社区-综合医院“治未病”互动管理模式对农村老年人骨质疏松自我康复的影响

Effect of the community-general hospital interactive management mode of preventive treatment on osteoporosis self-rehabilitation of rural elderly residents

目的 评价运用社区-综合医院“治未病”互动管理模式（interactivemanagementmodel，IMM）对农村社区居民骨质疏松症自我效能的影响，为健康教育的顺利实施提供依据。方法采用该IMM对常熟市虞山镇兴隆社区老年骨质疏松居民进行管理，采用“一般自我效能感量表”进行调查。结果常熟市虞山镇兴隆社区老年居民骨质疏松的自我效能分值增加（34．2分），与干预前（23．5分）比较，差异有统计学意义（P〈0．05）。结论运用社区一综合医院“治未病”IMM对老年居民进行骨质疏松健康教育，可有效提高农村社区居民的一般自我效能水平。

Objective To discuss the interactive management mode （IMM） of preventive treatment on osteoporosis self-rehabilitation of rural elderly residents. Methods IMM was used to manage osteoporosis patients in the community of Changshu, and general self-efficacy scale was adopted for evaluation. Results Self-efficacy score （34.2） increased comparing with before （23.5） the medical management, the difference was statistically significant （P〈0.05）. Conclusion IMM of preventive treatment can effectively improve the rural community general self-efficacy level.