老年骨质疏松综合症患者防治知识的调查及对策

目的了解60岁以上骨质疏松综合症患者防治知识知晓率,以便确定教育的重点内容。方法调查110例60岁以上骨质疏松综合症患者对骨质疏松综合症疾病及保健知识了解情况,以及知识来源的途径。结果患者对骨质疏松综合症疾病知识综合知晓率为46.2%,对骨质疏松综合症预防保健知识知晓率为50.5%;81.3%来源于医护人员,9.8%从媒体获取,8.9%从亲友处获得。结论应采取有效的方式加强对60岁以上骨质疏松综合症患者的教育,提供社区教育及必要的免费检查、咨询,使患者能掌握骨质疏松症的防治知识,逐渐提高自我保健意识,减少并发症的发生,提高患者的生活质量。     

120例骨质疏松患者对骨质疏松症的认知及行为调查

目的 了解骨质疏松患者对骨质疏松症的认知水平及行为方式.方法 采用便利抽样方法对厦门市某三甲医院门诊的120例骨质疏松患者进行相关知识和生活行为方式的问卷调查.结果 78.33％骨质疏松患者对骨质疏松相关知识状况有不同程度的了解,不了解的占21.67％;有55.00％的患者生活方式尚可,差的占45.00％.结论 骨质疏松患者对相关知识了解尚有所欠缺,生活中存在着一些不良行为习惯和运动方式.采用多种形式加强骨质疏松患者的健康教育,加深其对骨质疏松症的认知,帮助其建立健康科学的行为习惯和生活方式,以便早发现、早诊断、早治疗.     

中医特色健康教育联合温针灸疗法在骨质疏松症患者中的应用

目的:探讨中医特色健康教育联合温针灸疗法在骨质疏松症患者中的应用效果。方法:选取80例原发性骨质疏松症患者作为研究对象,按随机数字表法将其等分为对照组和观察组。对照组患者予以常规护理,观察组在常规护理基础上给予中医特色健康教育联合温针灸疗法。采用骨质疏松知识问卷(OKT)和生活质量评估表(SF-36)评估两组患者的健康知识掌握情况及生活质量。结果:干预后,观察组患者的OKT评分及SF-36评分高于对照组,差异均具有统计学意义(P0.05)。结论:采用中医特色健康教育联合温针灸疗法,使骨质疏松患者掌握了更多的相关知识,并能缓解患者机体疼痛,改善其生活质量。     

骨质疏松症患者健康教育的效果评价

目的评价通过健康教育对骨质疏松患者进行综合防治的效果。方法选择骨质疏松症患者158例,随机分成对照组和观察组各79例,观察组在常规护理的基础上开展健康教育,对结果进行分析。结果两组骨质疏松症患者知识掌握率、生活方式影响、遵医嘱服药行为、疼痛改善情况及护理工作满意度比较,其差异具有统计学意义（均P〈0．01）。结论实施健康教育可改善骨质疏松症患者的生活质量和心理健康状况、降低危险因素,对减轻病痛有积极作用。     

健康教育在老年骨质疏松患者护理中的应用

目的探讨健康教育在老年骨质疏松患者护理中的应用效果。方法选取2016年1月~2017年2月期间在本服务中心确诊的96例老年骨质疏松症患者作为研究对象,按随机数字表法分为2组,对照组(48例)行常规护理,观察组(48例)在对照组的基础上实施新形式健康教育。干预结束后采用自行设计的调查表对2组患者的骨质疏松疾病健康知识的知晓率及护理满意度进行调查;采用健康调查简表(SF-36)对2组患者护理前后的生活质量进行评定,并比较2组患者二次骨折发生情况。结果观察组患者对骨质疏松疾病知晓率及护理满意度均高于对照组,存在统计学差异(t=20.125、19.906,P均0.05);观察组患者护理后生理功能、心理健康、社会功能评分均高于对照组,躯体疼痛评分低于对照组,存在统计学差异(t=5.733、11.789、10.891、6.176,P均0.05);观察组患者二次骨折发生率低于对照组,存在统计学差异(t值为10.475,P0.05)。结论对老年骨质疏松症患者实施新形式健康教育,能提高其健康知识知晓率,改善患者生活质量。     

