192例骨质疏松症患者社区门诊与家庭相结合管理效果分析.docxVIP

例骨质疏松症患者社区门诊与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