CAJ | 학술논문

目的：探讨图文式健康教育路径在绝经后骨质疏松症患者中的应用价值。方法选取2011年1月—2013年12月120例围绝经期骨质疏松症患者作为研究对象，根据随机数字表法将患者分为观察组及对照组各60例。对照组患者进行常规健康教育，观察组患者进行图文式健康教育，干预时间为3个月。干预前后采用骨质疏松症健康信念量表（ OHBS）对两组患者进行调查，观察两组患者干预前后视觉模拟疼痛（ VAS）评分、Oswestry功能障碍指数（ ODI指数）及骨密度改善情况。结果观察组患者干预后知信行总分为（139．62±32．12）分，健康信念得分（65．32±12．48）分，骨质疏松知识得分（43．69±5．78）分，预防保健得分（32．12±4．56）分，分别优于对照组的（105．63±28．69），（51．21±11．45），（31．25±4．96）与（22．62±5．12）分，差异有统计学意义（t值分别为3．456，4．362，5．126，5．623；P＜0．05）。观察组干预后ODI指数、VAS评分分别为（23．25±5．12），（3．86±0．75）分，分别低于对照组的（36．12±6．78），（5．29±0．92）分，差异有统计学意义（t值分别为4．985，5．122；P＜0．05）。观察组干预后腰椎L1～4、股骨颈、髋部Wards区及粗隆区骨密度显著高于对照组，差异有统计学意义（ t值分别为4．252，4．825，4．312，4．985；P＜0．05）。结论图文式健康教育路径能有效提高围绝经期骨质疏松症患者知信行评分，提高患者骨密度，改善患者疼痛及功能障碍，促进患者康复。
목적：탐토도문식건강교육로경재절경후골질소송증환자중적응용개치。방법선취2011년1월—2013년12월120례위절경기골질소송증환자작위연구대상，근거수궤수자표법장환자분위관찰조급대조조각60례。대조조환자진행상규건강교육，관찰조환자진행도문식건강교육，간예시간위3개월。간예전후채용골질소송증건강신념량표（ OHBS）대량조환자진행조사，관찰량조환자간예전후시각모의동통（ VAS）평분、Oswestry공능장애지수（ ODI지수）급골밀도개선정황。결과관찰조환자간예후지신행총분위（139．62±32．12）분，건강신념득분（65．32±12．48）분，골질소송지식득분（43．69±5．78）분，예방보건득분（32．12±4．56）분，분별우우대조조적（105．63±28．69），（51．21±11．45），（31．25±4．96）여（22．62±5．12）분，차이유통계학의의（t치분별위3．456，4．362，5．126，5．623；P＜0．05）。관찰조간예후ODI지수、VAS평분분별위（23．25±5．12），（3．86±0．75）분，분별저우대조조적（36．12±6．78），（5．29±0．92）분，차이유통계학의의（t치분별위4．985，5．122；P＜0．05）。관찰조간예후요추L1～4、고골경、관부Wards구급조륭구골밀도현저고우대조조，차이유통계학의의（ t치분별위4．252，4．825，4．312，4．985；P＜0．05）。결론도문식건강교육로경능유효제고위절경기골질소송증환자지신행평분，제고환자골밀도，개선환자동통급공능장애，촉진환자강복。
Objective To investigate the effects of graphic health education pathway in patients with osteoporosis after postmenopausal.Methods Totals of 120 cases of perimenopausal patients with osteoporosis were divided into the observation group (n=60) and the control group (n=60) from January 2011 to December 2013.The control group patients were given the routine sexual health education.The observation group was taught with graphic health education for three months.The Osteoporosis Health Belief Scale ( OHBS ) , the Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) and bone mineral density of the two groups were observed and compared before and after the health education.Results In the observation group, the total score of KAP and the score of heath belief, the knowledge of osteoporosis, the prevention healthcare were (139.62 ±32.12), (65.32 ±12.48), (43.69 ±5.78) and (32.12 ±4.56), respectively, which were significantly higher than (105.63 ±28.69), (51.21 ±11.45), (31.25 ±4.96) and (22.62 ±5.12) in the control group after the intervention (t =3.456, 4.362, 5.126, 5.623, respectively;P <0.05).In the observation group, the score of ODI and VAS were ( 23.25 ±5.12 ) and ( 3.86 ±0.75 ) , which were significantly higher than (36.12 ±6.78) and (5.29 ±0.92) in the control group after the intervention (t=4.985, 5.122, respectively;P<0.05).The bone mineral density of lumbar L1 to L4, femoral neck and hip trochanter area and Wards area of the observation group were significantly higher than the control group ( t=4.252, 4.825, 4.312, 4.985, respectively;P<0.05).Conclusions The graphic health education pathway can effectively improve the KAP of osteoporosis patients and the bone mineral density.It can relieve the pain and dysfunction, so as to promote the rehabilitation of patients.