农村初产妇产褥期生活方式知信行调查分析

目的了解农村初产妇产褥期生活保健知识、态度、行为的现状,为制定产褥期健康促进策略提供科学的数据支持。方法基于知信行理论,采用横断面调查方法自行设计的农村初产妇产褥期知信行调查问卷,采用便利抽样方法对192例农村产褥期初产妇女进行调查。结果农村初产妇产褥期知识、态度、行为得分偏低,产褥期知识部分婴儿护理知识得分最低(4.10±1.65)分,得分率58.57%;态度、信念部分73.2%的产妇愿意照顾孩子,65.4%的产妇认为产褥期不能或少下床活动;行为部分产后活动与锻炼得分最低(2.72±1.56)分,得分率54.48%。结论农村初产妇产褥期生活保健方面存在许多误区,产褥期知识掌握较少,态度、信念不坚定,生活行为依从性差,直接或间接影响妇女产褥期的健康甚至生活质量,医护人员应采取农村产妇易接受的方式,开展多形式的将健康教育,制定母婴健康的合理方案,贯穿于整个孕产期,进一步提高产褥期健康水平和生活质量。     

老年综合评估计划性延续护理在老年骨质疏松患者中的应用

目的 探讨基于CGA的计划性延续护理在老年骨质疏松患者中的应用效果.方法 选择2015年1月~2016年6月于该院出院的老年骨质疏松症患者112例为研究对象,随机分为实验组和对照组各56例,对照组接受常规延续护理,实验组接受基于CGA的计划性延续护理,对两组干预后的各相关观察指标进行比较.结果 实验组患者干预后的骨质疏松症相关知识、健康信念、自我效能评分以及生活质量评分均显著高于对照组(P<0.05).结论 采用基于CGA的计划性延续护理对老年骨质疏松症患者实施干预,可显著提高患者的相关知识和自我效能水平,帮助其树立起正向的健康信念,提高生活质量.     

健康教育干预对围绝经期骨质疏松症的临床观察

目的探讨健康教育对围绝经期骨质疏松症干预的作用。方法选取72例经确诊的围绝经期骨质疏松症患者按入院顺序随机分为两组,观察组36例,对照组36例;观察组予以为期6个月的健康教育干预并定期门诊复查,干预内容主要包括围绝经期骨质疏松疾病认知及防治保健知识,对照组实施普通护理。评价治疗前后两组生活方式的变化并收集治疗前后两组的骨密度值。结果观察组健康教育干预后建立合理饮食习惯、合理运动的人数多于对照组(P0.05);两组养成正确用药习惯的人数无明显差异(P0.05);观察组与对照组治疗前后骨密度值均有改善,差异有统计学意义(P0.05);组间对比,观察组治疗后骨密度值改善优于对照组(P0.05)。结论健康教育干预能全方位地干预和管理围绝经期骨质疏松患者,提高患者认知行为,使患者积极配合、参与围绝经期骨质疏松症的防治过程,增加临床疗效。     

骨质疏松症患者健康教育效果观察

目的探讨骨质疏松症健康教育方式及其效果.方法通过对92例骨质疏松症患者健康教育前后对基本知识、危害性及并发症、检查处理、治疗方法、生活方式和自我监测等认识水平的比较,观察效果.结果健康教育前后骨质疏松症相关知识评分优良率分别为30.43%、90.56%;骨质疏松症患者认识水平显著提高(p＜0.005).结论对骨质疏松症患者实施健康教育,可以提高患者的认知水平,降低危险因素,预防并发症,提高生活质量.     

