社区护理干预在绝经后骨质疏松症患者治疗中的作用

目的探讨社区护理干预在绝经后骨质疏松症患者治疗中的作用。方法选择289例绝经后骨质疏松症患者,随机分为社区护理干预组(145例)和对照组(144例),两组患者均每天口服钙剂600mg+维生素D800IU,疗程为12个月。干预12个月后比较两组患者知识知晓率、遵医行为和骨折发生情况的差异。结果干预组患者疾病知识知晓情况和遵医行为均优于对照组,骨折发生率低于对照组,两组比较,差异具有统计学意义(P<0.01)。结论对绝经后骨质疏松症患者做好心理护理、指导其进行科学的饮食习惯和规律的运动及相关疾病知识的教育等社区护理干预,对降低疾病的发展和并发症的发生具有重要意义。

Objective To explore the role of community nursing intervention in treating patients with postmenopausal osteoporosis.Methods A total of 289 patients with postmenopausal osteoporosis were selected and randomly divided into the community nursing intervention group（n = 145） and the control group（n = 144）.Patients in the both groups took 600 mg oral calcium and 800 IU Vitamin D for a course of 12 months.After 12 months of intervention,patients＇ knowledge,patients＇ compliance to doctors＇ advice and the fracture incidence were compared between the two groups.Results Patients in the intervention group had better knowledge and compliance to doctors＇ advice than patients in the control group.The fracture incidence was lower in the intervention group than that in the control group（P 0.01）.Conclusion Community nursing intervention such as psychological nursing,diet and exercise guidance and health education is of great importance to check the disease development and to reduce the complications.