Effect Of Comprehensive Intervention On The Community-dwelling Elderly People At High Risk For Osteoporotic Fractures

Object: To evaluate the efficacy of comprehensive intervention for the community-dwelling elderly people at high risk for osteoporotic fractures.Methods: A quasi-experimental study was used in the study.Two community sites inShihezi city were selected in consideration of the economic and the aging.There are160cases in the study which were divided into two groups by random number tablemethod. Subjects of intervention group were offered comprehensive intervention;Subjects of control group were only given brochures. Comprehensive interventionconsisted of brochures distribution, group health education, home visit and telephoneguidance. Data were collected at four points: before health education, first month,sixth month, and eighth month after health education. The outcome measuresincluded: the score of knowledge, behavior, waist-back pain and FRAX, the numberof subjects reporting falls.Results:156subjects completed data collection procedures,78subjects inintervention group and78subjects in control group. The results indicated that:1. First month, sixth month, and eighth month after health education, the total scoreand the scores of items of osteoporosis-related knowledge were statisticallysignificantly higher in the intervention group than those in the control group(P<0.05).2. First month after health education, the total score and the scores of items ofosteoporosis-related behavior were higher in the intervention group than those inthe control group, but the difference was not statistically significant (P>0.05); sixthmonth after health education, the total score and the scores of items ofosteoporosis-related behavior were statistically significantly higher in theintervention group than those in the control group (P<0.05), eighth month afterhealth education, the total score and the score of diet of osteoporosis-relatedbehavior were statistically significantly higher in the intervention group than thosein the control group (P<0.05).3. First month, sixth month, and eighth month after health education, the score ofwaist-back pain was lower in the intervention group than those in the control group,furthermore eighth month after health education, the difference of the score ofwaist-back pain between the two groups was statistically significant (P<0.05).4. First month, sixth month, and eighth month after health education, the difference ofthe score of FRAX between the two groups was not statistically significant(P>0.05).5. First month, sixth month, and eighth month after health education, the number of individuals reporting falls in the intervention group was lower than those in thecontrol group; furthermore sixth month and eighth month after health education, thedifference of the number of individuals reporting falls between the two groups wasstatistically significant (P<0.05).Conclusions:1. Comprehensive intervention can better improve osteoporosis-related knowledge,the memory of knowledge need to be strengthened and the health educationintervention need to be carried out on a regular basis.2. Comprehensive intervention can better correct the risk behavior of osteoporoticfractures. Behavior change is a gradual process,and subjects need to make greaterefforts and have stronger self-control in behavior change.3. Comprehensive intervention can better reduce the waist-back pain caused byosteoporosis.4. The effect of comprehensive intervention on reducing the FRAX probability valueis not significant and remains to be further validation.5. Comprehensive intervention can effectively prevent falls in the elderly.