综合干预对社区高风险骨质疏松性骨折老年女性骨质疏松相关知识的影响

目的:评价社区高风险骨质疏松性骨折老年女性实施综合干预后的效果。方法:采用便利抽样法选取60岁以上社区老年女性96名作为研究对象,并将其分为干预组和对照组各48人。干预组给予群体性健康教育、发放健康教育手册和家庭访视综合干预;对照组仅发放健康教育手册。对两组干预前后的骨质疏松相关知识进行调查。结果:干预前干预组对老年女性预防骨质疏松性骨折知识的得分无论在知识项目总分上还是在分项目得分上均明显高于基线水平,差异均有统计学意义(P<0.05);对照组的知识得分无论在知识项目总分上还是在分项目得分上虽高于基线水平,但仅知识项目总分和分项目基础知识、饮食运动得分的差异有统计学意义(P<0.05)。干预后干预组在基础知识、危险因素等知识方面得分均明显高于对照组(P<0.05)。结论:采取群体性健康教育、家庭访视个别指导等综合干预措施可提高社区老年女性相关健康知识和健康责任感,矫正导致骨质疏松的风险行为,建立良好的生活方式。

Effect of comprehensive intervention on osteoporosis-related knowledge in elderly women with high risk of osteoporotic fracture in community

Objective:To evaluate the efficacy of comprehensive intervention in elderly female with high risk of osteoporotic fracture in community.Methods:Convenient sampling method was used to select 96 elderly women over 60 years old from community as study objects,then they were divided into intervention group and control group,48 elderly women in each group.The elderly women in intervention group received population health education and comprehensive intervention of distributing health education manuals and family interview;while in control group,only health education manuals were distributed in the elderly women.Osteoporosis-related knowledge in the two groups before and after intervention was investigated.Results:In intervention group,the total score and the scorse of items of preventive knowledge of osteoporotic fracture in elderly women before intervention were statistically significantly higher than baselines(P<0.05);the total score and the scorse of items of preventive knowledge of osteoporotic fracture in elderly women before intervention in control group were higher than baselines,but there were statistically significant differences in the total score,the scores of basic knowledge and diet and excise(P<0.05).After intervention,the scores of basic knowledge and risk factors in intervention group were statistically significantly higher than those in control group(P<0.05).Conclusion:Comprehensive interventional measures of population health education,family interview,and individual guidance can improve related health knowledge and health sense of responsibility of elderly women in community,correct risk behaviors of osteoporosis,and create good lifestyles.