循证支持健康教育对妇女绝经后骨质疏松症健康状况的影响

目的观察经循证支持后健康教育对绝经后骨质疏松症（PMO）患者的效果。方法根据实施循证支持健康教育与否，将十堰市妇幼保健院健康体检中心2010年1月～2012年1月收治的69例绝经后骨质疏松症患者分为对照组（30例）和实验组（39例）。经随访比较两组患者随访期间预后转归情况及相关临床指标．各项生活量表、心理量表的差异。结果与对照组比较，实验组患者18个月内并发骨折的人数显著降低，且实验组患者的自我保健意识明显提高（P〈0．05）；实验组患者的腰椎骨密度、血清骨钙素、碱性磷酸酶显著增加（P〈0．05）：实验组患者世界卫生组织生存质量测定简表部分项目、简明健康状况问卷量表显著升高（P〈0．05）；实验组患者的疾病不确定量表显著降低、汉密尔顿焦虑量表显著降低、症状自评量表显著降低，差异有统计学意义（P〈0．05）。结论对于PMO妇女实施健康教育，可显著改善预后，促进临床疗效，增强其自我保健意识，提升生活质量，消除负面情绪，从而达到稳定病情、提升患者整体健康状况的效果，值得推广。

Effectiveness of health education by evidence-based support for patients with postmenopausal osteoporosis

Objective To observe the effectiveness of health education by evidence-based support for patients with postmenopausal osteoporosis （PMO）. Methods From January 2010 to January 2012, in Health Examination Center, Maternal and Child Health Hospital of Shiyan City, depending on whether the implementation of systematic health education, 69 cases of PMO patients were divided into the control group （30 cases） and the experimental group （39 cases）. The BMD LI-L4, BGP, ALP, SF-36 scale, WHOQOL-BREF scale, HAMA scale, MUIS scale and SCL-90 of two groups before and after the implementation of systematic health education were observed and compared. Results Compared with the control group, the oceuranee of fractures of the experimental group during 18 months was significantly reduced, the difference was statistically significant （P 〈 0.05）. And the experimental group, the awareness of self-care, BMD L1-L4, BGP, ALP were increased significantly than those before the systematic heahh education, the differences were statistically significant （P 〈 0.05）; part of the scores of SF-36 scale, WHOQOL-BREF scale were significantly higher than those before the systematic health education, the differences were statistically significant （P 〈 0.05）; the scores of HAMA scale, MUIS scale, SCL-90 scale were significantly reduced than those before the systematic health education, the differences were statistically significant （P 〈 0.05）. Conclusion It＇s concluded that the implementation of health education among PMO patients can significantly improve the prognosis, promote clinical efficiency, enhance their self-care awareness and quality of life, eliminate negative emotions. In order to control disease and improve the overall health of the patient, health education by evidence-based support should be widely promoted.