ESPCS护理对老年骨质疏松性胸腰椎骨折患者知识水平与健康行为的干预效果

目的 观察ESPCS宣教模式对老年骨质疏松性胸腰椎骨折患者知识水平与健康行为的影响。方法选择2021年6月—2022年12月医院收治的骨质疏松性胸腰椎骨折老年患者80例为研究对象,按照组间基线资料均衡可比的原则将其分为观察组和对照组,各40例,对照组遵循骨质疏松性胸腰椎骨折常规式护理法施护,观察组于常规护理基础上采用ESPCS护理干预,对比两组患者干预前后健康知识得分、健康行为得分、疼痛度、各类康复指标。结果 干预后,观察组患者骨质疏松症知识评分、健康行为评分、日常生活能力评分均高于对照组,组间差异具有统计学意义（P<0.05）;观察组患者疼痛评分、腰椎功能障碍指数低于对照组,组间差异具有统计学意义（P<0.05）。结论 于骨质疏松性胸腰椎骨折老年患者中引入ESPCS护理机制,利于提高患者骨质疏松症知识水平和健康行为,可降低其疼痛水平,改善其腰椎功能,提高其日常生活能力。     

护理专业学生实习前骨质疏松知识及学习需求的调查研究

目的 调查护理学专业学生实习前骨质疏松知识水平、了解其知识来源途径、学习意愿及内容,为相关理论的教学提供依据,并为对骨质疏松患者的健康教育提供理论依据.方法 对136名实习前护理中专生进行问卷调查,问卷包括一般资料、骨质疏松知识问卷、骨质疏松知识获取途径及学习意愿问卷3个部分.结果 实习前学生骨质疏松知识平均得分为(8.49±3.41).对于绝经后骨丢失等8个条目,回答正确的学生尚不足1/3.学生期望获得骨质疏松知识的前3个途径为“通过老师”“通过医生护士”“通过电视/电影”,希望学习的内容主要包括骨质疏松预防知识、治疗知识、疾病主要危害等方面的知识.结论 实习前护理专业学生骨质疏松知识不足,提示护理教育者需要针对性地设置相应的课程形式,增加学生骨质疏松知识,以促进学生自身骨健康,并使其有能力为服务对象提供适宜的骨健康知识.     

Nurses' knowledge and perceptions about osteoporosis: a questionnaire survey

BACKGROUND: Knowledge about a disease provides professionals involved in its prevention and treatment with the information to make informed decisions about health practices. Gaps of knowledge regarding osteoporosis prevention and treatment have been found among different health professionals over the world, including nurses. OBJECTIVES: The aim of this study was to assess a wider variety of aspects related to nurses' knowledge and attitudes regarding osteoporosis. DESIGN: A cross-sectional research design was used. SETTINGS: Two academic centers in the northern part of Israel. PARTICIPANTS: A convenience sample of 158 registered nurses (mean age=39+/-10.3), attending classes at two academic centers. METHODS: Data were collected using a self-administered survey. RESULTS: Nurses were positive about their role and their skills for osteoporosis management, yet subjective and objective knowledge in different aspects of the disease was moderate. The average score of knowledge regarding risk factors for osteoporosis, as assessed by the Facts on Osteoporosis Quiz (FOOQ), was 17 (SD=3) out of 24, with female nurses, nurses working in Health Maintenance Organizations-HMOs, and nurses who underwent a bone density measurement scoring higher (p< 0.05). CONCLUSIONS: Nurses believed they have an important role in educating the public on osteoporosis prevention and management. Yet, their knowledge on different issues (e.g. signs of the disease, medication, and lifestyle issues) was only moderate. The only osteoporosis-related aspect they reported being confident about was advising on fall prevention. Measures should be taken in order to expand nurses' knowledge, such as education programs and postgraduate courses.     

原发性骨质疏松症社区护理干预模式的研究

目的　探索行之有效的原发性骨质疏松症 (POP)一级预防的社区护理干预模式。方法　围绕POP危险因素 ,以社区中老年人为对象 ,实施以健康信念模式为指导 ,以健康教育为手段的预防POP的护理干预。结果　干预后目标人群的POP防治知识、信念和预防行为均有显著性改善。结论　该模式能够有效指导护士开展社区健康教育 ,本研究方法可推广应用于其他慢性病预防控制的社区护理健康促进工作中。     

糖尿病病人健康价值与生活方式的相关性研究

目的 :指导临床护士为糖尿病病人进行健康教育 ,促进糖尿病病人的健康生活方式 ,提高其生活质量。方法 :采用随机抽样法对糖尿病病人进行问卷调查 ,以明确其健康价值、生活方式水平及二者之间的关系。结果 :5 4 .2 %的病人有高水平的健康价值 ,6 1.1%的病人生活方式水平好。病人的健康价值与生活方式呈显著正相关关系 (r=0 .8386 ,P <0 .0 0 1)。结论 :提高糖尿病病人对健康的认识及健康价值的水平 ,能促使他们采取有利于糖尿病控制的健康生活方式 ,从而延缓糖尿病的慢性并发症的发生和发展 ,提高生活质量。     

Osteoporosis risk assessment of mature working women: primary and secondary prevention strategies.

