Effect Of Health Education On Self-management Ability And Bone Density Of Patients With Primary Osteoporosis Based On Knowledge Attitude Belief Practice

Objective:To explore the effect of health education based on knowledge attitude belief practice on self-management ability and bone density of patients with primary osteoporosis.Methods:Patients diagnosed with osteoporosis by dual-energy X-ray bone density detector in a Grade A hospital in Shenyang from October to December2021 were selected as study objects by convenience sampling method.Patients were divided into two groups using the random number table method by the research team members,one for the control group and one for the education group.There were 52 patients in each group.The control group carried out osteoporosis health education as usual,while the education group used the knowledge,belief and action model for a continuous 6-month educational intervention on this basis.The scores of the three scales of osteoporosis knowledge test questionnaire,osteoporosis health belief scale and osteoporosis self-efficacy scale and the changes of bone mineral density values were compared before and after the intervention in the two groups.Excel and SPSS25.0 were used for data analysis,and P<0.05 was considered statistically significant.Results:In the control group,44 patients were lost to follow-up in 8 persons,In the education group,44 people were lost to 3 people.1.There was no significant difference in the general data between the two groups(P>0.05).2.Before the intervention,the score of OKT in control group was(14.00±3.98),and that in education group was(13.65±4.11),P=0.664.Six months later,the knowledge scale scores of the two groups were(15.70±2.90vs20.06±2.71,P<0.001).3.No statistical significance was found in six subscales of health belief scores in two groups before the intervention(P>0.05),and after the intervention,the scores of 6 subscales in educational group were significantly higher than those in control group(P<0.001).4.The total score of osteoporosis self-efficacy scale in control group and education group before intervention was(49.20±9.05vs48.53±16.67,P>0.05),and the total score of the two groups after 6 months was(57.50±8.98)and(70.12±10.19),respectively.The difference was statistically significant(P<0.001).5.Before intervention,the lumbar vertebra bone density of the two groups was(-2.597±0.241vs-2.634±0.247),and there was no statistical significance after comparison,P=0.442;Post intervention,the lumbar vertebra bone density of the two groups was(-2.586±0.253vs-2.453±0.240),and the difference was statistically significant(P<0.05).Before intervention,bone density of femoral neck between the two groups was(-2.509±0.330vs-2.503±0.337),and there was no significant difference after comparison,P=0.894.After intervention,bone mineral density of femoral neck was(-2.494±0.348vs-2.332±0.341),and the difference was statistically significant(P<0.05).Conclusion:Health education based on the knowledge,belief and action model,it can promote the improvement of cognition and health belief of patients with primary osteoporosis,promote the improvement of patients’ behavior,enhance the self-management ability of patients with primary osteoporosis,and further promote the growth of bone density.The health education of knowledge and practice mode is an economical and effective way to assist the treatment of primary osteoporosis.