全科团队信息化健康管理对上海市泥城社区原发性骨质疏松患者生存质量的影响

Effects of general practitioner team-based digital health management on quality of life in patients with primary osteoporosis in Nicheng Community of Shanghai

目的观察全科团队信息化健康管理对社区原发性骨质疏松患者生存质量的影响。方法 2015年1月,选择上海市浦东新区泥城社区卫生服务中心在体检中确诊的男性≥65岁、女性≥55岁的原发性骨质疏松症患者126例,随机分为干预组和对照组各63例。对照组进行常规药物治疗,干预组在常规药物治疗基础上进行信息化健康管理。记录两组患者干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及生存质量(SF-36)量表各维度的分值。结果两组患者干预前SAS评分、SDS评分、生存质量8个维度评分比较,差异均无统计学意义(P>0.05),干预一年后再次比较,差异均有统计学意义(P<0.05)。结论健康管理可减轻患者痛苦和心理压力,提高患者生存质量,达到防治骨质疏松的目的。

[ Objective ] To observe the effects of general practitioner team-based digital health management on quality of life in patients with primary osteoporosis. [Methods] A total of 126 primary osteoporosis patients （male≥65 years old and female ≥55 years old）, who was diagnosed in health examination, were collected from Nicheng Community Health Service Center of Pudong New Area of Shanghai in January 2015, and were randomly divided into the control group and the intervention group, 63 cases in each group. Patients in the control group were given routine medication, while the patients in the intervention group received the general practitioner team-based digital health management on the basis of routine medication. The scores of the Self-Rating Anxiety Scale （SAS）, Self-Rating Depression Scale （SDS） and the dimension of the short form 36 questionnaire （SF-36） in the two groups were recorded before and after intervention. [Resultsl Before intervention, there were not statistically significant differences in scores of SAS and SDS, as well as 8 dimension of SF-36 between two groups （P〉0.05）, and the statistically significant differences were observed in all the above parameters after one year of intervention （P〈0.05）. [Conelusion] The health management can relieve pains and psychological pressures of the patients with primary osteoporosis, and improve quality of life so as to achieve the purpose of preventing osteoporosis.