不同健康教育方式对社区高风险骨质疏松性骨折老年人的疼痛和跌倒的影响

发布时间：2018-05-31 14:04

本文选题：社区老年人 + 骨质疏松性骨折　；参考：《中国老年学杂志》2016年07期

【摘要】：目的评价社区高风险骨质疏松(OP)性骨折老年人在实施健康干预后疼痛和跌倒的效果。方法采用便利抽样法选取60岁以上社区老年人156例,随机分为干预组和对照组各78例。干预组给予群体性健康教育、发放健康教育手册、家庭访视和电话督导综合干预。对照组仅发放健康教育手册,分别在健康教育后的第1、6、8个月时比较两组OP性疼痛得分和跌倒人数。结果干预后的第1、6、8个月,两组不同年龄阶段老年人的OP性疼痛得分均低于干预前,且干预后第8个月,两组60~69岁年龄阶段老年人的OP性疼痛得分差异显著(P0.05);干预后的第1、6、8个月,干预组不同年龄阶段老年人的跌倒人数均少于对照组,且干预后第8个月,两组70~79岁、80岁以上年龄阶段老年人的跌倒人数差异显著(P0.05)。结论与单纯发放宣传资料相比,综合干预可以减轻由OP导致的老年人腰背部疼痛症状和预防老年人跌到。
[Abstract]:Objective to evaluate the effect of pain and fall after health intervention in elderly patients with high risk osteoporosis and OPP-induced fractures in community. Methods 156 elderly people over 60 years old in community were randomly divided into intervention group and control group by convenience sampling method. The intervention group was given group health education, health education manual, family visit and telephone supervision comprehensive intervention. The control group only distributed health education manual. The scores of op pain and the number of falls were compared between the two groups at the 1st day and the 8th month after health education. Results the scores of op pain were significantly lower in the first six and eight months after intervention than before intervention, and in the 8th month after intervention, there were significant differences in op pain scores between the two groups at 60 to 69 years of age (P 0.05), and at the 1st month, 8 months after intervention, the scores of op pain in the two groups were significantly lower than those in the control group (P < 0.05). The number of falls in the intervention group was lower than that in the control group at different ages, and at the 8th month after intervention, there was a significant difference between the two groups in the number of falls in the elderly aged from 70 to 79 years old or over 80 years old (P 0.05). Conclusion compared with the simple dissemination of propaganda materials, comprehensive intervention can alleviate the symptoms of lumbar and back pain caused by op and prevent the elderly from falling down.
【作者单位】：石河子大学医学院;
【基金】：新疆生产建设兵团重点领域科技攻关项目(No.2012BA045)
【分类号】：R473.2

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