临床健康教育对骨质疏松患者预防知识掌握的影响

Effect of clinic health education on mastery of prevention knowledge in osteoporosis patients

【目的】了解骨质疏松症住院患者对骨质疏松预防相关的危险因素、运动及摄钙基本知识的掌握,在此基础上采用因人制宜的健康教育方式,探讨健康教育对患者骨质疏松预防知识掌握的影响。【方法】对60例老年女性骨质疏松住院患者进行骨质疏松知识问卷调查,根据问卷调查结果有针对性对骨质疏松预防相关的危险因素、运动及摄钙知识进行宣教,比较宣教前后患者对骨质疏松预防知识认知变化情况。【结果】患者对骨质疏松预防危险因素知识由5.06分提高到8.20分、危险因素知识答对率由44.93%提高到74.53%;运动知识由2.68分提高到4.76分、运动知识答对率由38.30%提高到67.98%;摄钙知识由1.70分提高到4.96分、摄钙知识答对率由20.80%提高到62.00%;骨质疏松整体预防知识由9.42分提高到17.88分、骨质疏松整体预防知识答对率由34.26%提高到67.77%。差异均显著(P<0.01)。【结论】老年女性骨质疏松患者对于骨质疏松预防知识认识普遍不足,经因人制宜的宣教干预后,患者对骨质疏松症危险因素认识、运动和摄钙知识水平显著提高,健康宣教对于提高骨质疏松症患者预防知识的掌握切实有效。

[Objective]To ascertain the risk factors,the basic knowledge of exercise and calcium intake for osteoporosis prevention in hospitalized patients with osteoporosis,and to explore the effect of health education in accordance with the patient′s individuality on prevention knowledge in patients with osteoporosis.[Methods]A questionnaire survey was conducted in 60 elderly women with osteoporosis on risk factors related to osteoporosis prevention,exercise and calcium intake.Health education for patients was conducted according to the results of the questionnaire and the patients were compared in osteoporosis prevention knowledge before and after the education.[Results]The patient′s knowledge of risk factors for osteoporosis prevention increased from 5.06 to 8.20 and the knowledge answer correct rate of risk factors increased from 44.93%to 74.53%;their knowledge of exercise for osteoporosis prevention increased from 2.68 to 4.76 and the knowledge answer correct rate of exercise increased from 38.30%to 67.98%;Their knowledge of calcium intake for osteoporosis prevention increased from 1.70 to 4.96 and the knowledge answer correct rate of calcium intake increased from 20.80%to 62.00%;The overall prevention knowledge of osteoporosis increased from 9.42 to 17.88 and the knowledge answer correct rate of overall prevention knowledge of osteoporosis increased from 34.26%to 67.77%.There was a significant difference before and after health education.[Conclusion]Elderly women with osteoporosis have a general lack of knowledge about osteoporosis prevention.After interventions tailored by human intervention,patients have significantly improved their knowledge of osteoporosis risk factors,exercise and calcium intake.Health education is effective in improving the prevention knowledge of patients with osteoporosis.