骨质疏松健康教育新模式探讨
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New model of osteoporosis health education in China
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    目的 本研究旨在探讨骨质疏松健康教育新模式, 即以骨质疏松俱乐部为平台, 普及骨质疏松健康知识, 探讨建立适合我国国情的骨质疏松健康教育新模式的意义。方法 建立骨质疏松俱乐部, 采用会员制统一管理, 纳入2010年1月~5月明确诊断原发性骨质疏松的会员为研究对象, 共计1208人, 男性435人, 平均年龄(60.72±5.85)岁, 女性773人, 平均年龄(61.06±6.27)岁, 观察时间1年, 俱乐部开展健康教育活动, 包括每月1次的专家授课, 定期组织户外阳光活动, 同时营养、康复及内科专家提供饮食、运动, 药物等方面综合治疗。所有研究对象均填写会员调查表, 建立数据库, 比较骨质疏松认知水平、疼痛程度、生活质量、骨密度等, 所有数据使用SPSS11.5软件进行统计学分析。结果 对研究对象的1年观察结果显示, 骨质疏松认知水平测试(10.07±0.27)分, 较干预前(3.81±0.24)分明显提高; 疼痛视觉模拟评分(1.56±0.24)分, 较干预前(5.71±0.83)分显著降低; 生活质量评估(80.64±10.98)分, 较干预前(66.38±7.72)分明显提高; 男性骨密度L2~4、Neck、Ward's、Troch分别为(1.18±0.11)g/cm2, (1.03±0.10)g/cm2, (0.89±0.12)g/cm2, (0.78±0.17)g/cm2, 较干预前(1.02±0.22)g/cm2, (0.89±0.15)g/cm2, (0.76±0.09)g/cm2, (0.62±0.12)g/cm2有所提高, 具有显著统计学差异(P<0.05); 女性骨密度L2~4、Neck、Ward's、Troch分别为(1.20±0.17)g/cm2, (1.01±0.13)g/cm2, (0.87±0.09)g/cm2, (0.76±0.21)g/cm2, 较干预前(1.01±0.18)g/cm2, (0.88±0.05)g/cm2, (0.74±0.11)g/cm2, (0.60±0.07)g/cm2有所提高, 具有显著统计学差异(P<0.05)。结论 随着人口老龄化, 骨质疏松患病率增高, 但全民对此病的认知度低, 加强骨质疏松的健康教育对骨质疏松的防治意义重大, 以骨质疏松俱乐部为平台的健康教育新模式对于骨质疏松的综合诊治起着重要作用。

    Abstract:

    Objective This study was to discuss a new model of health education of osteoporosis. By setting up osteoporosis club as a health education platform, we studied the significance of this model in popularizing osteoporosis health knowledge in China. Methods We set up a club of osteoporosis, and adopted the unified management of the membership. A total of 1208 subjects, in which diagnosis of osteoporosis was established from January to May 2010, were enrolled, including 435 males, with an average age of (60.72±5.85) years, and 773 females, with an average age of (61.06±6.27) years. During the observation duration of 1 year, multiple activities of health education were carried out, including health education lecture once a month, outdoor sports such as climbing mountains and sunshine exposure. Comprehensive management considering dietary, sports and medication was also performed. All subjects filled in questionnaire to build a database, including osteoporosis cognitive level, pain degree evaluation, appraisal of life quality and bone mineral density(BMD) testing. All data were statistically analyzed by SPSS 11.5 software. Results After one year observation, cognitive level of osteoporosis was significantly raised [(10.07±0.27) vs (3.81±0.24) points]; VAS pain visual analogue scale significantly reduced [(1.56±0.24) vs (5.71±0.83) points]; appraisal of life quality significantly improved [(80.64±10.98) vs (66.38±7.72) points]; and the BMD of L2~4, Neck, Ward's, Troch significantly increased in both males and females respectively[males: (1.18±0.11) vs (1.02±0.22)g/cm2, (1.03±0.10) vs (0.89±0.15)g/cm2, (0.89±0.12) vs (0.76±0.09)g/cm2, (0.78±0.17) vs (0.62±0.12)g/cm2; females: (1.20±0.17) vs (1.01±0.18)g/cm2, (1.01±0.13) vs (0.88±0.05)g/cm2, (0.87±0.09) vs (0.74±0.11)g/cm2, (0.76±0.21) vs (0.60±0.07)g/cm2]. The differences reached the statistical significance(P<0.05). Conclusion With population aging, the prevalence rate of osteoporosis increases. However, people have little awareness about this disease. It is significant to emphasize osteoporosis health education. Osteoporosis club, as a new model of health education, plays an important role in the comprehensive management of osteoporosis.

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王 亮, 马远征, 刘海容, 等.骨质疏松健康教育新模式探讨[J].中华老年多器官疾病杂志,2011,10(5):393~396

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