoarthritis, the detection rate was 18.50%. The knee joint function scores of patients with mild osteoarthritis at 6 months after follow-up were lower than those of patients with severe osteoarthritis(P<0.05). At 6 months after follow-up, the quality of life scores of patients with mild osteoarthritis were higher than those of patients with severe osteoarthritis(P<0.05). The total effective rate of treatment in mild patients was significantly higher than that in severe patients(P<0.05). After a 6-month follow-up, the incidence of complications in mild patients was significantly lower than that in severe patients(P<0.05). Conclusion Elderly people have a relatively high probability of developing osteoarthritis. Actively conducting high-risk screening in the community and implementing graded prevention and treatment for confirmed patients can improve treatment effects and quality of life, with significant application value.