CAJ | 학술논문

目的：探讨构建老年原发性骨质疏松症患者的自我管理模式，为指导患者进行自我管理提供依据。方法选取苏州市某医院确诊为原发性骨质疏松症的患者72例，就相关知识、健康行为、健康信念和自我效能进行调查，分析其存在的问题，依循原发性骨质疏松症诊治指南，初步构建基于健康信念模式、自我效能和自我管理理论的自我管理模式。结果患者总体认知处于中等水平以下，健康信念和信心处于中等水平以上，其中知识均分（10．14±5．71）分、健康信念均分（141．82±13．00）分、自我效能均分（6．44±2．45）分；而一般资料结果显示患者的健康行为执行状况欠佳，对健康知识的需求各异，需要进行针对性的健康教育。结论老年原发性骨质疏松症患者的自我管理现状不容乐观，亟待构建具有针对性、能够运用于患者健康和自我管理、且方便可及的老年特异性自我管理模式，并继续进行实证探讨，以臻完善。
목적：탐토구건노년원발성골질소송증환자적자아관리모식，위지도환자진행자아관리제공의거。방법선취소주시모의원학진위원발성골질소송증적환자72례，취상관지식、건강행위、건강신념화자아효능진행조사，분석기존재적문제，의순원발성골질소송증진치지남，초보구건기우건강신념모식、자아효능화자아관리이론적자아관리모식。결과환자총체인지처우중등수평이하，건강신념화신심처우중등수평이상，기중지식균분（10．14±5．71）분、건강신념균분（141．82±13．00）분、자아효능균분（6．44±2．45）분；이일반자료결과현시환자적건강행위집행상황흠가，대건강지식적수구각이，수요진행침대성적건강교육。결론노년원발성골질소송증환자적자아관리현상불용악관，극대구건구유침대성、능구운용우환자건강화자아관리、차방편가급적노년특이성자아관리모식，병계속진행실증탐토，이진완선。
Objective To study the construct of self-management model for elderly primary osteoporosis ,and to provide guidance for the intervention measures .Method 72 patients with primary osteoporosis diagnosed some hospi-tal in Suzhou city were selected and measured on their knowledge ,health behaviors ,health belief and self-efficacy . Existing problem was analyzed .The self-management model based on the health belief model ,self-efficacy ,self man-agement theory ,the osteoporosis guides and the results of survey .Result Patients'cognition was below average level . The health belief and confidence was above the middle level .The average scores was (10 .14 ± 5 .7) for health knowledge ,(141 .82 ± 13 .00) for health confidence and(6 .44 ± 2 .45) for self-efficacy .But condition of health be-haviors was poor with different needs of health knowledge .the targeted health education was needed .Conclusion The situation of self-management for elderly primary osteoporosis is not optimistic .It needs to be further improved . Targeted and easily practicable elderly-specific self-management model was urgent needed to build and to attainper-fect result .