摘要
目的:探讨“全专联动”方式对社区骨质疏松症患者治疗效果的影响。方法:选取2019年12月—2021年1月期间上海市杨浦区延吉街道社区卫生服务中心接诊的100例骨质疏松症患者,将其随机分为对照组和研究组,每组各50例。给予对照组患者基础治疗及常规干预方式,在此基础上给予研究组患者“全专联动”方式进行干预,干预期1年。比较两组患者治疗效果及满意度。结果:干预后,研究组患者股骨颈、Ward三角区、腰椎的骨密度均高于对照组,差异有统计学意义(t值分别为5.758、7.071、2.961,P值均<0.05);研究组患者骨质疏松健康信念评分、骨质疏松症知识问卷评分、骨质疏松相关健康行为评分、骨质疏松自我效能评分均高于对照组,差异有统计学意义(t值分别为7.517、7.158、3.426、22.394,P值均<0.05);研究组患者满意度为92.00%,对照组为76.00%,差异有统计学意义(χ^(2)=4.762,P<0.05)。结论:“全专联动”方式对社区骨质疏松症患者治疗效果影响显著,有助于改善患者的骨密度,提高患者的服药依从性及其对社区医疗服务的满意度,具有临床应用价值,值得推广。
OBJECTIVE To study the effect of“whole specialty linkage”to improve community hierarchical diagnosis and treatment services on the treatment effect of patients with osteoporosis.METHODS 100 patients with osteoporosis in Yanji community from December 2019 to January 2021 were selected as the research objects by convenient sampling method.According to the sequence of screening,they were numbered and randomly divided into control group and study group,with 50 cases in each group.The control group was intervened in the conventional way,and the research group was intervened in the way of“whole specialty linkage”on the basis of the control group.Before and 1 year after the intervention,the bone mineral density and bone transformation indexes of femoral neck,ward triangle and lumbar spine of the two groups were compared level,osteoporosis health belief score,osteoporosis knowledge questionnaire score,osteoporosis related health behavior score,osteoporosis self-efficacy score,and patient compliance and satisfaction.RESULTS After the intervention,patients in the study group had the femoral neck,ward triangle,and lumbar spine than the control group.The difference was significantly significant(t=5.758,7.071,2.961,P<0.05).In the study group,the osteoporosis health belief score,osteoporosis knowledge questionnaire score,osteoporosis-related health behavior score,and osteoporosis self-efficacy score were all higher than those of the control group.The difference was statistically significant(t=7.517,7.158,3.426,22.394,P<0.05).The patient satisfaction rate in the study group was 92.00%,in the control group,it was76.00%.The difference was statistically significant(χ^(2)=4.762,P<0.05).CONCLUSION The“whole specialty linkage”method has a significant effect on improving community graded diagnosis and treatment services for patients with osteoporosis,it helps to improve patients’bone mineral density,improve patients’compliance and their satisfaction with community medical services,which has clinical application value and is worth popularizing.
作者
吴萍
梁兴伦
王丽华
许洁
郭旭俊
WU Ping;LIANG Xing-lun;WANG Li-hua;XU Jie;GUO Xu-jun(Community Health Service Center,Yanji Street,Yangpu District,Shanghai General Practice,Shanghai,200093,China)
出处
《中国初级卫生保健》
2022年第10期117-120,共4页
Chinese Primary Health Care
基金
2019年度上海市杨浦区卫生健康委员会基层科研能力提升项目(YPJC10)。
关键词
全专联动
骨质疏松症患者
治疗效果
骨密度
服药依从性
满意度
full-time linkage
graded diagnosis and treatment
osteoporosis
bone mineral density
compliance
satisfaction
