真如镇社区老年人骨质疏松症认知及健康教育需求现状调查

Survey of the current situation of osteoporosis cognition and health education needs of the elderly people in Zhenru Community

目的:了解老年人的骨质疏松症认知影响因素及健康教育需求。方法:采用简单随机抽样方法选取于2021年4月—2022年6月在普陀区真如镇社区卫生服务中心全科门诊就诊及参与真如镇社区老年人健康体检的居民作为调查对象,调查其对骨质疏松的认知情况及健康教育需求。结果:单因素分析结果显示,年龄、职业、学历、家庭人均月收入是对老年人骨质疏松症认知总分差异具有统计学意义的影响因素(P<0.05);多元线性回归分析结果显示,性别、年龄、学历、家庭人均月收入是对老年人骨质疏松症认知总分差异具有统计学意义的影响因素(P<0.05)。通过医务人员获得骨质疏松症健康教育相关知识的老年人仅占25.5%,选择人数前三位的骨质疏松症健康教育形式分别为科普讲座、家庭医生社区讲座或宣传、家庭医生咨询。结论:应以医疗联合体为契机,借助全专联合优势进一步提升基层医疗机构实施骨质疏松症的健康管理服务能力,提升真如镇社区老年人的相关专业知识认知度,将骨质疏松症的一级预防落实到位。同时呼吁逐渐扩充慢性病规范健康管理的疾病覆盖范围,并将骨质疏松症纳入到社区公共卫生服务项目慢性病健康管理体系中。

Objective:To understand the influencing factors of osteoporosis cognition and health education needs of the elderly people.Methods:Simple random sampling was used to select the residents who attended the general practice clinic of Zhenru Community Health Service Center and participated in the health examination of the elderly people in Zhenru Community from April 2021 to June 2022 as the survey objects to investigate their awareness of osteoporosis and health education needs.Results:The results of single factor analysis showed that age,occupation,education,and family monthly income per capita were the influencing factors of the total score of osteoporosis cognition in the elderly people with statistical significance(P<0.05).The results of multiple linear regression analysis showed that gender,age,education,and family monthly income per capita were the influencing factors of the total score of osteoporosis cognition in the elderly people with statistical significance(P<0.05).Only 25.5%of the elderly people acquired osteoporosis health education knowledge through medical staff,and the top three forms of osteoporosis health education were popular science lectures,community lectures or publicity by family doctors,and consultation by family doctors.Conclusion:It is necessary to take the opportunity of medical alliances and take advantage of the combined advantages of general and specialty to further improve the health management service ability of osteoporosis in primary medical institutions,improve the awareness of relevant professional knowledge of the elderly people in Zhenru Community,and put the primary prevention of osteoporosis in place.At the same time,we call for gradually expanding the coverage of chronic disease standardized health management,and integrating osteoporosis into community public health service projects in the chronic disease health management system.