Analysis of the Effect of Comfort Care in The Perioperative Care of Patients with Hysteromyomectomy and its Influence on Self-Care Ability

Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A(control group,35 cases,conventional care)and Group B(observation group 35 cases,comfort care).The effects of the two groups before and after nursing care were compared.Results:The self-rating anxiety(SAS)scores,exercise of self-care agency(ESCA)scores,and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care(P<0.05).Conclusion:Perioperative comfort care for HYS patients improved the patient’s adverse emotions,self-care ability,and nursing satisfaction.

Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

Research on the Intervention of Visual Cue Strategy on Self-Care Ability of Children with Autism

The formation of self-care ability is the first step for children with autism to enter the society,and it is also a prerequisite and guarantee for their independent survival.This study aimed to explore the impact of visual cue strategies on the self-care ability of children with autism.Based on the ABA design of a single case study,this research conducted a four-month intervention on a seven-year-old child with autism via visual cue strategy as independent variables and sock-wearing skills as dependent variables,in order to explore the effect of visual cue strategy on self-care ability of children with autism.It turned out that visual cue strategy exerts a positive immediate sustained effect and social validity on the self-care ability of children with autism.Lastly,suggestions were provided for future related research based on the research process,results,and limitations.

Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients

Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.

Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery

BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.AIM To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.METHODS A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each group.The control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction model.The daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after intervention.RESULTS Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P<0.05).Before intervention,self-concept(17.46±4.44),self-care skills(25.22±4.20),self-care knowledge(22.35±4.74),and self-care responsibility(15.06±3.29)scores in the study group was similar to those in the control group(self-concept:16.89±5.53,self-care skills:24.59±4.46,self-care knowledge:21.80±3.61,and self-care responsibility:14.83±3.11)(P>0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in the study group were higher than those in the control group(self-concept:22.97±3.46,self-care skills:33.02±5.65,selfcare skills knowledge:36.81±5.54,and self-care responsibility:17.97±3.56 points)(P<0.05).The incidence of complications in the study group(4.65%)was lower than that in the control group(18.60%)(P<0.05).Nursing satisfaction in the study group(95.35%)was higher than that in the control group(81.40%)(P<0.05).CONCLUSION Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function,daily living ability,self-care ability,quality of life,and patient satisfaction,while reducing the risk of complications.

Effect of continuing nursing on self-care ability of diabetic patients:A meta-analysis

Objective:To evaluate the effect of continuing nursing on self-care ability of diabetic patients.Methods:Meta-analysis was used to search multiple Chinese and English databases,and relevant randomized controlled trials were collected.After reviewing the literature quality,RevMan 5.2 software was used for data analysis.Results:A total of 8 randomized controlled trials(RCTs)were included.The results showed that the self-care ability of the continuing care observation group was significantly higher than that of the control group [WMD = 17.88,95%CI(17.30,18.47),P<0.001].Conclusion:Continuing nursing shows superiority in improving self-care ability of diabetic patients.

The Impact of Risk-Based Cancer Care Planning on the Complications and Self-Care Ability of Cervical Cancer Patients Undergoing Radiotherapy

Objective:To explore the impact of the application and implementation of risk-based cancer care planning in patients with cervical cancer radiotherapy on the complications and self-care ability of patients.Method:This study recruited selected patients who came for cervical cancer radiotherapy in a tertiary hospital in Xianyang City,Shaanxi Province from November 2020 to November 2021.One hundred patients were recruited.Nursing management was carried out,and cancer care planning under the concept of conventional care and risk were applied.The effects of different nursing methods on patients were compared and analyzed.Results:The patients in the experimental group had higher scores of self-care ability and lower complication rate.All data were significantly different from those of the control group(P<0.05),and the nursing effect on the experimental group was better.Conclusion:The application and implementation of the risk-based cancer care planning in patients who received cervical cancer radiotherapy has significant clinical effects,which is beneficial to reduce the incidence of patients’adverse reactions and promote patient recovery.

Exploring the Influences of Continuous Self-Management Education on the Self-Care Skills and Health Behavior of Patients with PICC Intubation

Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.

