医院-社区-家庭联动对原发性骨质疏松患者认知、行为和治疗效果的影响  

The influence of hospital-community-family linkage management on the cognitive,behavioral,and treatment outcomes of primary osteoporosis patients

作　　者：魏挺[1] 刘江[1] 周文旭[1] 方堃[1] 毛静 时晔[3] 周哲人[1] WEI Ting;LIU Jiang;ZHOU Wenxu;FANG Kun;MAO Jing;SHI Ye;ZHOU Zheren(Hospital of Xi’an Jiaotong University,Xi’an 710049;Community Health Service Center of Xi’an Jiaotong University,Xi’an 710049;Shaanxi Provincal People’s Hospital,Xi’an 710068,China)

机构地区：[1]西安交通大学医院,陕西西安710049 [2]西安交通大学社区卫生服务中心,陕西西安710049 [3]陕西省人民医院,陕西西安710068

出　　处：《中国骨质疏松杂志》2024年第11期1644-1648,1652,共6页Chinese Journal of Osteoporosis

基　　金：陕西省科技厅社发公关项目(2022SF-559);西安交通大学基本科研业务费专项科研项目(SK2014040)。

摘　　要：目的探讨医院-社区-家庭联动管理对社区原发性骨质疏松患者认知、行为和治疗效果的影响。方法选取2021年3月至2022年3月于西安交通大学医院门诊确诊并住院接受磷酸盐治疗的原发性骨质疏松患者106例,随机分为观察组和对照组各53例,两组均定期予以磷酸盐注射治疗,对照组予以常规慢性病指导与复查,观察组在对照组的干预基础上,加用医院-社区-家庭联动管理。观察两组患者对原发性骨质疏松的认识、行为及骨密度和血清维生素D的改善情况。结果(1)两组患者对原发性骨质疏松危险因素认知情况,观察组每一项危险因素的认知率均高于对照组(P<0.05);(2)两组患者饮食和生活习惯改善情况,观察组的干预方式对患者饮食和生活习惯的改善优于对照组(P<0.05);(3)两组患者DXA骨密度T值比较,预后观察组各部位骨密度较对照组好转明显(P<0.05);(4)两组患者血清维生素D水平比较,观察组的干预措施对患者血清25(OH)D的提升更有效(P<0.05)。结论医院-社区-家庭联动管理模式,实现了三者对患者多维度、多形式的干预,明显提升了社区医疗服务质量。Objective To explore the impact of hospital community family linkage management on the cognition,behavior,and treatment outcomes of primary osteoporosis patients in the community.Methods A total of 106 patients diagnosed with primary osteoporosis in Hospital of Xi’an Jiaotong University outpatient department and hospitalized for phosphate treatment between March 2021 and March 2022 were subjected to random allocation into two groups,namely the observation group and the control group,each consisting of 53 cases.Both groups received regular phosphate injection treatment,while the control group received routine chronic disease guidance and follow-up.The observation group,in addition to the intervention provided to the control group,received hospital community family linkage management.The objective was to observe and compare the understanding,behavior,and improvement of bone density and serum vitamin D in the two groups of patients with primary osteoporosis.Results(1)The observation group exhibited a higher cognitive level of risk factors for primary osteoporosis compared to the control group,with a statistically significant difference of P<0.05 for each risk factor.(2)Both groups of patients demonstrated an improvement in diet and lifestyle habits,with the intervention method in the observation group yielding a significantly better effect on patient improvement,as compared to the control group,with P<0.05.(3)The comparison of DXA bone density T values between the two patient groups revealed a significant improvement in bone density across various parts of the observation group,as compared to the control group,with P<0.05.(4)The analysis of serum vitamin D levels in two distinct patient groups revealed that the intervention measures implemented in the observation group were significantly more effective in elevating serum 25-OH VitD levels in patients,with P<0.05.Conclusion It can be concluded that the hospital community family linkage management model has successfully implemented multi-dimensional and multi-form i

关 键 词：原发性骨质疏松 医院-社区-家庭 联动管理 社区卫生服务 认知 行为 干预 

分 类 号：R589.5[医药卫生—内分泌]