摘要
目的 :分析运动干预联合同伴教育对老年骨质疏松(OP)患者自我效能及骨代谢指标的影响。方法 :选取2018年12月至2021年12月收治的OP患者108例。随机分为对照组与研究组,各54例。对照组中男性28例(51.85%),平均年龄(67.23±2.26)岁;研究组中男性29例(53.70%),平均年龄(67.47±2.26)岁。对照组患者采取常规健康教育,研究组患者在对照组基础上给予运动干预联合同伴教,观察两组患者干预12个月后自我效能与骨代谢指标的差异。结果 :干预后,两组健康信念各因子评分均升高,且研究组的易感性、运动益处、摄钙益处、运动障碍、摄钙障碍、健康动机评分高于对照组,差异均有统计学意义(均P <0.05)。干预后研究组摄钙效能得分、运动效能得分、总效能得分均高于对照组,Ⅰ型胶原羧基端肽交联(β-CTX)、骨特异性碱性磷酸酶(BALP)、骨钙素水平均低于对照组,差异有统计学意义(P <0.05)。结论:运动干预联合同伴教育可有效提高老年OP患者自我效能水平,促进骨代谢指标平衡。
Objective:To analyze the effect of exercise intervention combined with peer education on self-efficacy and bone metabolism in the elderly patients with osteoporosis(OP).Methods:From December 2018 to December 2021,108 OP patients were selected.They were randomly divided into a control group and a research group with 54 cases.The control group had 28 male cases(51.85%),and the average age was(67.23±2.26)years;the research group had 29 male cases(53.70%)and the average age was(67.47±2.26)years.The patients in the control group were treated with routine health education,and the research group adopted the exercise intervention combined with peer education based on the control group.The difference of self-efficacy and bone metabolism index between the two groups after 12 months of intervention were observed.Results:The scores of each factor of health belief score increased in the two groups after intervention,and the scores of susceptibility,exercise benefit,calcium uptake benefit,dyskinesia,calcium uptake disorder and health motivation in the research group were higher than those in the control group,and the difference was statistically significant(P<0.05).Calcium uptake efficacy score,motor efficacy score and overall performance score in the research group were higher than those in the control group after intervention,C-terminal peptide cross-linking of type I collagen(β-CTX),bone specific alkaline phosphatase(BALP)and osteocalcin level in the research group were lower than those in the control,and the difference was statistically significant(P>0.05).Conclusion:Exercise intervention combined with peer education in the elderly patients with OP can effectively improve the self-efficacy and promote the balance of bone metabolism index.
作者
张明欣
王晓燕
刘仲华
郑淑萍
康坤丽
宋建玲
聂然
ZHANG Mingxin;WANG Xiaoyan;LIU Zhonghua;ZHENG Shuping;KANG Kunli;SONG Jianling;NIE Ran(General Practice Team of Changfeng Community Health Service Center of Putuo District,Shanghai 200062,China)
出处
《上海医药》
CAS
2024年第4期58-62,共5页
Shanghai Medical & Pharmaceutical Journal
基金
上海市普陀区卫生健康系统科技创新项目(ptkwws202029)。
关键词
骨质疏松
运动干预
同伴教育
自我效能
骨代谢指标
osteoporosis
exercise intervention
peer education
self-efficacy
bone metabolism index