“三因制宜”中医护理在骨质疏松椎体压缩性骨折病人中的应用

目的:探究“三因制宜”中医护理对骨质疏松椎体压缩性骨折(OVCF)病人术后康复的治疗效果,为临床护理提供新思路。方法:选取2020年10月—2022年10月在山西中医药大学附属医院行经皮椎体后凸成形术(PKP)的60例骨质疏松椎体压缩性骨折病人为研究对象,采用随机数字表法将其分为观察组与对照组,各30例,两组病人术后均接受常规对症治疗,对照组给予常规护理,观察组在常规护理的基础上给予“三因制宜”中医护理,比较两组疼痛、腰椎功能、生活自理能力、术后便秘情况及护理满意度。结果:干预后14 d,观察组病人视觉模拟评分法(VAS)评分、Osweatry功能障碍指数(ODI)评分、术后便秘发生率低于对照组,Barthel指数评分、护理满意度高于对照组,差异均有统计学意义(P<0.05)。结论:“三因制宜”中医护理能够减轻经皮椎体后凸成形术后骨质疏松椎体压缩性骨折病人的疼痛,提高病人腰椎功能及生活自理能力,减少术后便秘的发生,提高病人护理满意度。

Guided Care护理模式对老年骨质疏松症患者自我管理能力和生活质量的影响

目的探讨分析Guided Care护理模式对老年骨质疏松症患者自我管理能力和生活质量的影响。方法简单随机选取2022年1月—2023年9月山东省泰安荣军医院收治的60例老年骨质疏松症患者为研究对象,按随机数表法将其分为常规组(实施常规护理干预),模式组(在常规组的基础上给予Guided Care护理模式干预),每组30例,两组均持续干预2个月,比较两组患者干预前后的健康认知水平、跌倒风险、自我管理能力、生活质量、护理满意度。结果干预2个月后,模式组的健康认知水平评分高于常规组,差异有统计学意义(P<0.05)。干预2个月后,模式组的跌倒风险评分低于常规组,差异有统计学意义(P<0.05)。干预2个月后,模式组的自我管理能力评分高于常规组,生活质量评分低于常规组,差异有统计学意义(P均<0.05)。干预2个月后,模式组的护理满意度为93.33%,高于常规组的护理满意度73.33%,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论在老年骨质疏松症患者中,应用Guided Care护理模式,可以有效地提升患者的健康认知水平及自我管理能力,提高患者的生活质量,降低患者跌倒的风险。

The Effect of O2O Education Combined with Peer Education Management Model in Patients with Chronic Obstructive Pulmonary Disease

Objective:To explore the effect of online-to-offline(O2O)education combined with the peer education management model in patients with chronic obstructive pulmonary disease(COPD).Methods:Using convenience sampling,72 patients with COPD who were hospitalized in the respiratory medicine department of a tertiary-level hospital from March to December 2021 were selected as study subjects.Randomized grouping was carried out using the random number table method,the control group was given routine COPD health education in the department,and the intervention group applied O2O trinity health management combined with peer education on the basis of routine care.After 6 months of follow-up after discharge,the two groups were observed and compared for changes in pulmonary function,depression status,self-care ability,and quality of life.Results:At 3 and 6 months after the intervention,the lung function indexes and depression status of the two groups of patients improved significantly,and the improvement effect was more significant in the intervention group(P<0.05);after the intervention,the self-care ability scores of the patients in the intervention group were significantly higher than those of the control group(P<0.05);the quality-of-life scores of the two groups of patients decreased at 3 months after discharge,in which the quality-of-life scores in the intervention group was significantly lower than that of the control group(P<0.05).Conclusion:O2O education combined with the peer education management model can effectively improve the lung function of patients with COPD,depression,self-care ability,and quality of life.

健康信念模式联合奥塔戈运动计划在老年糖尿病性骨质疏松症患者防跌倒中的应用效果

目的:探讨健康信念模式联合奥塔戈运动计划在老年糖尿病性骨质疏松症患者防跌倒中的应用效果。方法:选取2022年1月—2023年12月厦门大学附属第一医院收治的88例老年糖尿病性骨质疏松症患者作为研究对象,按随机数表法将患者分为对照组(常规护理)与观察组(健康信念模式联合奥塔戈运动干预),各44例。比较两组防跌倒知信行水平、跌倒效能、平衡能力及日常生活能力。结果:干预后,两组防跌倒知识评分、防跌倒信念评分、防跌倒行为评分及总评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组室外活动评分、室内活动评分及总分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组平衡能力评分、日常生活能力评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:健康信念模式联合奥塔戈运动计划能提高老年糖尿病性骨质疏松症患者的防跌倒知信行水平,改善跌倒效能,提高平衡能力及日常生活能力。

疼痛护理联合营养干预对围绝经期骨质疏松腰背痛患者的护理效果分析

目的:分析疼痛护理联合营养干预对围绝经期骨质疏松腰背痛患者的护理效果.方法:选取我院2020年1月—2023年1月收治的80例围绝经期骨质疏松腰背痛患者作为研究对象,将其按照随机数字表法分为观察组和对照组,每组40例.对照组采用常规护理,观察组在对照组基础上采用疼痛护理联合营养干预护理,对比2组护理干预效果.结果:护理后30、90 d,观察组腰、背部VAS评分均低于对照组,ADL评分均高于对照组,组间差异有统计学意义(P<0.05).护理后90 d,观察组血清前白蛋白、血清总蛋白、人血清白蛋白、血红蛋白、转铁蛋白及血磷水平均高于对照组,血钙、碱性磷酸酶水平均低于对照组,组间差异有统计学意义(P<0.05).结论:疼痛护理联合营养干预在围绝经期骨质疏松腰背痛患者的临床护理中,能够缓解患者腰背部疼痛程度、改善患者营养指标,调节血磷、血钙及碱性磷酸酶水平,提高其日常生活能力.

