| 沈啸翼,冯宪真,丁晶晶,等.积极心理学视角下的心理干预对社区老年骨质疏松症患者生活质量的影响[J].中国临床保健杂志,2024,27(5):617-620. |
| 积极心理学视角下的心理干预对社区老年骨质疏松症患者生活质量的影响 |
| The impact of psychological intervention from the perspective of positive psychology on the quality of life of elderly patients with osteoporosis in the community |
| 投稿时间：2024-06-02 |
| DOI：10.3969/J.issn.1672-6790.2024.05.010 |
| 中文关键词: 骨质疏松 心理社会干预 积极心理学 老年人 生活质量 |
| 英文关键词: Osteoporosis Psychosocial intervention Psychology,positive Aged Quality of life 〖FL |
| 基金项目:上海市中西医结合学会社区医学与健康管理研究项目(KY-737-2)；上海市卫生健康系统重点扶持学科建设项目(2023ZDFC0403) |
| 作者 | 单位 | E-mail | | 沈啸翼 | 上海市同仁医院,上海交通大学医学院附属同仁医院全科医疗科,上海 200336 | fengxianzhengood@163.com | | 冯宪真 | 上海市同仁医院,上海交通大学医学院附属同仁医院全科医疗科,上海 200336 | fengxianzhengood@163.com | | 丁晶晶 | 上海市同仁医院,上海交通大学医学院附属同仁医院全科医疗科,上海 200336 | fengxianzhengood@163.com | | 陆红 | 上海市同仁医院,上海交通大学医学院附属同仁医院全科医疗科,上海 200336 | fengxianzhengood@163.com | | 周军 | 上海市同仁医院,上海交通大学医学院附属同仁医院全科医疗科,上海 200336 | fengxianzhengood@163.com | | 徐琛 | 上海市长宁区北新泾社区卫生服务中心全科医疗科 | fengxianzhengood@163.com |
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| 中文摘要: |
| 目的 探讨积极心理学视角下的心理干预对社区老年骨质疏松症患者生活质量的影响。方法选取2021年1月至2023年1月在上海市同仁医院确诊为骨质疏松症的360例患者作为研究对象,按照随机数字表法分为观察组(180例)和对照组(180例)。2组均给予常规治疗,观察组由上海市同仁医院和社区全科医生联合管理,在积极心理学视角下把心理疏导引入干预措施。1年后评估2组患者腰椎L1-4骨密度、25-维生素D水平、焦虑状况、健康行为、健康状况。结果 干预1年后,2组患者腰椎L1-4骨密度水平、健康行为评分、健康状况评分(躯体疼痛、精力、精神健康、健康变化评分)高于治疗前,差异有统计学意义(P＜0.05)；且观察组高于对照组,差异有统计学意义(P＜0.05)。2组患者干预1年后焦虑评分均低于治疗前,且观察组低于对照组,差异有统计学意义(均P＜0.05)。结论 积极心理学下的心理干预有助于提高社区老年骨质疏松症患者的生活质量。 |
| 英文摘要: |
| Objective To explore the impact of psychological intervention from the perspective of positive psychology on the quality of life of elderly patients with osteoporosis in the community.Methods Three hundred and sixty patients diagnosed with osteoporosis and meeting the inclusion criteria at Tongren Hospital in Shanghai from January 2021 to January 2023 were selected as the study subjects.They were randomly divided into an observation group (180 cases) and a control group (180 cases) using a random number table method.Both groups received routine treatment,while the observation group was jointly managed by our hospital and community general practitioners.Psychological counseling was introduced into intervention measures from a positive psychological perspective.One year later,evaluate the lumbar L1-4 bone density,25 vitamin D levels,anxiety status,health behavior,and health status of two groups of patients.Results After one year of intervention,the lumbar L1-4 bone density level,health behavior score,and health status score (physical pain,energy,mental health,and health change score) of the two groups of patients were higher than those before treatment,and the difference was statistically significant (P<0.05),and the observation group was higher than the control group,with a statistically significant difference (P<0.05).After 1 year of intervention,the anxiety scores of both groups of patients were lower than before treatment,and the difference was statistically significant (P<0.05),the difference between the observation group and the control group also was statistically significant (P<0.05).Conclusions Psychological intervention under positive psychology can help improve the quality of life of elderly osteoporosis patients in the community. |
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