三亚市农村绝经期女性骨质疏松社区护理干预效果的评价  

Community Nursing Interventions on Menopause Women in Rural Area in Sanya

作　　者：唐果[1] 潘丽茹[2] 谷昭艳[3] 方翠[4] Tang Guo;Pan Liru;Gu Zhaoyan;Fang Cui(Cadre Diagnosis And Treatment Department,The First Medical Center of PLA General Hospital,Beijing 100853,China;不详)

机构地区：[1]解放军总医院第一医学中心干部诊疗科,北京市100853 [2]解放军总医院第一医学中心普通外科,北京市100853 [3]解放军总医院第二医学中心内分泌科,北京市100853 [4]解放军总医院第一医学中心内分泌科,北京市100853

出　　处：《中国病案》2020年第10期109-112,共4页Chinese Medical Record

摘　　要：目的观察社区护理对绝经后骨质疏松女性的干预效果。方法选取三亚市2017年6月1日-2019年1月1日某区农村187例60岁以上无重大疾病的绝经期女性,根据随机数字表进行分组,分为干预组(n=93)和对照组(n=92),均对其24小时尿钙值进行检测,其中干预组需定期进行社区(心理、运动、饮食)护理,干预1年时间。对比两组前后1年时间24小时尿钙值的变化,及对24小时尿钙值与骨质疏松之间的关系进行横断面相关性分析,进而评价干预效果。结果通过护理1年后对两组的尿钙值及骨密度比较发现,24小时尿钙值确实有不同程度的下降,干预组与对照组尿钙值情况比较(2.39±0.39 VS 3.55±0.41)及骨质异常情况比较均有统计学意义。通过尿钙与骨量的拟合曲线的结果发现,24小时尿钙值在3.62mmol/天以上的绝经期女性骨量减少的风险明显上升。结论对农村绝经期女性骨质疏松进行积极社区护理干预措施可以有效降低24小时尿钙值,并可能预防或延缓骨质疏松的发生发展。24小时尿钙检测作为评价骨质疏松护理干预效果的一个辅助指标,可以推广。Objective To explore the community nursing interventions on menopause women in rural area.Methods 187 postmenopausal women aged 60 years aged over 60 years old were divided randomly into intervention group(n=93)and control group(n=92).Among them,intervention group needed regular nursing intervention for one year.Comparing the changes of urinary calcium values during 24 hours after 1 year and 24 hours urinary calcium concentration and osteoporosis,cross sectional correlation analysis was conducted to evaluate intervention effect.Results Comparing urinary calcium value and BMD after 1 year nursing,urinary calcium value decreased significantly in 24 hours,compared with control group(2.39±0.39±0.41)and bone mineral density difference statistically significant difference between them.At the same time,the results of the fitting curve of urinary calcium and bone mass showed that the risk of bone loss was significantly increased in postmenopausal women whose 24-hour urinary calcium value was above 3.62 mmol/d.Conclusion Active community nursing intervention measures for osteoporosis in postmenopausal women in rural areas can effectively reduce the 24-hour urinary calcium value and may prevent or delay the occurrence and development of osteoporosis.24-hour urine calcium test is a simple,economical and easy to obtain indicator,which can be promoted in the future.

关 键 词：骨质疏松 绝经期女性 24小时尿钙 社区护理干预 

分 类 号：R473.5[医药卫生—护理学]