延续性护理干预在骨质疏松骨折患者中的应用效果研究

目的探讨延续性护理干预在骨质疏松骨折患者中的应用效果。方法选取2022年12月至2023年12月期间淮安市第一人民医院收治的60例骨质疏松骨折患者,根据护理方式的不同分为对照组(给予常规护理)和研究组(给予延续性护理干预),各30例。比较两组疼痛程度、日常生活活动能力及护理满意度。结果研究组护理满意度高于对照组,P<0.05。相比对照组,研究组护理后VAS评分较低,ADL评分较高,P<0.05。结论对骨质疏松骨折患者采取延续性护理干预可有效减轻疼痛程度,增强患者日常生活活动能力,并可提高患者护理满意度。

核心力量训练辅助药物治疗对绝经后骨质疏松患者骨密度、骨代谢状态及平衡能力的影响

目的探讨核心力量训练辅助药物治疗在绝经后骨质疏松患者中的应用效果。方法选取菏泽市牡丹区中医医院2019年10月—2023年2月收治的80例绝经后骨质疏松患者为研究对象,按随机数字表法将其分为对照组(n=40)和观察组(n=40)。对照组采用常规药物治疗,观察组在对照组基础上进行核心力量训练。对比两组患者的骨密度水平、骨代谢状态及平衡能力。结果干预前,两组的腰椎、股骨颈骨的骨密度水平对比,组间差异无统计学意义(P>0.05);干预后,观察组的腰椎、股骨颈骨的骨密度分别为(0.77±0.04)g/cm^(2)、(0.71±0.04)g/cm^(2),均高于对照组的(0.73±0.05)g/m^(2)、(0.69±0.03)g/m^(2),组间差异有统计学意义(P<0.05)。干预前,两组的Ⅰ型前胶原氨基端前肽(PINP)、Ⅰ型胶原羧基端肽(β-CTx)水平对比,组间差异无统计学意义(P>0.05);干预后,观察组PINP水平高于对照组,β-CTx水平低于对照组,组间差异有统计学意义(P<0.05)。干预前,两组的左右最大位移量(Dx)、前后最大位移量(Dy)、闭眼单腿站立时间(TIME-SLO)、睁眼单腿站立时间(TIME-SLC)对比,组间差异无统计学意义(P>0.05);干预后,观察组的Dy、Dx分别为(25.56±4.11)mm、(17.76±4.15)mm,均低于对照组,TIME-SLO、TIME-SLC分别为(21.93±4.23)s、(51.66±6.13)s,均高于对照组,组间差异有统计学意义(P<0.05)。结论核心力量训练辅助药物治疗绝经后骨质疏松,能提高患者骨密度水平,改善其骨代谢状态,提升其肢体平衡能力。

中药膏摩治疗老年骨质疏松症腰背疼痛的疗效

目的 观察运用中药膏摩治疗老年骨质疏松症腰背疼痛的疗效。方法 将60例患者按照随机数字表法分为对照组和观察组,每组30例。对照组采用常规性护理措施,观察组在常规护理基础上联合中药膏摩法治疗,中药膏按摩1次/d,每次15 min,治疗12 d。比较2组治疗前后视觉模拟评分法评分、中医症状量表评分、生活自理能力量表评分和治疗总有效率。结果 与对照组比较,观察组视觉模拟评分法评分下降,中医症状量表中的四肢疼痛、腰背酸痛、下肢抽筋、持重困难、足跟疼痛5个维度症状评分均下降,生活自理能力量表评分升高,差异均有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论 中药膏摩可显著缓解骨质疏松症老年患者腰背疼痛,提高生活质量。

