骨质疏松症患者教育的结果评估:一项观察性研究,比较干预组和匹配的对照组
Mette Rubæk1,2, Teresa Holmberg3, Susan Andersen4
1National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. merub@sdu.dk.
概括
骨质疏松症患者的教育改善了药物坚持,但对生活质量和体力活动没有明确的结果. 需要进一步的研究来确定其整体有效性.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 卫生教育卫生教育教育
背景情况:
- 骨质疏松症患者的教育可以提高知识和身体活动.
- 关键结果包括骨折,生活质量,自我效能,身体活动,平衡,跌倒,坚持,疼痛管理,心理健康和日常功能能力.
研究的目的:
- 评估丹麦市政府骨质疏松症患者教育计划的有效性.
- 为了比较参与教育和没有参与教育的患者之间的结果.
主要方法:
- 观察性研究将1660名参与骨质疏松症患者教育的参与者 (2016-2020年) 与基于人口统计和诊断的对照 (1:1) 相匹配.
- 通过调查问卷和国家登记册收集的数据约在干预后3.7年.
- 用物流和线性回归分析进行比较.
主要成果:
- 参与者表现出更高的药物坚持 (OR 1.74) 和从事更多骨特定的体力活动 (差异为0.50).
- 在参与者中观察到生活质量 (差异-1.28) 的体力成分得分较低,并增加了对跌倒的恐惧 (OR 1.61).
- 对于其他次要结果,没有发现统计学上显著的差异.
结论:
- 骨质疏松症患者的教育与改善药物坚持有关.
- 关于生活质量,体力活动和对跌倒的恐惧的不确定的发现阻止了关于有效性的最终结论.
- 建议未来的研究包括基线测量和随机对照试验设计.
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