社区居民骨质疏松相关知识及行为干预效果评估

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目的了解社区居民骨质疏松防治知识获得途径,评估宣教干预效果,为骨质疏松防治工作提供基线数据和决策依据。方法随机抽取社区386户家庭600位居民进行问卷调查及宣教干预。结果共收回有效问卷583份,骨质疏松症相关知识主要来源途径为手机网络、报刊电视和卫生宣教,分别占25.21%、24.36%和19.21%。宣教干预前,居民骨质疏松防治知识知晓率水平总体不高。宣教干预后,居民12项骨质疏松防治知识知晓率比较有统计学意义(P=0.000)。宣教干预前,有55.92%的居民不运动,经常摄入牛奶、豆制品和海产品的居民分别为43.39%、41.96%和20.93%。经常吸烟、饮酒和喝碳酸饮料的占38.83%、31.85%和25.99%。宣教干预后,除了常喝咖啡、吸烟和饮酒这3项外,其余7项行为改变比较差异有统计学意义(P<0.01或P<0.05)。结论居民骨质疏松防治知识主要来源于手机网络、报刊电视和卫生宣教,宣教干预能显著提高居民骨质疏松防治知识知晓率。知晓率提高后,居民的防病行为和生活习惯也会发生相应改变。为此,卫生部门应加强对居民的骨质疏松防治知识宣传,提高其知晓率水平,增强预防能力,倡导健康行为,延缓和预防骨质疏松的发生。 Objective To understand the ways of community residents’ knowledge of prevention and treatment of osteoporosis, assess the effect of missionary intervention, and provide baseline data and decision-making basis for the prevention and treatment of osteoporosis. Methods A total of 600 residents of 386 households in the community were randomly selected for questionnaire and mission intervention. Results A total of 583 valid questionnaires were retrieved. The main sources of knowledge related to osteoporosis were mobile phone networks, newspapers, television and health education, accounting for 25.21%, 24.36% and 19.21% respectively. Pre-mission intervention, residents awareness of prevention and treatment of osteoporosis level is generally not high. After the missionary intervention, residents’ awareness of prevention and treatment of 12 osteoporosis was statistically significant (P = 0.000). Before the missionary intervention, 55.92% of the residents did not exercise and residents who regularly consumed milk, soy products and seafood were 43.39%, 41.96% and 20.93% respectively. Often smoking, drinking and drinking carbonated drinks accounted for 38.83%, 31.85% and 25.99%. After the missionary intervention, except for the three items of regular drinking, smoking and drinking, the other seven behaviors were significantly different (P <0.01 or P <0.05). Conclusion Residents knowledge of prevention and treatment of osteoporosis comes mainly from the mobile phone network, newspapers and television and health education, mission intervention can significantly improve the residents awareness of prevention and treatment of osteoporosis knowledge. After the awareness rate is raised, residents’ disease prevention behaviors and living habits will also change accordingly. To this end, the health sector should strengthen residents’ awareness of osteoporosis prevention and control knowledge, raise the level of awareness, enhance prevention, advocate healthy behavior, delay and prevent the occurrence of osteoporosis.
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