以自我管理效能为基础护理方案在骨质疏松性胸腰椎体骨折术后患者中的应用

目的:分析以自我管理效能为基础的护理方案在骨质疏松性胸腰椎体骨折术后患者中的应用效果。方法:选取2020年1月至2022年1月期间我院收治的116例骨质疏松性胸腰椎体骨折患者作为研究对象,采用随机数表法将其分为对照组和观察组,各58例。所有患者均于我院顺利完成经皮椎体成形术治疗,术后对照组采用常规临床干预,观察组采用以自我管理效能为基础护理干预,两组均干预6 m。对两组干预前后的自我效能感量表(General Self-Efficacy Scale,GSES)评分、赫氏希望量表(Herth Hope Scale,Herth)希望量表评分、自我护理能力(Efficacy Self care ability,ESCA)评分、巴塞尔指数(Barthel index,Barthel)评分比较,并比较两组干预后的并发症情况。结果:干预前,两组的GSES评分、Herth希望量表评分、ESCA评分、Barthel指数评分无明显差异(P>0.05),干预1 m、3 m、6 m观察组的GSES评分、Herth希望量表评分、ESCA评分、Barthel指数评分均明显高于对照组(P<0.05)。干预后观察组的术后并发症总发生率明显低于对照组(P<0.05)。结论:骨质疏松性胸腰椎体骨折术后患者经以自我管理效能为基础护理干预能够在一定程度上提升患者的自我效能感、希望水平和自我护理能力,改善日常生活活动能力,减少并发症的发生。

常熟市城乡居民骨质疏松症预测模型构建及验证

目的:构建常熟市城乡居民骨质疏松症(OP)的预测模型,并对其进行验证。方法:选取2018年4月至2021年3月常熟市第一人民医院影像科双能X线骨密度检测数据库中的2270例人群作为研究对象,根据T值分为OP组(T≤-2.5,337例),骨量减少组(-2.5<T<-1.0,701例)和骨量正常组(T≥1.0,1232例),比较3组一般人口学资料、临床特征、握力、血常规指标、肝功能、肾功能、血钙、血磷、25羟基维生素D[25(OH)D3]、甲状旁腺激素(PTH)水平,采用二元logistic回归分析OP的相关影响因素,运用R语言rms软件包绘制预测OP的列线图模型,采用Bootstrap法进行内部与外部验证,采用受试者工作特征曲线(ROC)分析OP列线图预测模型的预测能力。结果:OP组年龄、女性、糖尿病、认知障碍、睡眠时长≥9 h、碱性磷酸酶、PTH高于骨量减少组,规律补充钙剂、规律摄入含钙奶制品、握力、血钙、25(OH)D3低于骨量减少组(P<0.05);骨量减少组年龄、女性、糖尿病、认知障碍、睡眠时长≥9 h、碱性磷酸酶、PTH高于骨量正常组,规律补充钙剂、规律摄入含钙奶制品、握力、血钙、25(OH)D3低于骨量正常组(P<0.05);二元logistic回归分析结果显示:年龄、女性、糖尿病、认知障碍、睡眠时长≥9 h、碱性磷酸酶、PTH是OP的相关危险因素,规律补充钙剂、规律摄入含钙奶制品、握力、血钙、25(OH)D3是OP的相关保护因素(P<0.05);基于以上各影响因素绘制预测OP的列线图模型显示其预测风险能力指数(C-index)为0.944,具有良好的区分度;ROC分析发现,预测OP的列线图模型的ROC下面积(AUC)为0.944(95%CI:0.923~0.960),提示预测OP的列线图模型区分度及预测能力均较好;采用Bootstrap法绘制内部校准图发现,校准曲线贴近标准曲线,提示预测OP的列线图模型与实际观测结果有较好的一致性;外部验证显示其预测死亡风险的AUC为0.950(95%CI:0.945~0.999),外部校准图发现校准曲线仍贴近标准曲线,提示在外部数据中仍具有较高的预测价值。结论:年龄、女性、糖尿病、认知障碍、睡眠时长≥9 h、碱性磷酸酶、PTH、规律补充钙剂、规律摄入含钙奶制品、握力、血钙、25(OH)D3均是OP的影响因素,基于以上因素构建的列线图模型呈现出较高的预测价值,能为本地区早期筛选高风险人群、针对性预防OP等提供参考。

温针灸治疗老年骨质疏松临床观察

目的探讨温针灸疗法对老年骨质疏松患者的影响。方法选取2018年2月—2021年2月南昌市洪都中医院收治的88例老年骨质疏松患者为研究对象,随机分为对照组(44例)和观察组(44例)。2组均在治疗过程中给予护理,对照组予以常规干预模式,观察组则给予温针灸疗法。比较2组患者自我管理能力、干预前后健康信念评分。结果2组患者干预后,观察组自我管理能力评分项中的服药依从、康复训练、饮食健康、复查依从各项占比人数均显著高于对照组(P<0.05);观察组运动益处、涉钙益处、健康益处指数均显著高于对照组(P<0.05)。结论针对老年骨质疏松患者的临床干预中,温针灸疗法具有较高的应用价值,能改善患者的自我管理能力,增加患者的健康信念评分,利于患者身体机能恢复,值得推广和应用。