上海市部分社区骨质疏松患者社区规范诊疗和管理的干预效果评价

沈秋明; 程海铭; 陆彧; 万和平; 秦彦; 杨颖华; 王泽洲; 施悦; 蔡泳; 沈恬

doi:10.19428/j.cnki.sjpm.20180122.014

上海市部分社区骨质疏松患者社区规范诊疗和管理的干预效果评价

Intervention effect evaluation on standard diagnosis and treatment and management for osteoporosis patients in some communities in Shanghai City

摘要

摘要:
目的了解上海市部分社区骨质疏松患者对骨质疏松症相关知识的认知、骨质疏松的防治动机、骨质疏松预防的健康管理行为，以及社区规范诊疗和管理的干预效果。
方法在20家参与试点项目的社区卫生服务中心采用方便抽样的方法，分别在干预前后抽取597例和606例骨质疏松患者进行骨质疏松知识、信念和自我管理行为的问卷调查。
结果经社区规范诊疗和管理干预，患者骨质疏松知识平均得分由(15.9±6.2)分(总分32分)上升至(22.8±5.9)分(P＜0.01)；骨质疏松信念平均得分由(147.1±18.0)分(总分210分)上升至(156.0±17.1)分(P＜0.01)；骨质疏松自我管理行为平均得分由(40.5±10.5)分(总分65分)上升至(48.0±10.5)分(P＜0.01)。
结论社区规范诊疗和管理干预促进了患者骨质疏松自我管理行为的形成，干预效果明显。

Abstract:
ObjectiveTo ascertain the knowledge, attitude and self-management behavior of osteoporosis patients in Shanghai communities and investigate the effect of community intervention and management.
MethodsBy convenience sampling, a total of 597 and 606 osteoporosis patients were investigated by questionnaires on their knowledge, attitude and self-management behavior of osteoporosis in 20 community health service centers.
ResultsAfter intervention, the average score of osteoporosis knowledge rose from 15.9±6.2 to 22.8±5.9 (P < 0.01) (a total score of 32). The average score of osteoporosis attitude rose from 147.1±18.0 to 156.0±17.1 (P < 0.01) (a total score of 210). The average score of self-management behavior of osteoporosis rose from 40.5±10.5 to 48.0±10.5 (P < 0.01) (a total score of 65).
ConclusionAfter community intervention and management, the knowledge, attitude and self-management behavior level of osteoporosis patients significantly increased, which proved the obvious effectiveness of osteoporosis intervention and management.

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