基于简易体能测试的健康教育对老年骨质疏松患者出院准备度及指导质量的影响研究  

Influence of health education based on Short Physical Performance Battery on readiness for hospital discharge and quality of discharge teaching in elderly patients with osteoporosis

作　　者：苏兰[1] 袁丽[1] 卢春燕[1] 张霞[1] 刘明[1] 杨小玲[1] Su Lan;Yuan Li;Lu Chunyan(Department of Endocrinology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院内分泌代谢科

出　　处：《中国康复》2020年第1期39-42,共4页Chinese Journal of Rehabilitation

基　　金：四川省科技厅重点研发项目（2018SZ0227）;四川省卫计委项目（18PJ299）

摘　　要：目的:探讨基于简易体能测试(SPPB)的健康教育对老年骨质疏松患者出院准备度及出院指导质量的影响。方法:选取骨质疏松症患者210例为研究对象,随机分为对照组和观察组各105例,对照组给予常规护理,观察组在此基础上进行运动锻炼、饮食、用药、疼痛、跌倒管理及随访,干预前后比较2组患者SPPB评分和干预后出院准备度量表(RHDS)及出院指导质量调查。结果:干预后,观察组SPPB各项评分及总分均高于干预前及对照组(均P<0.05);观察组RHDS量表4个维度及总分均较对照组明显提高(均P<0.05),且出院指导质量2个维度及总分均较对照组明显提高(均P<0.05)。结论:个性化的健康教育有利于改善老年骨质疏松患者的体能,也可提高患者的出院准备度和出院指导质量。Objective:To explore the influence of health education based on Short Physical Performance Battery(SPPB)on readiness for hospital discharge scale(RHDS)and quality of discharge teaching in elderly patients with osteoporosis.Methods:210 patients with osteoporosis were randomly and equally divided into control group and observation group.The control group and observation group were given routine nursing care.Additionally,the observation group was subjected to exercise training,management of diet,drugs,pain and fall,and followed up.SPPB scores before and after intervention,RHDS after intervention,and quality of discharge teaching were compared between two groups.Results:After intervention,SPPB scores and total scores in the observation group were significantly higher than those in the control group and before intervention(all P<0.05).The 4 dimensions and total scores of RHDS and the 2 dimensions and total scores of discharge guidance quality in the observation group were significantly higher than those in the control group(all P<0.05).Conclusion:Personalized health education is beneficial to improve the physical fitness,readiness for hospital discharge and quality of discharge teaching in elderly patients with osteoporosis.

关 键 词：骨质疏松 简易体能测试 健康教育 出院准备度 出院指导质量 

分 类 号：R49[医药卫生—康复医学] R589[医药卫生—临床医学]