基于双向转诊模式的骨质疏松防治在围绝经期女性中的应用效果  

The Application Effect of Osteoporosis Prevention and Treatment Based on the Two-Way Referral Model in Perimenopausal Women

作　　者：黄少华[1] 林华永 张金山[1] 林明明 韩燕 龚丽婷[1] HUANG Shaohua;LIN Huayong;ZHANG Jinshan;LIN Mingming;HAN Yan;GONG Liting(Department of Orthopedics,Jinjiang City Hospital(Fujian Hospital of Shanghai Sixth People’s Hospital),Jinjiang 362200,China;Department of Health Management Center,Jinjiang City Hospital(Fujian Hospital of Shanghai Sixth People’s Hospital),Jinjiang 362200,China)

机构地区：[1]晋江市医院(上海市第六人民医院福建医院)骨科,晋江362200 [2]晋江市医院(上海市第六人民医院福建医院)健康管理中心,晋江362200

出　　处：《中国医药指南》2024年第32期106-109,共4页Guide of China Medicine

摘　　要：目的探讨基于双向转诊模式的骨质疏松防治方案在围绝经期女性中的应用效果。方法采用便利抽样方法,选取2023年1月-6月在晋江市医院健康管理中心进行体检的60名围绝经期女性为研究对象,按照随机数字表法分为对照组(30名)和干预组(30名)。对照组实施常规骨质疏松健康教育流程,干预组在对照组基础之上,实施基于双向转诊模式的中老年骨质疏松防治方案。干预前后通过采用双能X线吸收检测法、骨质疏松症知识测试问卷和骨质疏松症自我效能量表,对比两组骨量、疾病知识知晓情况及自我效能量情况。结果干预6个月后,干预组骨质疏松症自我效能得分为(106.63±5.08)分,高于对照组的(93.17±8.09)分(P<0.05);干预组骨质疏松症知识得分为(20.93±2.16),优于对照组的(16.73±2.96)分(P<0.05);干预组的骨量为(-0.84±0.36),与对照组(-0.96±0.35)比较,差异无统计学意义(P>0.05)。结论基于双向转诊模式的骨质疏松防治在围绝经期女性的骨量、疾病知晓情况及自我效能方面应用效果较好。Objective To explore the application effects of osteoporosis prevention and treatment program based on the two-way referral model in peri-menopausal women.Methods Using convenience sampling,a total of 60 peri-menopausal women who underwent physical examination at the Health Management Center of Jinjiang City Hospital from January to June 2023 were selected as research subjects and randomly divided into a control group(30 subjects)and an intervention group(30 subjects)according to the random number table method.The control group implemented the routine osteoporosis health education process,while the intervention group,based on the control group,implemented the osteoporosis prevention and treatment program for the elderly based on the two-way referral model.Before and after the intervention,dual-energy X-ray absorptiometry,osteoporosis knowledge test questionnaire,and osteoporosis self-efficacy scale were used to compare the bone mass,disease knowledge,and self-efficacy between the two groups.Results After 6 months of intervention,the self-efficacy score of the intervention group for osteoporosis was(106.63±5.08)points,higher than that of the control group(93.17±8.09)points(P<0.05);the knowledge score of the intervention group for osteoporosis was(20.93±2.16),better than that of the control group(16.73±2.96)points(P<0.05);the bone mass of the intervention group was(-0.84±0.36),compared with the control group(-0.96±0.35),the difference was not statistically significant(P>0.05).Conclusions The osteoporosis prevention and treatment program based on the two-way referral model has good application effects on bone mass,disease knowledge,and self-efficacy in peri-menopausal women.

关 键 词：骨质疏松 双向转诊 围绝经期 

分 类 号：R711.51[医药卫生—妇产科学]