首页|"医院—社区—家庭"一体化管理模式对老年骨质疏松患者健康的影响研究

"医院—社区—家庭"一体化管理模式对老年骨质疏松患者健康的影响研究

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目的:研究旨在评估"医院—社区—家庭"一体化管理模式对骨质疏松患者的影响。方法:在社区募集90名60岁以上老年骨质疏松患者,随机分为综合管理组和对照组。综合管理组患者采用"医院—社区—家庭"一体化管理模式进行综合干预,对照组除医院治疗外,不进行其他干预。在随访开始前和随访6个月后,进行骨密度、疼痛程度、简易生命质量(SF-36)和疾病认知等指标的评价。结果:6个月干预后,综合管理组和对照组的骨密度无显著性改变,但是疼痛程度和疾病认知水平显著改善(P<0。01),且综合管理组的改善程度显著高于对照组。同时,综合管理组SF-36评价的多个维度,如健康水平、体能、情绪、社会功能等均有显著改善(P<0。01),而对照组则无显著性改变。结论:采用"医院—社区—家庭"一体化管理模式可以有效降低骨质疏松患者的疼痛感,提升生活质量,促进疾病认知。该管理模式为骨质疏松症的综合管理提供了重要的实践指导和临床参考。
Research on the Effect of"Hospital-Community-Family"Integrated Management Model on the Health of Elderly Osteoporosis Patients
Objective:To evaluate the effect of the"hospital-community-family"integrated management model on patients with osteoporosis.Methods:Ninety patients with osteoporosis(>60 years old)were recruited from the community and randomly divided into a comprehensive management group and a control group.Patients in the comprehensive management group received comprehensive interventions.The control group did not carry out any other interventions except for hospital treatment.Before the start of follow-up and 6 months after the follow-up,evaluations were conducted on indicators such as bone density,pain level,quality of life(SF-36),and disease cognition.Results:After 6 months intervention,there was no significant change in bone density between the comprehensive management group and the control group,however,pain level and disease cognition significantly improved in both groups(P<0.01),with significantly greater improvement in the comprehensive management group than in the control group.At the same time,multiple dimensions of the SF-36 evaluation in the comprehensive management group,such as health level,physical fitness,emotions,and social function,showed significant improvement(P<0.01),while there was no significant change in the control group.Conclusion:The integrated management model of"hospital-community-family"can effectively improve the pain perception,enhance quality of life,and promotes disease cognition of osteoporosis patients,which provides important practical guidance for comprehensive management of osteoporosis.

ElderlyOsteoporosis"Hospital-community-family"health management modelRandomized controlledSF-36

黄可可、胡忠忠、陈熙

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温州医科大学体育科学部 浙江温州 325035

老年人 骨质疏松症 "医院—社区—家庭"健康管理模式 随机对照 SF-36

2024

当代体育科技
当代体育科技杂志社

当代体育科技

影响因子:0.375
ISSN:2095-2813
年,卷(期):2024.14(26)