摘要
目的评估北站社区家庭医生制服务对骨质疏松症防治的效果。方法通过"骨质疏松症风险一分钟测试题"在北站社区居民中筛选,阳性样本转诊至上级医院行DXA骨密度测定,确诊的骨质疏松症患者中,随机选取100例作为研究对象。随机分为50例对照组与50例干预组,干预组纳入家庭医生制服务,对照组不纳入家庭医生制服务。通过前后两次问卷调查,了解1年后100例患者相关的生活方式改善情况以及对骨质疏松症知晓率,并用同一家医院的DXA检测干预前后患者的骨密度。结果 100例骨质疏松症患者中,男性24例,女性76例。年龄50~84岁,平均65岁。结果表明,1年后,干预组相较于对照组坚持喝牛奶、户外晒太阳、锻炼的人数增多了,而酗酒、大量饮咖啡的人数减少了,骨质疏松症的知晓人数有所增加,差异有统计学意义(P<0.05)。结论本研究表明,通过家庭医生制服务对社区骨质疏松症患者进行干预,干预人群生活方式有了明显改变,骨质疏松症的相关知识知晓人数有所增加。
Objective To evaluate the role and impact of general practitioners in the prevention and treatment of osteoporosis in the North Station community. Methods A total of 100 osteoporosis patients were selected based on screening using＂International Osteoporosis Foundation＇s（ IOF） one-minute osteoporosis risk test＂from the North Station community and being confirmed by bone mineral density measurement using Dual-energy X-ray absorptiometry（ DXA） at a higher level hospital. All 100 osteoporosis patients were randomized 1∶ 1 to intervention group（ 50 patients） and control group（ 50 patients）. General practitioner service was provided to the intervention group and no intervention to the control group. Survey was conducted before interaction and 1 year later to evaluate lifestyle change and osteoporosis knowledge awareness of these 100 patients. Bone mineral density was measured using DXA at the same hospital before interaction and 1 year later. Results The 100 osteoporosis patients consist of 24 males and 76 females and the mean age was 65 years（ range from 50 to 84 years）. Our result showed that compared with the control group,more patients in the intervention group continued to drink milk,bask in sunshine and exercise outdoors,and less patients in the intervention group consumed excessive amount of alcohol and coffee. There was a higher awareness rate of osteoporosis in the intervention group as well. All these differences between two the groups were statistically significant（ P〈0. 05）. Conclusion This study showed that general practitioner intervention can significantly improve lifestyle of the target population and increased the awareness of osteoporosis related knowledge.
作者
吴萍
李文华
陈文斌
臧姬
沙一飞
韩苗红
储珏
WU Ping LI Wenhua CHEN Wenbing ZANG Ji SHA Yifei HAN Miaohong CHU Jue(North Station Community Health Service Center, Jing＇ an District, Shanghai 200071, China)
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2017年第10期1330-1333,共4页
Chinese Journal of Osteoporosis
关键词
家庭医生
骨质疏松症
防治
General practitioner
Osteoporosis
Prevention and treatment