1. Occupational health nurses have a prime opportunity to promote a healthy and stable population of working women through teaching osteoporosis risk reduction behaviors and conducting periodic osteoporosis risk assessments. 2. Health teaching about osteoporosis prevention is needed to foster health promotion and risk reduction behaviors among pre-, peri-, and postmenopausal women to lessen the incidence of fractures and secondary consequences. 3. By incorporating primary and secondary prevention strategies into occupational health nursing practice, great strides can be made in guiding women to initiate osteoporosis prevention behaviors to promote a more healthy and less restrictive lifestyle in later years.     

血脂异常患者健康知识与健康促进生活方式的相关性研究

目的 探讨血脂异常患者(以下简称"患者")健康知识与健康促进生活方式(HPL)的相关性,为采取针对性的护理干预措施提供科学依据.方法 采用一般资料调查表、血脂健康知识调查表、健康促进生活方式量表(HPLP),对360例患者进行相关的问卷调查.结果 仅22.22%患者的健康知识总体为高水平,21.11%HPLP总体水平为优,其健康知识水平与HPLP水平呈正相关(r=0.528,P＜0.001).结论 护士应对患者开展针对性、系统的血脂相关知识教育,以提高其健康知识水平,修正不健康的生活方式,从而减轻或治愈血脂异常,改善患者生活质量.

Abstract：

Objective To investigate correlation between healthy knowledge and health-promoting lifestyle of patients with blood lipid abnormality. Provide a scientific basis for targeted nursing intervention measures. Methods General information questionnaire,healthy knowledge of blood lipid questionnaire and health-promoting lifestyle profile (HPLP) were adopted and conducted among 360 patients. Results On the overall level of healthy knowledge, patients reaching high level took up 22. 22%. When it comes to the level of HPLP, 21.11% of the patients were excellent. A positive correlation was revealed between a patient's healthy knowledge and the level of HPLP ( r = 0. 528, P ＜ 0. 001 ) . Conclusions Nurses should take individualized and systematic strategies of health education which serve to increase patients'healthy knowledge and correct unhealthy lifestyle, so as to alleviate or cure blood lipid abnormality and improve the life quality of patients.     

Taking a sexual history and educating clients about safe sex

The importance for taking a sexual history cannot be overstated. In the general patient population, the goal of the history is to assess the impact of illness on a client's sexual health. This information provides the nurse with a baseline for educating the client about his or her sexual adaptation to illness or surgery. Further, the sexual history is a part of the holistic nursing framework for patient care. Nurses working in settings in which they routinely care for clients with STDs have the additional responsibility of utilizing data from the history to educate clients regarding risk factors, re-evaluation of lifestyle behaviors, and preventative measures. Education of clients is crucial to decreasing the incidence of STDs. Nurses need to confront their own values and attitudes regarding sexuality as the first step to overcoming barriers in discussing sexuality with their clients. Additionally, education regarding human sexual behavior is important in expanding nurses' knowledge in this area. I have outlined interview techniques that can be helpful in eliciting the sexual history, emphasizing open-ended questions and ubiquitous statements. These techniques can be useful in both ambulatory and in-patient settings. The format for taking a sexual history has been addressed, with specific questions relevant to clients exposed to STDs. I have pointed to the need for considering the sexual history within the context of the client's life situation and suggested that information regarding sexuality be thoughtfully gathered, taking into account variables such as culture and sexual preference. Finally, this article addresses educating clients for safe sexual practices and emphasizes the need for nurses to counsel all sexually active clients concerning the risk factors for STDs. As the incidence of STDs continue to increase, and particularly as AIDS becomes increasingly widespread, nurses must be in the forefront of educating the public. As a health care profession advocating caring and commitment to holistic care, nursing can contribute to health promotion activities through addressing clients' sexual health.