健康教育结合随访对骨质疏松症腰背疼痛患者自我管理行为的影响

目的探讨健康教育结合随访对骨质疏松症腰背疼痛患者自我管理行为的影响。方法将原发性骨质疏松症腰背疼痛患者96例,按入院序号随机分为试验组和对照组各48例,两组患者常规治疗,护理相同。对照组患者出院后电话随访1次。试验组在此基础上实施系统、规范的健康教育,出院后每周电话随访1次。比较两组患者出院时知识掌握情况、出院后1个月、2个月自我管理行为及治疗效果。结果试验组患者骨质疏松症知识掌握优良率为93.75%,出院后1个月、2个月遵医行为明显优于对照组,治疗后1个月、2个月VAS评分均低于与对照组,三者比较,差异均有统计学意义（均P〈0.05）。结论实施系统、规范的健康教育及电话随访,不仅提高质疏松症腰背疼痛患者对疾病相关知识的认知程度,遵医行为及治疗效果也明显到提高,从而改善腰背疼痛,减少并发症的发生,促进疾病康复,提高骨质疏松症患者的生活质量。

The influence of health education combined with follow-up therapy on the self-management actions of osteoporosis patient with lumbago and back pain

Objective To discuss the influence of health education combined with follow-up therapy on the self-management actions of osteoporosis patient with lumbago and back pain.Methods 96 cases of primary osteoporosis patients with lumbago and back pain were divided into two groups randomly according to their serial number when they were admitted into hospital.Both groups got the same routine therapy and nursing care.The patients in control group were telephoned 1 time each week after they left hospital.The patients in treatment group were educated with systematic and normative health knowledge on the basis of weekly telephone follow-up.Two sets of patients were compared on the grasp of health knowledge,self-management actions and treatment effect after their leaving from the hospital for 1 month,and did it again after 2 months.Results The mastery rate of the knowledge was 93.75% in treatment group,the compliance behaviors were better than the patients in control group when they had left the hospital for 1 month and 2 months.Both the grades of VAS of treatment group after medical treatment for 1 month and 2 months were lower than the control group.The differences of three indexes between the two groups were all significant(P < 0.05).Conclusion Implementation of systematic standard health education and follow-up can not only improve the degree of disease related knowledge for osteoporosis patients,but also enhance their compliance behavior and improve treatment effects,so as to ameliorate low back pain and reduce complications,promote disease recovery,and improve the quality of life in osteoporosis patients.