上海某社区老年人骨质疏松症群组管理效果评价.docVIP

上海某社区老年人骨质疏松症的群组管理效果评价 　　摘 要 目的：?u价上海某社区骨质疏松症的群组干预管理1年的效果。方法：按照随机对照试验研究设计，将120例骨质疏松患者随机分组，干预组60例，男性15例，女性45例，平均年龄（69.25±4.88）岁；对照组60名，男性14例，女性46例，平均年龄（68.98±4.90）岁。对照组实施常规药物治疗模式，干预组在对照组的基础上接受骨质疏松症群组干预管理模式，比较干预前后生活质量（QUALEFFO-41）和骨密度的变化。结果：1年群组干预后，干预组中疼痛、身体技能、社交活动能力、总体身体感觉、心理精神功能等生活质量评分与总评分均有明显的下降，差异均有统计学意义（P0.05）。干预后干预组的生活质量评分低于对照组，差异有统计学意义（P0.001），干预组的骨密度平均水平高于对照组，差异有统计学意义（P0.001）。结论：社区骨质疏松群组管理模式可改善患者的生活质量和骨密度水平。 　　关键词 骨质疏松；群组干预；骨密度；效果 　　中图分类号：R681 文献标志码：A 文章编号：1006-1533（2018）10-0035-03 　　Evaluation of the effect of group management on osteoporosis in the elderly people in a community of Shanghai 　　SONG Yu， XU Guangzheng 　　（General Practice Clinic of Xujiahui Community Health Service Center of Xuhui District， Shanghai 200030， China） 　　ABSTRACT Objective： To evaluate the effect of group intervention management on osteoporosis in a community of Shanghai for 1 year. Methods： According to the randomized controlled trial design， 120 patients with osteoporosis were randomly divided into two groups， there were 60 cases in an intervention group with 15 male and 45 female， and the average age was（69.25±4.88） years. In a control group， there were 60 cases with 14 males， and 46 females， and the average age was （68.98±4.90） years. The control group implemented conventional drug treatment mode， and on the basis of the control group， the intervention group received the osteoporosis group intervention management mode. The changes of quality of life（QUALEFFO-41） and bone density were compared before and after intervention. Results： After 1 year of group intervention， the life quality scores and total scores of pain， physical skills， social activity ability， general physical sensation， and psychological and mental function of the intervention group were significantly decreased， and the difference was statistically significant（P0.05）. After intervention， the quality of life score of the intervention group was lower than that of the control group， and the difference was stati