192例骨质疏松症患者社区门诊和家庭相结合管理效果分析.docVIP

192例骨质疏松症患者社区门诊和家庭相结合管理效果分析 　　摘 要 目的：探索社区门诊与家庭相结合的骨质疏松症综合管理新模式。方法：选取长风社区年龄45～75岁，骨量低下和骨质疏松症患者192例为对象，以家庭医师团队为主题，采用社区门诊和家庭相结合的方式，为患者建立健康档案、定期随访评估、健康教育、开展同伴干预和家庭支持，干预时间2年。比较干预前后患者自身骨密度、生活质量的变化情况。结果：干预后患者平均骨密度较干预前有上升。生活质量评价在疼痛、日常活动、家务劳动、日常运动等方面较干预前有明显改善（P0.05）。结论：采用社区门诊和家庭相结合的干预模式，有利于提高居民的防病意识和自我管理能力，进一步提高患者的生活质量。 　　关键词 骨质疏松症 管理模式 效果分析 　　中图分类号：R589.5 文献标识码：A 文章编号：1006-1533（2015）08- 　　Analysis of the comprehensive management effect of 192 osteoporosis patients with the combination of the community clinic with family 　　LEI Yun， LI Miqiong， YANG Fang， LIU Zhonghua， LIU Fengchang， LIN Huandong 　　（Changfeng Community Health Service Center of Putuo District， Shanghai 200062， China） 　　ABSTRACT Objective： To explore a new comprehensive osteoporosis management model of the community clinic combined with family. Methods： A total of 192 patients with low bone mineral density and osteoporosis whose ages were 45-75 years old in Changfeng Community were selected as the objects. The health records were established for the patients， the regular following-up and assessment， health education， the peer intervention and family support were developed for two years with the family doctors’ team as the theme and with the way of the community clinic combined with family. The changes of the patients’ bone mineral density and quality of life were compared before and after the intervention. Results： The average bone mineral density of the patients rose after the intervention. The pain， daily activities， housework and daily exercise were improved more than before the intervention （P0.05）. Conclusion： The intervention model of the community clinic combined with family is beneficial to enhancing the residents’ awareness of disease prevention and self management ability so as to improve their life quality further. 　　KEY WORDS osteoporosis； management patterns； effect analysis 　　骨质疏松症是一高发病、高致残、高致死和高费用的常见慢性代谢性疾病。目前，全世界约有2亿人患骨质疏松症，其发病率已跃居世界常见病的第7位[1-2]。有研究预测，至2050年我国50岁以上人群髋部骨折患病数将达590.8万人，椎体