系统化护理干预在绝经后骨质疏松症患者中的应用效果评价

The application effect of systematic nursing intervention on patients with postmenopausal osteoporosis

目的探讨系统化护理干预对绝经后骨质疏松症患者的临床效果。方法选取2013年5月-2015年1月收治的80例绝经后骨质疏松症患者,根据随机数字表法分为对照组和干预组各40例。对照组患者给予常规治疗及护理,干预组患者在常规治疗基础上给予系统化护理干预。6个月后比较2组患者的骨密度值(BMD)、血清骨钙素(BGP)以及生存质量。结果 6个月后,2组腰椎BMD均较干预前有所改善;且干预组腰椎BMD高于对照组。2组BGP较干预前均有所降低,干预组BGP水平明显低于对照组。2组生存质量各条目均较治疗前有明显改善,且干预组患者精神状态、社交活动、健康观念评分改善程度均好于对照组。结论系统化护理干预能够提高绝经后骨质疏松症患者的BMD,降低BGP水平,改善患者的临床症状,提高患者的生存质量。

Objective To investigate the clinical effects of systematic nursing intervention on patients with postmenopausal osteoporosis. Methods Eighty patients with postmenopausal osteoporosis were randomly divided into an intervention group（n=40）and a control group（n=40）,according to a random number table.Both groups were given routine treatment and nursing,while the intervention group was additionally provided with systematic nursing intervention for 6months.The bone mineral density（BMD）,serum osteocalcin（BGP）and life quality were compared between the two groups.Results Lumbar spine BMD in both groups improved significantly compared to before the intervention and the improvement of the intervention group was significantly bigger than that in the control group.After the treatment,the BGP was significantly lower than before the intervention,and the decrease of the former was significantly bigger than the latter.The quality of life had improved significantly compared with those before treatment in both groups,and the improvement in the mental state,social activities and health concept of the former group was significantly better than the latter group.Conclusion Systematic nursing intervention can improve the life quality of patients with postmenopausal osteoporosis by improving their BMD level,relieving their clinical symptoms and lowering their BGP levels.