基于健康需求的健康宣教在内分泌失调所致骨质疏松症患者中的应用  

Effects of health education based on health needs in osteoporosis patients induced by endocrine dyscrasia

作　　者：赵海霞[1] 车艳军[1] 李宏倬[1] Zhao Haixia;Che Yanjun;Li Hongzhuo(Department of Orthopedics,Heping Hospital,Affiliated to Changzhi Medical College,Changzhi 046000,China)

机构地区：[1]长治医学院附属和平医院骨科,长治046000

出　　处：《中华现代护理杂志》2018年第28期3440-3443,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于健康需求调查结果的健康宣教在内分泌失调所致骨质疏松症（OP）患者护理中的应用效果。方法采用便利抽样法选取长治医学院附属和平医院2015年8月-2017年8月收治的内分泌失调性OP患者为研究对象，根据随机数字表将其分为观察组与对照组，每组各51例。对照组采用常规护理，观察组在干预前对患者的健康需求进行调查，根据调查结果进行健康宣教。采用骨质疏松症知识问卷调查表（0KT）、骨质疏松症生存质量简表（COQOL）比较干预前后两组患者对疾病知识掌握程度及生存质量情况。结果干预前，两组OKT和COQOL评分差异无统计学意义（P〉0．05）。干预1个月后，观察组患者OKT总分（20．89±4．42）分，COQOL总分（65．44±9．13）分，均高于对照组，差异均有统计学意义0值分别为6．217、4．639；P〈0．05）。结论基于健康需求调查结果的健康宣教能够增强内分泌失调所致OP患者对疾病知识的了解，提高其生存质量。Objective To explore the effects of health education based on survey findings of health needs in nursing among osteoporosis patients induced by endocrine dyscrasia. Methods From August 2015 to August 2017, we selected osteoporosis patients induced by endocrine dyscrasia as subjects by convenience sampling in Heping Hospital, Affiliated to Changzhi Medical College. All of the patients were divided into observation group and control group with the random number table, 51 cases in each group. Control group received routine nursing. Observation group carried out investigation on health needs before intervention and health education based on the findings of investigation. The Osteoporosis Knowledge Tests (OKT), Chinese Osteoporosis-Targeted Quality of Life Short Questionnaire (COQOL) were used to compare the level of disease knowledge and quality of life of patients before and after intervention. Results Before intervention, there was no statistical difference in the score of OKT and COQOL in two groups (P＞0.05). One month after intervention, the score of OKT and COQOL patients in observation group was (20.89±4.42) and (65.44±9.13) respectively higher than those in control group with significant differences (t=6.217, 4.639;P＜0.05). Conclusions Health education based on survey findings of health needs can increase osteoporosis patients' disease knowledge levels and improve their quality of life.

关 键 词：骨质疏松 内分泌失调 健康需求 健康宣教 

分 类 号：R473.5[医药卫生—护理学]