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| 骨质疏松老年人自我健康管理行为状况分析 |
| Self-health management behaviors in older osteoporosis patients |
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| DOI：10.3969/j.issn.1006.7108.2016.08.015 |
| 中文关键词: 骨质疏松 老年人 自我健康管理 |
| 英文关键词:Osteoporosis Elderly people Self-health management |
| 基金项目:河北省社会科学基金项目（hbl5sh020) |
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| 中文摘要: |
| 目的 探讨骨质疏松老年人自我健康管理行为状况及影响因素，从而采取相应的干预手段控制其影响因素，为改善老年人自我健康管理行为、进一步提高其生活质量提供依据。方法 选取2014年7月-12月在华北理工大学附属医院收治确诊的412例60岁及以上的骨质疏松症病人，对其采用成年人健康自我管理能力测评工具、日常生活能力量表、焦虑自评量表、 抑郁自评量表进行问卷调査，分析骨质疏松老年人的自我健康管理行为状况。结果 骨质疏松老年人自我健康管理行为大 多处于低等水平（74. 3% ) ；Logistic回归分析结果显示文化程度、月收人、日常生活能力、焦虑是骨质疏松老年人自我健康管理行为的主要影响因素。文化程度越高、月收人越高、日常生活能基本自理、无焦虑情绪的骨质疏松老年人的自我健康管理行为越好,差异有统计学意义（P <0.05)。结论骨质疏松老年人的自我健康管理行为较差，应通过加强骨质疏松老年人对骨质疏松疾病知识的认识程度及其防治措施,提高老年人的文化教育程度及其日常生活能力，减轻其焦虑心理,来改善骨质疏 松老年人的自我健康管理行为。 |
| 英文摘要: |
| Objective To evaluate self-health management behaviors and factors influencing these behaviors in older osteoporosis patients, with the aim of undertaking appropriate interventions to control influencing factors and to improve self- health management behaviors and quality of life in these patients. Methods Investigations were carried out in 412 patients aged over 60 years diagnosed with osteoporosis and received treatment from July to December 2014 at the Affiliated Hospital of North China University of Technology. Assessments include self-health management skills assessment tools, ADL, anxiety scale, self-rating depression scale questionnaire were made for the analysis of the self-health management behaviors in older osteoporosis patients. Results In older osteoporosis patients, the self-health management behaviors were mostly low, at 74. 3% . Logistic regression analysis showed that education level，monthly income, daily living skills and anxiety are major factors affecting the self-health management behaviors in these patients. Those with higher education level, higher monthly income, can basically take care of themselves at daily life or without anxiety had better ability of self-health management, the differences were statistically significant (P <0. 05). Conclusion The self-health management behavior of older osteoporosis patients is poor. Improving their knowledge on osteoporosis and its prevention, improving their education level and daily living skills，and reducing anxiety could contribute to the improvement of self?health management behaviors in older osteoporosis patients. |
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