新形式健康教育对老年骨质疏松病人生活质量影响

THE EFFECT OF NEW FORMS OF HEALTH EDUCATION ON QUALITY OF LIFE IN SENIOR OSTEOPOROSIS PATIENTS

目的探讨电子信息时代新形式健康教育对老年骨质疏松病人生活质量的影响。方法选取青岛市社区年龄≥65岁的骨质疏松病人120例,随机分为两组,各60例。对照组接受常规社区管理;干预组除接受常规社区管理外,通过微信电子平台给予骨质疏松相关知识的健康教育、实时用药及户外活动提醒。分别于干预前及干预12个月后,采用骨质疏松知识测试(OKT)量表及美国简明健康测量表修订中文版(SF-36量表)评定两组病人对骨质疏松知识的了解程度及生理、心理等多维度变化情况。结果干预前两组一般情况及OKT评分比较差异无统计学意义(P>0.05),SF-36量表中8个维度仅情感职能(RE)评分差异有显著性(t=2.112,P<0.05)。干预组干预后OKT评分高于干预前,差异有显著性(t=-16.500,P<0.01)。干预后两组SF-36量表中PF、BP、RP、GH、VT、SF及MH评分比较差异均有显著性(t=1.997~9.524,P<0.05)。结论通过微信平台对社区老年骨质疏松病人进行健康教育及监测,可提高其对骨质疏松的认知能力,改善老年骨质疏松病人的生活质量。

Objective To explore the effect of new forms of health education in this electronic information age on quality of life in elderly patients with osteoporosis. Methods This study consisted of 120 elderly osteoporosis patients selected from a community of Qingdao,who were divided into two groups with 60 in each group in random.Patients in the control group received conventional community management,and those in the intervention group received osteoporosis-related health knowledge education,medication and outdoor activities reminder through WeChat electronic platform in addition to conventional community management.Before and after intervention for 12 months,osteoporosis knowledge test（OKT）and USAMOS SF-36 were used to evaluate the patients＇ knowledge of osteoporosis,and the changes of physiology and psychology in both groups. Results Before intervention,the differences in general conditions and OKT score between the two groups were not significant（P〉0.05）,in SF-36,only the difference in RE score was significant（t=2.112,P〈0.05）.After intervention,the OKT score in the intervention group was higher than that before intervention（t=-16.500,P〈0.01）.After intervention,the differences in score of quality of life,and scores in physiological function（PF）,body pain（BP）,general health（GH）,vitality（VT）and social function（SF）-in SF-36scale-between the two groups were significant（t=-1.997-9.524,P〈0.05）. Conclusion Health education and monitoring of senior patients with osteoporosis in community through WeChat platform can raise their cognitive ability of the disease and improve their quality of life.