摘要
目的探讨基于遗忘曲线规律的健康教育在老年骨质疏松症患者中的应用效果。方法选择2018年1月至2019年6月海南省干部疗养院收治的老年骨质疏松患者100例,采用随机数字表法分为试验组50例、对照组50例,剔除脱落病例,试验组纳入48例、对照组纳入43例。对照组给予常规健康教育,试验组采用基于遗忘曲线规律的健康教育。随访6个月,比较两组健康信念、健康行为及骨密度。结果随访6个月,两组健康信念评分均高于教育前,试验组易感性、严重性、运动障碍、摄入钙的障碍、健康动机、健康信念总分明显高于对照组,差异有统计学意义(P<0.05);两组遵医用药、补钙、补维生素D、适量运动例数均较教育前明显增加,试验组适量运动例数明显高于对照组,差异有统计学意义(P<0.05);两组骨密度均较教育前明显增加(P<0.05),试验组腰椎、股骨颈、大转子、汪氏三角区骨密度均高于对照组,差异有统计学意义(P<0.05)。结论基于遗忘曲线规律的健康教育有助于提高老年骨质疏松症患者健康信念水平,促进健康行为方式的养成,改善骨密度。
Objective To explore the effect of health education based on the law of forgetting curve in elderly patients with osteoporosis.Methods A total of 100 elderly patients with osteoporosis who were admitted to the Cadre Sanatorium of Hainan&Geriatric Hospital of Hainan from January 2018 to June 2019 were selected,they were divided into 50 cases in the treatment group and 50 cases in the control group by random number table method,abscission cases were excluded,48 cases were included in the treatment group and 43 cases in the control group.The control group was given regular health education,and the treatment group adopted health education based on the law of forgetting curve.Follow-up for six months,the two group’s health beliefs,health behaviors,bone density were compared.Results After six months of follow-up,the health belief scores of the two groups were higher than those before education,the scores of susceptibility,severity,dyskinesia,calcium intake,health motivation,and health belief total socre in the treatment group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05);the compliance with medical drugs,calcium supplementation,vitamin D supplementation,and moderate exercise of two groups increased significantly compared with those before education in the same group,the compliance with moderate exercise of treatment group was significantly higher than that of the control group,the differences were statistically significant(P<0.05);the bone density of the two groups increased significantly compared with before education(P<0.05),the bone density of the lumbar spine,femoral neck,greater trochanter and Wang’s triangle in the treatment group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Health education based on the law of forgetting curve can help improve the health belief level of elderly patients with osteoporosis,promote the development of healthy behaviors,improve bone density.
作者
李淑芬
林静
郑海华
郑春妹
LI Shufen;LIN Jing;ZHENG Haihua;ZHENG Chunmei(Department of Gerontology,Cadre Sanatorium of Hainan&Geriatric Hospital of Hainan(GSH),Hainan Province,Haikou 571100,China)
出处
《中国医药导报》
CAS
2021年第21期157-160,共4页
China Medical Herald
基金
海南省自然科学基金面上项目(817372)。
关键词
骨质疏松症
老年
健康教育
遗忘曲线
健康信念
健康行为
Osteoporosis
Old age
Health education
Forgetting curve
Health beliefs
Health behaviors
