摘要
目的分析整体护理干预在绝经后骨质疏松症(postmenopausal osteoporosis,PMOP,Ⅰ型)患者中的应用效果。方法选取2020年3月—2023年3月在新泰市第三人民医院诊治的PMOP患者90例作为研究对象,根据不同护理方法分为对照组和研究组,每组45例。对照组行常规护理干预,研究组行整体护理干预,比较2组患者的疼痛症状缓解情况、自我管理效能、自我护理能力、疾病知识水平和生活质量评分。结果干预后,研究组的视觉模拟评分法(visual analogue scale,VAS)评分为(3.8±1.4)分,低于对照组的(4.9±1.5)分,差异有统计学意义(P<0.05)。研究组的一般自我效能感量表(general self-efficacy scale,GSES)、自我护理能力测定量表(exercise of self-care agency scal,ESCA)、骨质疏松知识评价工具(osteoporosis knowledge assessment tool,OKAT)评分分别为(34.98±5.04)分、(91.63±4.02)分、(16.04±1.99)分,高于对照组的(29.88±5.14)分、(80.56±4.82)分、(12.37±1.78)分,差异均有统计学意义(P<0.05)。研究组简明健康状况调查表(the MOS 36-item short-form health survey,SF-36)中生理职能、社会功能、躯体疼痛、心理健康、情感职能、活力评分分别为(74.86±4.62)分、(79.92±3.23)分、(73.99±4.71)分、(78.09±6.33)分、(82.07±5.99)分、(79.95±5.43)分,高于对照组的(62.87±3.98)分、(61.98±3.84)分、(61.08±3.83)分、(66.24±4.77)分、(72.76±4.53)分、(61.49±4.58)分,差异均有统计学意义(P<0.05)。结论整体护理干预应用于PMOP患者护理中,能有效缓解疼痛,提高其自我护理能力及对疾病知识的认知率,提升患者的生活质量。
Objective To analyze the application effect of holistic nursing intervention in postmenopausal osteoporosis(postmenopausal osteoporosis,PMOP,Ⅰtype)patients.Methods A total of 90 patients with PMOP treated at the Third People's Hospital of Xintai from March 2020 to March 2023 were selected as the research subjects and divided into a control group and a study group based on different nursing methods,with 45 patients in each group.The control group received routine nursing intervention,while the study group received holistic nursing intervention.The pain symptom relief,self-management efficacy,self-care ability,disease knowledge level,and quality of life scores were compared between two groups.Results After intervention,the visual analogue scale(VAS)score of the study group was(3.8±1.4)points,which was lower than the control group's(4.9±1.5)points,and the difference was statistically significant(P<0.05).The general self-efficacy scale(GSES),exercise of self-care agency scale(ESCA),and osteoporosis knowledge assessment tool(OKAT)scores of the study group were(34.98±5.04)points,(91.63±4.02)points,and(16.04±1.99)points,respectively,which were higher than those of the control group(29.88±5.14)points,(80.56±4.82)points,and(12.37±1.78)points,and the differences were statistically significant(P<0.05).The role-physical,social functioning,bodily pain,mental health,role-emotional,and vitality scores in the MOS 36-item short-form health survey(SF-36)of the study group were(74.86±4.62)points,(79.92±3.23)points,(73.99±4.71)points,(78.09±6.33)points,(82.07±5.99)points,and(79.95±5.43)points,respectively,which were higher than those of the control group,which were(62.87±3.98)points,(61.98±3.84)points,(61.08±3.83)points,(66.24±4.77)points,(72.76±4.53)points,and(61.49±4.58)points,with statistically significant differences(P<0.05).Conclusion The application of holistic nursing intervention in the care of PMOP patients can effectively alleviate pain,improve their self-care ability and awareness rate of disease knowledge,and enhance their quality of life.
作者
宁方友
薛慧
王春晓
吴勤玲
NING Fangyou;XUE Hui;WANG Chunxiao;WU Qinling(Department of Outpatient,the Third People's Hospital of Xintai Xintai Shandong 271200,China;Department of Oncology,the Third People's Hospital of Xintai,Xintai Shandong 271200,China;Department of Pharmacy,the Second Affiliated Hospital of Shandong First Medical University,Tai'an Shandong 271000,China;Department of Oncology,the Second Affiliated Hospital of Shandong First Medical University,Tai'an Shandong 271000,China)
出处
《中国卫生标准管理》
2025年第14期178-182,共5页
China Health Standard Management
基金
山东省2024年深化医改研究课题(YGK2024050)。
