移动技术在骨质疏松延续护理中的应用  

Application of transitional care based on mobile health technology for outpatients with osteoporosis

作　　者：陈晓萍[1] 许兵[1] 周艳艳[1] 李若和[1] 尤炯鸣 许虹波[2] 顾叶春[1] 陈伟凯[1] 

机构地区：[1]浙江中医药大学附属温州中西医结合医院骨科,浙江温州325000 [2]温州医科大学护理学院,浙江温州325000

出　　处：《中国医药导报》2015年第25期160-165,共6页China Medical Herald

基　　金：浙江省中医药管理局青年基金(2014ZQ025)

摘　　要：目的探讨移动医疗技术在骨质疏松延续护理中的应用价值。方法选择2013年6月～2014年3月浙江中医药大学附属温州中西医结合医院门诊诊治的骨质疏松症（OP）患者120例，按照随机数字表法分为对照组和实验组。每组各60例。对照组接受传统电话延续护理，实验组接受移动医疗延续护理。实施12个月后评价两组患者的OP认知水平、OP自我效能、OP健康行为、骨密度（BMD）、骨折发生率、焦虑抑郁及满意度。结果实施12个月后，实验组的OP知识水平高于对照组，差异有高度统计学意义（P〈0．01）；实验组的OP自我效能总分[（82．60±10．51）分]高于对照组[（76．99±11．18）分]，差异有高度统计学意义（P〈0．01）；实验组的食物钙每日摄入量[（709．17±135．20）mg]高于对照组[（610．89±138．93）mg]，差异有高度统计学意义（P〈0．01）；实验组的承重运动每日时间[（59．35±15．27）min]高于对照组[（52．26±13．67）min]，差异有高度统计学意义（P〈0．01）；实验组药坚持性及安全防范程度均高于对照组，差异有统计学意义（P〈0．05或P〈0．01）；实验组的BMD变化率[6．30%（5．01％，8．75％）]高于对照组为H．43％（2．68％，7．50％）]，差异有统计学意义（P〈0．05）；两组的骨折发生率比较（5．26％比9．43％），差异无统计学差异（P〉0．05）；实验组的焦虑自评量表得分[（35．21±7．16）分]低于对照组为[（38．12±7．59）分]，差异有统计学意义（P〈0．05）；实验组的抑郁自评量表得分[（37．92±7．91）分]低于对照组[（41．31±8．22）分]，差异有统计学意义（P〈0．05）；实验组的总体满意度自评量表得分[（2．92±0．30）分]高于对照组[（2．41±0．31）分]，差异有高度统计学意义（P〈0．01）。结论移动医疗技术在骨质疏松延续护理中的应用通过积极影响OObjective To study the value of transitional care based on mobile health technology for outpatients with osteoporosis （OP）, Methods From June 2013 to March 2014, in the Wenzhou Integrated Chinese and Western Medicine Hospital Affiliated to Zhejiang Chinese Medical University, 120 outpatients with OP were selected, then according to random number table, they were divided into control group and experiment group, with 60 cases in each group. The control group was given transitional care by telephone, while the experiment group was given transitional care based on mobile health technology. After 12 months health education, the knowledge, self-efficacy, behavior, bone mineral density （BMD）, fracture incidence, anxiety, depression and satisfaction of the two groups were evaluated. Results After 12 months transitional care, the knowledge level of the experiment group was higher than that of the control group, the difference was statistically significant （P 〈 0.01）. The self-efficacy of the experiment group [（82.60±10.51） scores] was higher than that of the control group [（76.99±11.18） scores], the difference was statistically significant （P 〈 0.01）. The daily calcium intake by food of the experiment group [（709.17±135.20） mg] was more than that of the control group [（610.89±138.93） mg], the difference was statistically significant （P 〈 0.01）. The daily exercise time of the experiment group [（59.35±15.27） min] was more than that of the control group [（52.26±13.67） min], the difference was statistically significant （P 〈 0.01）. The compliance with medication and safety precaution of the experiment group were both better change rate of BMD of the experiment group [6.30% （5.01%, 8.75%）] was higher than that of the control group [4.43% （2.68%, 7.50%）], the difference was statistically significant （P 〈 0.05）. There was no significant statistical difference between the two groups on fracture incidence （5.26% vs 9.43%） （P 〉 0.05）. The SAS of th

关 键 词：移动医疗 骨质疏松症 延续护理 

分 类 号：R473.5[医药卫生—护理学]