健康教育对骨质疏松骨折患者术后骨质疏松认知、自我效能及骨折疗效的影响  

The impact of health education on osteoporosis after fracture patients with osteoporosis awareness,self-efficacy and fractures

作　　者：徐芳玲[1] 李建有[2] 

机构地区：[1]浙江省舟山市中医骨伤联合医院脊柱病科,浙江舟山316000 [2]浙江省湖州市中心医院骨科,浙江湖州313000

出　　处：《中国现代医生》2014年第27期86-89,共4页China Modern Doctor

基　　金：浙江省医药卫生科学研究基金计划(2009B153)

摘　　要：目的分析健康教育对骨质疏松骨折患者术后骨质疏松认知、自我效能及骨折疗效的影响。方法选取骨质疏松的骨折患者142例,随机分为观察组和对照组各71例,观察组实施综合健康教育,比较两组的骨质疏松症知识问卷(OKT)、骨质疏松症自我效能量表(OSES)、腰椎骨密度及骨折疗效情况。结果术后3、6个月观察组患者的OKT评分均显著高于对照组(P<0.05),术后3、6个月观察组OSES的锻炼效能、钙效能及总分均显著高于对照组(P<0.05),术后3、6个月观察组患者的腰椎骨密度均显著高于对照组(P<0.05),术后3个月观察组患者的骨折疗效显著优于对照组(P<0.05)。结论骨质疏松对骨折术后预后产生不良影响,通过对患者进行骨折及骨质疏松相关健康教育有助于增强患者对骨质疏松的认知和自我效能,提高骨密度及骨折疗效。Objective To analyze the impact of health education on osteoporosis after fracture patients with osteoporosis awareness, self-efficacy and fracture efficacy. Methods All 142 osteoporotic fracture patients were randomly divided into observation group and control group 71 cases, the implementation of comprehensive health education observation group were compared osteoporosis knowledge questionnaire （OKT）, osteoporosis self-efficacy scale （OSES）, lumbar spine bone mineral density and fractures situation. Results After 3 and 6 months in the observation group were signifi-cantly higher OKT score（P〈0.05）, exercise performance after 3 and 6 months in the observation group OSES of calci-um and performance scores were significantly higher（P〈0.05）,after 3 and 6 months in the observation group were sig-nificantly higher lumbar spine BMD（P〈0.05）, after three months in the observation group fractures was significantly better than the control group（P〈0.05）. Conclusion Osteoporosis is adversely affected by the patient fractures and osteo-porosis-related health education helps to enhance patient awareness of osteoporosis and self-efficacy, improved bone density and fractures.

关 键 词：骨质疏松 骨折 健康教育 自我效能 

分 类 号：R473.5[医药卫生—护理学]