多学科健康教育对非骨质疏松症住院患者知信行的影响  

Influence of multi-disciplinary team health education on knowledge-attitude-practice for non-osteoporosis patients

作　　者：张伟[1] 张锐[2] 冯国和[1] 

机构地区：[1]杭州师范大学附属医院护理部,310015 [2]浙江省肿瘤医院,杭州,310022

出　　处：《中华现代护理杂志》2016年第20期2857-2861,共5页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目（2014KYB195）

摘　　要：目的：评价院内骨质疏松症多学科健康教育对非骨质疏松患者骨质疏松症知识、信念、行为的影响。方法采用便利抽取法选取杭州市某三级甲等综合性医院的同一科室两个不同病区各35例非骨质疏松症患者作为研究对象。采用抽签法将病区分为观察组和对照组。对照组进行单纯由护士实施的骨质疏松症健康教育，观察组进行由主治医生、责任护士、营养师和内分泌科医护专家组成的多学科团队实施的健康教育。分别在院内健康教育前后及干预后1个月、3个月时对患者骨质疏松症知识、信念、自我效能、每日摄钙量进行测评。结果观察组共34例患者、对照组共33例患者全程参与研究。不同时间点两组除健康信念外，知识、自我效能得分和每日摄钙量差异有统计学意义（P＜0．05）。院内健康教育后，两组患者的骨质疏松症所有测评指标均显著高于教育前（P＜0．05）。干预1个月、3个月时所有指标较健康教育前均有下降趋势。干预1个月时，所有指标干预组显著高于对照组，差异均有统计学意义（P＜0．05）；干预3个月时，除健康信念得分外，其他指标干预组显著高于对照组，差异均有统计学意义（P＜0．05）。结论与单纯由护士实施的健康教育相比，多学科健康教育显著提高骨质疏松症知识水平、转变骨质疏松症健康信念、提升自我效能和激励摄钙行为。Objective To explore influence of multi-disciplinary team health education on knowledge-attitude-practice for non-osteoporosis patients .Methods A total of 70 patients without osteoporosis from two different wards of a tertiary hospital in Hangzhou were selected by convenience sampling method and divided into control group （ n =35 ） and observation group （ n =35 ） .The control group was given osteoporosis health education only by nurses , while the observation group received osteoporosis health education by multi-disciplinary team including nurses , doctors, nutritionists and medical experts of endocrinology .The osteoporosis knowledge , health belief , self-efficacy and daily intake of calcium were evaluated before and after health education in hospital , one month and three months after health education .Results A total of 33 subjects in control group and 34 subjects in observation group completed the study .The differences in osteoporosis knowledge ,＆amp;nbsp;self-efficacy and daily intake of calcium between two groups were statistically significant at different time points （P〈0.05）.After health education, the scores of osteoporosis knowledge , health belief, self-efficacy and daily intake of calcium in two groups were higher than before （P〈0.05）, while all of them declined one month and three months after health education .The indexes in observation group were better than those in control group one month after health education, the differences were statistically significant （P〈0.05）.The indexes except health belief in observation group were better than those in control group three months after health education , the differences were statistically significant （P〈0.05）.Conclusions The multi-disciplinary team osteoporosis health education in hospital can improve the osteoporosis knowledge , health belief , self-efficacy and daily intake of calcium.

关 键 词：骨质疏松症 健康教育 多学科团队 

分 类 号：R580[医药卫生—内分泌]