首页|健康信念模式联合奥塔戈运动计划在老年糖尿病性骨质疏松症患者防跌倒中的应用效果

健康信念模式联合奥塔戈运动计划在老年糖尿病性骨质疏松症患者防跌倒中的应用效果

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目的:探讨健康信念模式联合奥塔戈运动计划在老年糖尿病性骨质疏松症患者防跌倒中的应用效果.方法:选取 2022 年 1 月—2023 年 12 月厦门大学附属第一医院收治的 88 例老年糖尿病性骨质疏松症患者作为研究对象,按随机数表法将患者分为对照组(常规护理)与观察组(健康信念模式联合奥塔戈运动干预),各 44 例.比较两组防跌倒知信行水平、跌倒效能、平衡能力及日常生活能力.结果:干预后,两组防跌倒知识评分、防跌倒信念评分、防跌倒行为评分及总评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组室外活动评分、室内活动评分及总分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组平衡能力评分、日常生活能力评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:健康信念模式联合奥塔戈运动计划能提高老年糖尿病性骨质疏松症患者的防跌倒知信行水平,改善跌倒效能,提高平衡能力及日常生活能力.
Application Effect of Health Belief Model Combined with Otago Exercise Plan in the Prevention Falls in Elderly Patients with Diabetes Induced Osteoporosis
Objective:To explore the application effect of health belief model combined with Otago exercise plan in the prevention falls in elderly patients with diabetes induced osteoporosis.Method:A total of 88 elderly patients with diabetes induced osteoporosis who admitted to the First Affiliated Hospital of Xiamen University from January 2022 to December 2023 were selected as the research objects,the patients were divided into the control group(routine nursing)and observation group(health belief model combined with Otago exercise plan)according to the random number table method,44 cases in each group.The knowledge and practice of fall prevention level,fall efficacy,balance ability and daily living ability of two groups were compared.Result:After intervention,the anti-fall knowledge scores,anti-fall belief scores,anti-fall behavior scores and total scores in two groups were higher than those before intervention,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05);after intervention,the outdoor activity score,indoor activity score and total score of two groups were higher than those before intervention,and those of the observation group were higher than the control group,the differences were statistically significant(P<0.05);after intervention,the scores balance ability scores and daily living ability scores in two groups were higher than those before intervention,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Health belief model combined with Otago exercise plan in the prevention falls in elderly patients with diabetes induced osteoporosis can improve the knowledge,belief and practice of fall prevention,improve fall efficacy,and improve balance ability and daily living ability.

Health belief modelOtago exercise planDiabetesOsteoporosisFallDaily living ability

胡玥、林燕清

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厦门大学附属第一医院 福建 厦门 361000

健康信念模式 奥塔戈运动计划 糖尿病 骨质疏松症 跌倒 日常生活能力

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(25)