医院—社区—家庭延续护理模式在老年骨质疏松患者中的应用

doi:10.3969/j.issn.1006-9143.2020.01.011

天津护理

医院—社区—家庭延续护理模式在老年骨质疏松患者中的应用

杨春军¹ 张倩倩² 王冬梅¹ 王彤¹ 宋颖¹

（1.天津医科大学总医院，天津 300052；2. 中国医学科学院血液学研究所）

收稿日期:2018-05-28 修回日期:2019-08-09 出版日期:2020-02-28 发布日期:2020-03-19
基金资助:
*天津市科技团体决策咨询资助项目(TJSKX2016-JC03-2)

Application of continuing care mode of hospital-community-family for patients with senile osteoporosis

YANG Chunjun¹, ZHANG Qianqian², WANG Dongmei¹, WAGN Tong¹, SONG Ying¹

(1.The General Hospital of Tianjin Medical University, Tianjin 300070; 2.The Institute of Hematology and Blood Diseases Hospital.Chinese Academy of Medical Sciences)

Received:2018-05-28 Revised:2019-08-09 Online:2020-02-28 Published:2020-03-19

摘要/Abstract

摘要： 目的：探讨医院-社区-家庭延续护理模式在老年骨质疏松患者中的应用效果。方法：采用便利抽样的方法，选取2016年1月至6月于天津医科大学总医院保健医疗部住院或门诊治疗的老年骨质疏松患者113例，随机分为观察组57例，对照组56例。对照组采取常规护理方法，观察组在常规护理基础上实施医院-社区-家庭延续护理模式，3个月后比较两组骨质疏松知识得分、健康信念、自我效能、服药依从性水平。结果：干预后观察组骨质疏松症知识得分，健康信念量表得分及自我效能得分与对照组比较差异有统计学意义 (P＜0.05)；观察组干预前后服药依从性差异有统计学意义（P＜0.05）；对照组干预前后服药依从性差异无统计学意义（P＞0.05）。结论：老年骨质疏松患者医院-社区-家庭延续护理干预可有效提高老年骨质疏松症患者的知识水平，健康信念，自我效能及其服药依从性。

关键词: 老年, 骨质疏松, 延续护理

Abstract: Objective:To explore the effect of hospital-community-family nursing model on senile patients with osteoporosis.Methods: The method of convenience sampling was adopted to select 113 cases of senile osteoporosis patients who were hospitalized or out-patient in the general hospital of Tianjin medical university from January to June 2016. The cases were randomly divided into observer group(57 cases) and control group(56 cases). The control group adopted routine nursing methods, and the observation group implemented the hospital-community-family extended nursing mode on the basis of routine nursing. After 3 months, the knowledge scores, health beliefs, self-efficacy and medication compliance levels were compared between the two groups.Results:After intervention, the scores of osteoporosis knowledge, health belief scale and self-efficacy in the observation group were significantly different from those in the control group(P<0.05). There was a statistically significant difference in medication compliance in the observation group before and after intervention （P<0.05）. There was no significant difference in medication compliance in the control group before and after intervention(P>0.05).Conclusion:The continuing care mode of hospital-community-family for patients with senile osteoporosis can effectively improve the knowledge level, health beliefs, self-efficacy and medication compliance of patients with senile osteoporosis.

Key words: Senile, Osteoporosis, Continuing care

杨春军张倩倩王冬梅王彤宋颖. 医院—社区—家庭延续护理模式在老年骨质疏松患者中的应用[J]. 天津护理, DOI: 10.3969/j.issn.1006-9143.2020.01.011.

YANG Chunjun, ZHANG Qianqian, WANG Dongmei, WAGN Tong, SONG Ying. Application of continuing care mode of hospital-community-family for patients with senile osteoporosis[J]. , DOI: 10.3969/j.issn.1006-9143.2020.01.011.

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医院—社区—家庭延续护理模式在老年骨质疏松患者中的应用

Application of continuing care mode of hospital-community-family for patients with senile osteoporosis

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