中国骨质疏松杂志

骨质疏松患者就医选择的影响因素分析及干预研究

Analysis of influencing factors and intervention research on the choice of medical treatment for osteoporosis patients

DOI：10.3969/j.issn.1006-7108.2020.08.005

中文关键词: 骨质疏松症逻辑回归影响因素骨折干预研究

英文关键词:osteoporosis logistic regression influencing factors fracture intervention study

基金项目:广西自然科学基金（2018JJA140722）

作者	单位
冯秋花1* 陈嘉2	1.广西省崇左市天等县人民医院内分泌科，广西崇左 532800 2.柳州市中医医院综合骨科，广西柳州 545000

摘要点击次数: 729

全文下载次数: 359

中文摘要:

目的分析骨质疏松患者就医行为的影响因素，并对骨质疏松患者进行干预研究，为骨质疏松防治提供参考。方法选取2017年1月至2018年1月在崇左市天等县人民医院进行体检的骨质疏松患者218名，根据患者是否主动就医的行为，分为主动组（n=102）和非主动组（n=116）。采用多因素Logistic回归分析骨质疏松患者不主动就医的影响因素，并对主动组及非主动组进行干预治疗，随访1年，观察主动组与非主动组发生骨折的概率、骨密度及骨质疏松相关知识知晓情况。结果 Logistic回归分析发现非事业单位人员、经济收入低、农村居民、文化程度低、合并癌症、无养老保险等是骨质疏松患者不主动就医的独立危险因素（P＜0.05）。干预1年后，主动组发生骨折的概率为0.98%，非主动组发生骨折的概率为1.72%；干预前非主动组对骨质疏松相关知识知晓情况远低于主动组（P＜0.05），而干预后非主动组的知晓情况与干预前相比大大提高（P＜0.05）；干预后两组骨密度高于干预前（P＞0.05）。结论非事业单位人员、经济收入低、农村居民、文化程度低、合并癌症、无养老保险等是骨质疏松患者不主动就医的独立危险因素。医护人员应加强这类患者的健康宣教工作，必要时给予饮食、药物、运动等干预。

英文摘要:

Objective To analyze the influencing factors of the medical behavior of osteoporosis patients, and to study the intervention of osteoporosis patients, so as to provide reference for the prevention and treatment of osteoporosis. Methods From January 2017 to January 2018, 218 patients with osteoporosis were examined at Tianding County People's Hospital in Chongzuo City. According to the patient's active medical treatment, they were divided into active group (n=102) and non-active group (n=116). Multivariate logistic regression was used to analyze the influencing factors of non-active medical treatment in patients with osteoporosis. The active group and the non-active group were treated with intervention. The follow-up period was 1 year. The probability of fracture, bone mineral density and osteoporosis related knowledge were observed in the active group and the non-active group. Results Logistic regression analysis showed that non-public institutions, low economic income, rural residents, low education level, combined with cancer, no endowment insurance and other factors were independent risk factors for patients with osteoporosis who did not take the initiative to seek medical treatment (P<0.05). After one year of intervention, the probability of fracture was 0.98% in the active group and 1.72% in the non active group. Before the intervention, the knowledge of osteoporosis in the non active group was much lower than that in the active group (P<0.05). After intervention, the awareness of the non active group was significantly higher than that before intervention (P<0.05). The BMD of the two groups after intervention was higher than that before intervention (P>0.05). Conclusion Non institutional personnel, low economic income, rural residents, low education level, combined with cancer, no endowment insurance and other independent risk factors of osteoporosis patients not actively seeking medical treatment. Medical staff should strengthen the health education of these patients, and give diet, medicine, exercise and other interventions when necessary.

查看全文查看/发表评论下载PDF阅读器

关闭