原发性骨质疏松症社区干预方式效果的研究  

A Comparative Study on the Intervention Patterns for Primary Osteoporosis in Community

作　　者：陈碧玉[1] 李硕颀[1] 王兰 王海清[3] 陈少明[1] 吴晓川[1] 刘小贤[1] 

机构地区：[1]湖南省长沙市中南大学公共卫生学院流行病与卫生统计学系,湖南长沙410078 [2]湖南省长沙市裕南街三真社区卫生服务中心,湖南长沙410002 [3]江西省宜春市宜春学院医学院卫生统计学系,湖南宜春336000

出　　处：《中国慢性病预防与控制》2009年第2期190-192,共3页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：湖南省卫生厅2004年度科研基金重点课题项目资助(A2004-001)

摘　　要：目的探讨社区居民原发性骨质疏松症社区干预方式。方法整群随机抽取的4个社区人群中符合纳入标准的825名社区居民作为基线调查对象。各社区按居民小组分区以健康讲座、家庭访问、电话访谈、信函随访、定点咨询等方式开展干预,2a后进行效果调查,比较各种干预方式的即时效果、研究对象对干预信息的接受情况、社区医务人员对干预方式施行的可操作性评价及成本-效果分析。结果不同干预方式的人群接受率高低依次为电话访谈(94.0%)、家庭访问(89.2%)、健康讲座(70.6%)、信函随访(27.2%)、定点咨询(19.5%)。医务人员对干预方式施行的认可率高低依次为电话访谈(78.9%)、健康讲座(70.0%)、家庭访问(66.7%)、信函随访(22.2%)、定点咨询(15.0%)。电话访谈的成本-效果比最小(1.79),定点咨询的成本-效果比最大(13.79)。结论健康讲座、家庭访问、电话访谈适用于原发性骨质疏松症的社区干预工作。Objective To explore the intervention patterns which people are apt to accept and medical staff operate them simply and conveniently for primary osteoporosis in community. Methods With cluster random sampling method, 850 residents who met the selective standards were selected from four communities. Every community was divided into five districts; each district took one of intervention patterns, including health lectures, home visiting, telephone interviewing, follow-up letter, fixed-point counseling, etc. At the end of two years＇ intervention, all of subjects accepted the final investigation, data were collected and analyzed. Results The acceptance rates of intervention patterns were 94.0% for telephone interviewing, 89.2% for home visiting, 70.6% for health lectures, 27.2% for letter follow-up and 19.5% for fixed-point counseling. The recognition rates of manipulating these measures in medical staff were 78.9% for telephone interviewing, 70.7% for health lectures, 66.7% for home visiting, 22.2% for letter follow-up and 15.0% for fixed-point counseling. The ratio of cost to effectiveness of telephone interviewing was 1.79 which was the minimum, but the ratio of cost to effectiveness of fixed-point counseling was the maximum which was 13.79. Conclusion Health lectures, home visiting and telephone interviewing are applicable intervention measures to prevent POP in community.

关 键 词：原发性骨质疏松症 社区干预 干预模式 效果 

分 类 号：R193.2[医药卫生—卫生事业管理]