基于PRECEDE-PROCEED模式的饮食管理在社区骨质疏松患者中的应用  

Effects of diet management based on PRECEDE-PROCEED model among osteoporosis patients in community

作　　者：毕娜[1] 王亮[1] 丁红[2] 王俐 杨雪[1] Bi Na;Wang Liang;Ding Hong;Wang Li;Yang Xue(Orthopedics Center,the Eighth Medical Center of Chinese PLA General Hospital,Beijing 100091,China;Outreach Office,the Eighth Medical Center of Chinese PLA General Hospital,Beijing 100091,China)

机构地区：[1]解放军总医院第八医学中心骨科中心,北京100091 [2]解放军总医院第八医学中心外联办,北京100091

出　　处：《中华现代护理杂志》2020年第17期2300-2304,共5页Chinese Journal of Modern Nursing

基　　金：军队中老年干部骨质疏松筛查及防治研究(CWS11J169)。

摘　　要：目的探讨基于PRECEDE-PROCEED模式的饮食管理在社区骨质疏松患者中的应用效果。方法采用便利取样法选取2018年10月—2019年10月北京市海淀区西北部医联体所属社区登记健康档案的骨质疏松症患者208例,采用CHISS 2011统计软件随机分为对照组和试验组各104例。试验组基于PRECEDE-PROCEED模式教育评估诊断的倾向因素、促成因素和强化因素,开展骨质疏松饮食管理;对照组实施常规社区饮食健康教育。评价指标包括骨质疏松患者饮食行为形成率、骨质疏松饮食知晓程度、抗骨质疏松药物治疗依从性、社区老年人独立性(FAQ)、骨密度和欧氏功能障碍指数(ODI)。应用CHISS 2011软件进行统计学分析。结果入组1年后试验组骨质疏松饮食行为形成率为(88.47±6.40)%,骨密度为(-2.84±0.40)g/cm^2,ODI指数为(13.05±5.15)分,对照组骨质疏松饮食行为形成率为(74.32±13.63)%,骨密度为(-3.32±0.49)g/cm^2,ODI指数为(15.16±5.41)分,组间比较差异均有统计学意义(P<0.05)。结论基于PRECEDE-PROCEED模式的社区骨质疏松饮食管理可以提高饮食行为依从性,提高骨质疏松综合治疗效果,改善患者主观体验。Objective To explore the effects of diet management based on PRECEDE-PROCEED model among osteoporosis patients in community.Methods From October 2018 to October 2019,this study selected 208 osteoporosis patients with health record register in communities belong to medical consortium in northwestward of Haidian District of Beijing by convenience sampling.All patients were randomly divided into control group and experimental group with the CHISS 2011,104 cases in each group.Based on PRECEDE-PROCEED model,experimental group evaluated the predisposing factors,enabling factors and reinforcing factors,carried out the osteoporosis diet management.Control group carried out the routine community diet health education.The evaluation indexes included the rate of diet behavior shaping,awareness of osteoporosis diet,compliance of anti-osteoporosis drugs,the Functional Activities Questionnaire(FAQ)and Oswestry Disability Index(ODI)of osteoporosis patients.CHISS 2011 was used to statistical analysis.Results A total of one year after enrollment,there were statistical differences in the rate of osteoporosis diet behavior shaping,bone mineral density and ODI between experimental group[(88.47±6.40)%,(-2.84±0.40)g/cm^2 and(13.05±5.15)points]and control group[(74.32±13.63)%,(-3.32±0.49)g/cm^2 and(15.16±5.41)points],(P<0.05).Conclusions Community osteoporosis diet management based on PRECEDE-PROCEED can improve the diet behavior compliance,osteoporosis comprehensive treatment effects as well as patients'subjective experience.

关 键 词：骨质疏松 社区卫生服务 PRECEDE-PROCEED模式 饮食管理 

分 类 号：R580[医药卫生—内分泌] R193[医药卫生—内科学]