社区女性骨质疏松症高危人群自我管理模式的效果评价

EFFECTIVENESS OF THE SELF- MANAGEMENT MODEL FOR FEMALE POPULATION WITH HIGH RISK OF OSTEOPOROSOS IN THE COMMUNITY

目的探讨社区女性骨质疏松症高危人群自我管理模式的效果。方法选取六榕街社区骨质疏松症高危人群538人,随机分为干预组与对照组,干预组进行28个月的自我管理,对照组进行常规健康教育,比较两组的健康知识知晓率、健康行为形成率和生活质量方面的不同。结果干预组进行自我管理后健康知识知晓率、健康行为形成率均较干预前显著提高,且明显高于对照组(p<0.05)。生活质量评分中有6个维度得分比干预前升高,且显著高于对照组(p<0.05)。结论自我管理模式可以提高骨质疏松症高危人群的健康知识知晓率、促进建立良好的生活行为方式,改善骨质疏松症高危人群的生活质量,值得在社区中推广。

Objective To explore the effectiveness of the self-management model for female population with high risk of osteoporosis in the community. Methods A total of 538 people with high risk of osteoporosis in Liurong Community were randomly assigned to the intervention and control groups. The former group was given a self- management for 28 months,and the latter fundamental health education. Comparison was made between the two groups in terms of health knowledge level and healthy behavior formation rate as well as quality of life. Results After the self- management,the intervention group were significantly improved compared to the control groups in terms of health knowledge level and healthy behavior formation rate（p 〈 0. 05）. The scores on six dimensions of the life quality in the intervention group before intervention were significantly higher than those after intervention and those of the control group（p 〈 0. 05）. Conclusion Self- management model can increase the level of health knowledge,promote the establishment of good living behaviors and improve the life quality of people with high risk of osteoporosis.