各种护理对骨质疏松干预效果分析

Analysis on Intervention Effects of Various Nursing Methods on Osteoporosis

目的:分析本社区60岁以上居民的骨质疏松的健康教育情况,探讨各种护理对骨质疏松的干预效果。方法:选取2012年6-12月明确诊断为原发性骨质疏松的患者140例作为研究对象,按随机数字表法将患者分为四组,每组35例,采用不同方式干预。第1组为饮食指导;第2组为生活方式指导;第3组为药物指导;第4组为综合方法(综合前三组的干预方法)。所有研究对象均填写调查表,每组由居民推选2名组长进行督导,建立数据库,比较患者骨质疏松的骨密度变化,进行统计学分析。结果:第1、2、3组干预护理后均取得了很好的疗效,与治疗前比较差异均有统计学意义(P<0.05);第4组的护理改善情况最明显,与其他三组比较差异均有统计学意义(P<0.05),且达到无痛。结论:随着人口老龄化骨质疏松患病率增高,居民对此病的认识度也慢慢的提高,但是很多居民预防骨质疏松的方法不全面,造成预防效果不明显,骨质疏松症状没有很大改观。为了让居民更全面了解骨质疏松有着更进一步的防治观念,以社区居民为平台的对比性健康教育有着更深刻理解起着重要作用。

Objective：To analyze the status of osteoporosis health education on residents of this community who were over 60 years old,to discuss the intervention effects of various nursing methods on osteoporosis.Method：140 residents diagnosed as primary osteoporosis from June to December 2012 were enrolled as the research objects, they were randomly divided into 4 groups,each had 35 cases,and were given different interventions. The 1st group was received dietary guidance;the 2nd group was received lifestyle guidance;the 3rd group was given medication guidance;and the 4th group was given comprehensive method（all of the 3 methods mentioned）. All of the research objects had filled in the questionnaires,and two group leaders were selected in each group by the residents for supervision. Data base was established,and then patients with osteoporosis were compared for the changes of bone mineral density,which were given statistical analysis. Result：Very good curative effects had been obtained in all of the three interventions with statistically significant difference（P〈0.05）,but the patients’conditions were changed most significantly in the 4th group,compared with the other three groups,the difference was statistically significant（P〈0.05）and the patients were painless.Conclusion：As the aging population,prevalence of osteoporosis is increased,and residents’awareness of this disease also slowly improves. But many residents do not prevent the disease comprehensively,thus causing the unobvious prevention effect,and the symptoms of osteoporosis changing only a little. In order to make people more comprehensively understand osteoporosis and have further prevention and control concept,comparative health education with the community residents as the platform plays an important role in more profound understanding.