中国全科医学2013，Vol.16Issue(8)：842-846,5.DOI:10.3969/j.issn.1007-9572.2013.03.040
社区综合管理对原发性骨质疏松症患者认知和行为的影响研究
Effects of Community Comprehensive Management on Cognition and Behavior of Patients with Primary Osteoporosis
摘要
Abstract
Objective To evaluate the effects of community comprehensive management on cognition and behavior of patients with primary osteoporosis. Methods A total of 226 patients ( >55 years old, female ) of primary osteoporosis identified at our community health center were divided into the intervention group and the control group ( n = 113 for each group ) in September 2009. Patients in the control group were given routine medication, and patients in the intervention group were given routine medication plus community comprehensive management. The scores of primary osteoporosis scale ( POS ), diet and lifestyle change scale ( DLCS ), exercise self - efficacy scale ( ESS ), and exercise behavior scale ( EBS ) of patients in the two groups before and after the intervention were recorded. The community doctors and patients in the intervention group were interviewed after the intervention. Results Scores of each of the four dimensions and the total score of POS were not significantly different between the two groups before the intervention ( P > 0. 05 ), while difference was observed in scores regarding healthcare knowledge and risk factors, as well as the total score after the intervention ( P <0. 05 ). No significant difference was observed between patients of the two groups in DLCS scores ( except for direct sunshine for 4 times a week or more ) before the intervention ( P > 0. 05 ), while difference was observed in regular fishes and shrimps intake, dark green vegetables intake, sun bath, and calcium medication after the intervention ( P <0. 05 ). No significant difference was observed between patients of the two groups in ESS scores ( except for physical environment factors ) before the intervention ( P > 0. 05 ), while difference was observed in score of physical environment factors as well as the total score after the intervention ( P <0. 05 ). Significant difference was observed in scores of regular exercise of the past year and consistent exercise for more than 3 months of the EBS between the two groups after the intervention ( P <0. 05 ). The completion rate of the intervention group was 93. 8%. Conclusion Community comprehensive management of primary osteoporosis can improve patients' cognition of the disease and encourage them to adopt healthy behaviors.关键词
社区卫生服务/社区综合管理/骨质疏松/认知/行为/干预Key words
Community healthy services/ Community comprehensive management/ Osteoporosis/ Cognition/ Behavior/ Intervention分类
医药卫生引用本文复制引用
陆霞芳,夏长春,王芷芊,邓伟..社区综合管理对原发性骨质疏松症患者认知和行为的影响研究[J].中国全科医学,2013,16(8):842-846,5.
