基于网络俱乐部骨质疏松健康教育实践和效果评价.docVIP

基于网络俱乐部骨质疏松健康教育实践和效果评价 　　[摘要] 目的 研究基于网络俱乐部的骨质疏松（OP）健康教育的应用价值。 方法 2011年3月～2013年9月，招募190例门诊OP患者作为研究对象，随机分为对照组和实验组。对照组实施电话OP健康教育，实验组实施基于网络俱乐部的OP健康教育。实施12个月后评价两组患者的认知水平、自我效能、健康行为、骨密度（BMD）、骨折发生率、焦虑抑郁和满意度。 结果 实施12个月后，实验组认识水平和自我效能较对照组高，差异有统计学意义（P0.05）；实验组焦虑和抑郁水平均较对照组低，差异均有统计学意义（P0.05）；实验组患者对交流状态、交流时间、症状控制、信息支持和社会心理支持的满意度以及总体满意度均较对照组高，差异均有高度统计学意义（P0.01）。 结论 基于网络俱乐部的OP健康教育能有效影响患者的知识、效能和行为，进而有效提高患者的BMD，且能有效缓解患者的负面心理，从而获得很高的患者满意度。 　　[关键词] 骨质疏松症；网络；健康教育 　　[中图分类号] R473.2 [文献标识码] B [文章编号] 1673-9701（2015）20-0128-06 　　A study of the effect of health education based on a online club on osteoporosis 　　ZHOU Yanyan1 LI Ruohe1 CHEN Xiaoping1 LIN Chuyong1 YOU Jiongming1 CHEN Weikai1 XU Hongbo2 GU Yechun1 XU Bing1 　　1.Department of Orthopedics， the Affiliated Wenzhou Integrated Chinese and Western Medicine Hospital of Zhejiang Chinese Medical University in Zhejiang Province， Wenzhou 325000， China；2.The Nursing School of Wenzhou Medical University in Zhejiang Province， Wenzhou 325035， China 　　[Abstract] Objective To study the effect of health education based on a online club on osteoporosis（OP）. Methods 190 outpatients with OP from March 2011 to September 2013 were recruited， then they were randomly divided into a control group and a experimental group. The control group was given health education by telephone， while the experimental group was given health education based on a online club. After twelve-month health education， the two groups were evaluated from knowledge， self-efficacy， behavior， bone mineral density（BMD）， fracture incidence， anxiety， depression and satisfaction. Results After twelve-month health education， the knowledge level and self-efficacy of the experimental group were both higher than those of the control group（P0.05）. The anxiety and depression of the experimental group were lighter than those of the control group（P 　　[Key words] Osteoporosis； Online； Health education 　　骨质疏松症（osteoporosis，OP）是一种全身性骨病，主要特征为骨量低下，骨微结构破坏，引起骨脆性增加，进而容易发生骨折[1]。国际OP基金会的数据显示：在50岁以上