摘要
目的:调查健康教育对骨质疏松症患者提高健康知识认知和建立健康生活方式的干预效果。方法:于2003-09/2004-05在焦作市和平5号社区选取中老年骨质疏松症患者100例,均自愿参加问卷调查。以健康教育为干预措施,健康教育包括骨质疏松症专题讲座2次;每人1册《健康骨骼、挺拔体态》自学;家庭访视教育2次;电话询问或咨询。干预前及干预结束后1个月对患者的健康知识和生活方式进行问卷测评,分析其改变情况。①有关骨质疏松症的健康知识问卷包括健康责任、营养和运动3方面,共40项,评分方法为每项1分,答案为“是”和“否”,回答是者得1分,否者得0分。②有关骨质疏松症的健康生活方式问卷包括健康责任、营养、运动、人际关系、精神健康和压力应对6方面,共60项,答案也为“是”或“否”,回答正确得1分,错误得0分。结果:骨质疏松症患者100例全部进入结果分析,无脱落。①健康教育干预前及干预后1个月患者对健康知识的认知情况比较:健康教育后1个月患者的总分及健康责任、饮食营养、身体活动的问卷得分均较健康教育前明显提高犤34.17,12.32,14.61,7.24;21.34,7.00,9.36,4.98(t=1.968～2.765,P<0.05～0.01)犦。②健康教育干预前及干预后1个月患者的健康生活方式比较:健康教育后1个月患者的总分及健康责任、饮食营养、身体活动、人际关系、压力应对5类问卷得分均较健康教育前明显提高犤51.93,15.62,10.93,6.26,7.15,6.04;37.55,8.60,7.70,5.05,5.60,5.00(t=1.698～2.809,P<0.05～0.01)犦。结论:开展长期系统的健康教育能有效提高骨质疏松症患者的健康知识认知和健康责任感,促进其建立良好的生活方式,提高生活质量。
AIM： To investigate the interventional effect of health education in obtaining health knowledge and establishing healthy living style for patients with osteoporosis.
METHODS： From September 2003 to May 2004, I00 middle-aged and old patients with osteoporosis from Heping 5th community of Jiaozuo city participated in the questionnaire survey voluntarily. Twice lectures on health education as interventional measure for osteoporosis were conducted; each participants had a manual of Health Bone, Outstanding Posturing for self-study; Family interview was carried out twice; Telephone counseling was also performed. Evaluation of health knowledge and living style in the participants were performed before and I month after intervention, and changes were analyzed. （1）Questionnaire about health knowledge of osteoporosis included health duty, nutrition and exercise, totally 40 items; Each item was scored 1, yes as 1, no as 0. （2）Questionnaire about healthy living style included health duty, nutrition, exercise, interpersonal communication, mental health, and pressure, totally 60 items; Answer yes was scored I, and no scored 0.
RESULTS： All the 100 patients were involved in the result analysis. （1） Comparison of cognition to health knowledge before and I month after intervention： The total score and scores on health duty, diet nutrition, body movement were significantly highcr at I month after intervention（34.17, 12.32,14.61,7.24;21.34,7.00,9.36,4.98, t=1.908-2.765, P 〈 0.05-0.01）. （2）Comparison of living style before and 1 month after intervention： The total score and scores on health duty, diet nutrition, body movement, interpersonal communication, and pressure coping were significantly higher at 1 month after intervention （51.93,15.62,10.93,6.26,7.15,6.04;37.55, 8.60,7.70,5.05,5.60,5.00, 1.698-2.809, P 〈 0.05-0.01）.
CONCLUSION： Long-term and systemic health education can improve the cognition to health knowledge and health duty of osteoporosis patients effectively, and promote the patients to create good living style so as to improve quality of life.
出处
《中国临床康复》
CSCD
北大核心
2005年第43期132-133,共2页
Chinese Journal of Clinical Rehabilitation
