CAJ | 학술논문

目的：观察经循证支持后健康教育对绝经后骨质疏松症(PMO)患者的效果。方法根据实施循证支持健康教育与否，将十堰市妇幼保健院健康体检中心2010年1月~2012年1月收治的69例绝经后骨质疏松症患者分为对照组(30例)和实验组(39例)。经随访比较两组患者随访期间预后转归情况及相关临床指标，各项生活量表、心理量表的差异。结果与对照组比较，实验组患者18个月内并发骨折的人数显著降低，且实验组患者的自我保健意识明显提高(P<0.05)；实验组患者的腰椎骨密度、血清骨钙素、碱性磷酸酶显著增加(P<0.05)；实验组患者世界卫生组织生存质量测定简表部分项目、简明健康状况问卷量表显著升高(P<0.05)；实验组患者的疾病不确定量表显著降低、汉密尔顿焦虑量表显著降低、症状自评量表显著降低，差异有统计学意义(P<0.05)。结论对于PMO妇女实施健康教育，可显著改善预后，促进临床疗效，增强其自我保健意识，提升生活质量，消除负面情绪，从而达到稳定病情、提升患者整体健康状况的效果，值得推广。
목적：관찰경순증지지후건강교육대절경후골질소송증(PMO)환자적효과。방법근거실시순증지지건강교육여부，장십언시부유보건원건강체검중심2010년1월~2012년1월수치적69례절경후골질소송증환자분위대조조(30례)화실험조(39례)。경수방비교량조환자수방기간예후전귀정황급상관림상지표，각항생활량표、심리량표적차이。결과여대조조비교，실험조환자18개월내병발골절적인수현저강저，차실험조환자적자아보건의식명현제고(P<0.05)；실험조환자적요추골밀도、혈청골개소、감성린산매현저증가(P<0.05)；실험조환자세계위생조직생존질량측정간표부분항목、간명건강상황문권량표현저승고(P<0.05)；실험조환자적질병불학정량표현저강저、한밀이돈초필량표현저강저、증상자평량표현저강저，차이유통계학의의(P<0.05)。결론대우PMO부녀실시건강교육，가현저개선예후，촉진림상료효，증강기자아보건의식，제승생활질량，소제부면정서，종이체도은정병정、제승환자정체건강상황적효과，치득추엄。
Objective To observe the effectiveness of health education by evidence-based support for patients with postmenopausal osteoporosis (PMO). Methods From January 2010 to January 2012, in Health Examination Center, Ma-ternal and Child Health Hospital of Shiyan City, depending on whether the implementation of systematic health educa-tion, 69 cases of PMO patients were divided into the control group (30 cases) and the experimental group (39 cases). The BMD L1-L4, BGP, ALP, SF-36 scale, WHOQOL-BREF scale, HAMA scale, MUIS scale and SCL-90 of two groups before and after the implementation of systematic health education were observed and compared. Results Com-pared with the control group, the occurance of fractures of the experimental group during 18 months was significantly reduced, the difference was statistically significant (P<0.05). And the experimental group, the awareness of self-care, BMD L1-L4, BGP, ALP were increased significantly than those before the systematic health education, the differences were statistically significant (P< 0.05); part of the scores of SF-36 scale, WHOQOL-BREF scale were significantly higher than those before the systematic health education, the differences were statistically significant (P < 0.05); the scores of HAMA scale, MUIS scale, SCL-90 scale were significantly reduced than those before the systematic health ed-ucation, the differences were statistically significant (P< 0.05). Conclusion It's concluded that the implementation of health education among PMO patients can significantly improve the prognosis, promote clinical efficiency, enhance their self-care awareness and quality of life, eliminate negative emotions. In order to control disease and improve the overall health of the patient, health education by evidence-based support should be widely promoted.