多模式健康教育对老年胸腰椎骨质疏松性骨折术后患者疾病认知及健康相关行为的影响  

Effect of multi-modal health education on disease cognition and health-related behaviors in elderly patients with thoracolumbar osteoporotic fractures after surgery

作　　者：唐小花[1] 朱君燕 孙萍 徐辰 Tang Xiaohua;Zhu Junyan;Sun Ping;Xu Chen(Department of Orthopedics,Danyang People's Hospital Affiliated to Nantong University,Nantong 212300,Jiangsu,China)

机构地区：[1]南通大学附属丹阳市人民医院骨科,江苏镇江212300

出　　处：《中国医学前沿杂志（电子版）》2022年第1期52-56,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的探讨多模式健康教育对老年胸腰椎骨质疏松性骨折术后患者疾病认知及健康相关行为的影响。方法选取南通大学附属丹阳市人民医院2017年1月至2018年12月收治的96例老年胸腰椎骨质疏松性骨折患者为研究对象,根据治疗时间分为干预组(2018年1—12月)、对照组(2017年1—12月)各48例,对照组患者给予包括发放健康教育手册、集中宣教、个体指导、随访等常规健康教育,干预组联合应用多模式健康教育。随访6个月,比较两组疾病认知水平、健康相关行为。结果干预组患者高危因素、摄钙相关知识、运动相关知识、疾病认知总分明显高于对照组(P<0.05);吸烟、饮酒、喝饮料、饮浓茶的行为发生情况低于对照组,服用钙片、维生素D、牛奶、豆类、深绿色蔬菜,规律运动、经常日照的行为发生情况高于对照组(P<0.05)。结论多模式健康教育有助于提高老年胸腰椎骨质疏松性骨折术后患者疾病认知水平,促进健康相关行为的养成。Objective To explore the effect of multi-modal health education on disease cognition and health-related behaviors in elderly patients with thoracolumbar osteoporotic fractures after surgery.Method A total of 96 elderly patients with thoracolumbar osteoporotic fractures in Danyang People’s Hospital of Nantong University from January 2017 to December 2018 were enrolled into this study.They were divided into intervention groups(January to December 2018)and control group(January to December 2017)with 48 cases each group.The patients in control group were given regular health education including health education manuals,intensive publicity and education,individual guidance,follow-up,etc.The intervention group was combined with multi-modal health education.Disease cognition level and health-related behaviors were compared after 6 months follow-up.Result The total scores of high-risk factors,calcium intake-related knowledge,exercise-related knowledge,and disease cognition in the intervention group were significantly higher than those in the control group(P<0.05);The ratio of smoking,alcohol intake,tea intake was significantly lower than control group.The intake of calcium tablets,vitamin D,milk,beans,dark green vegetables,regular exercise,and regular sunshine was higher than that in control group(P<0.05).Conclusion Multi-modal health education can help improve the disease cognition level and promote the development of health-related behaviors in elderly patients with thoracolumbar osteoporotic fractures after surgery.

关 键 词：胸腰椎骨质疏松性骨折 多模式健康教育 疾病认知 健康行为 

分 类 号：R687.3[医药卫生—骨科学] R193[医药卫生—外科学]