社区骨质疏松症防治医护一体化干预模式效果评价.docVIP

社区骨质疏松症防治医护一体化干预模式效果评价 　　摘要：目的评价对社区骨质疏松症患者实施医护一体化防治模式的效果。方法对2017年3―8月在上海市长风街道长风社区卫生服务中心慢病小屋骨质疏松专病门诊治疗的骨质疏松症患者210例采用医护一体化的干预模式，将医疗和护理人员组成联合疾病防治团队，为患者建立骨健康档案，定期随访评估治疗，健康宣教，制定合理膳食、合理运动方案，建立良好的生活方式，开展同伴教育和家庭支持，干预时间为半年。比较干预前后患者骨质疏松相关知识、自我管理行为以及生活质量等指标的变化情况。结果干预后患者骨质疏松危险因素知晓率、骨质疏松相关知识总得分以及骨质疏松自我管理行为和自我效能均较干预前有较大的提高，差异均有统计学意义（P0.01）。生活质量的评价指标较干预前也有明显改善（P0.05）。结论医护一体化的综合干预模式是一种可操作且适宜推广的社区骨质疏松症管理干预模式。 　　关键词： 骨质疏松症；社区；医护一体化；干预模式中图分类号： R58文献标志码： A 　　Abstract：ObjectiveTo evaluate the effect of the mode of prevention and treatment with Doctor-nurse Collaboration carried out for osteoporosis patients in communities.MethodsA total of 210 patients were included for the study who visited the specialist outpatient clinic of osteoporosis in the chronic disease hut of Changfeng community health service center during March and August of 2017. For these patients， the medical and nursing staff were formed as a disease control team， establishing bone health records， giving regular follow-up and assessment of treatment， offering health education， formulating rational diet and exercise program， helping them to cultivate good habits and carrying out peer education and family support. The intervention lasted for six months .After the intervention were compared the patients’ osteoporosis knowledge， self-management behaviors and quality of life.ResultsThe patients’ awareness rate of osteoporosis’ risk factors， total score of osteoporosis relevant knowledge， self-management behaviors and self-efficiency have had a greater imporvement than before intervention， and the differences were statistically significant （P0.01）. The evaluation of life quality in relation to pain relief， daily activity， housework， and regular exercise has been better than before as well（P0.05）.ConclusionComprehensive intervention mode based on Doctor-Nurse Collaboration is an operable model of community osteoporosis management and intervention which is suitable for popularization. 　　Keywords： osteoporosis；community；doct