Effect Of Individual TCM Health Care Education On The Constitution Of OP High-risk Elderly With Distinguishing Constitution

Objective1. To investigate the distribution regularities of susceptible constitution in the senile primaryosteoporosis(OP) and explore the correlation between the senile primary osteoporosis and thetraditional Chinese medicine (TCM) constitution.2. To explore the effects of individual TCM health care education on improving the levels ofknowledge, attitude and behavior(KAP) of osteoporosis, the state of partial constitution and theosteoporosis related symptoms in the senile primary osteoporosis high-risk elderly withdistinguishing constitution.3. To provide useful ideas and reference for developing TCM health care education in thecommunity to prevent the senile primary osteoporosis.MethodsThis was a quasi-experimental study. Three hundred elderly people randomly recruitedfrom the community in Hengyang city had received primary osteoporosis screening, and onehundred and fifty-eight elderly people were screened as the primary osteoporosis high-riskgroups and performed physical identification. And then eighty elderly people recruited from thehundred and seven elderly people, proportion of whose partial constitution was in the top three,were randomly divided into the experiment group (n=40) and the control group (n=40). Thecontrol group received conventional osteoporosis education. Based on the conventionalosteoporosis education, the experiment group was given individual TCM health care educationaccording to their distinguishing constitution, including dietary guidance, daily life guidance,exercise guidance and TCM medicinal food regulating. The levels of osteoporosis KAP, state ofpartial constitution and osteoporosis symptom both groups were evaluated before intervention,after three months and six months respectively. Data were analyzed by the following statisticalmethods, such as the Description Analyze, the Independent t-test, the Chi-square test andANOVA of repeated measure with SPSS17.0.Results1. The main constitutions of the senile primary osteoporosis high-risk elderly in the communitywere yang deficiency constitution (36.71%), qi deficiency constitution (18.35%), yin deficiencyconstitution (12.66%).2. The indexs of elderly people in the two groups were compared at the same time:(1) After three months and six months, the scores of osteoporosis KAP in the experiment groupwere higher than those of the control group, there were all statistical differences (P<0.05).(2) After six months, the scores of partial constitution in the experiment group were lower than those of the control group, there were all statistical differences (P<0.05).(3)After six months, the incidence of osteoporosis related symptom in the experiment groupwas lower than that of the control group, there were all statistical differences (P<0.05).3. The indexs of elderly people in the two groups were compared at the different time:(1) the scores of osteoporosis KAP in the experiment group after three months and six monthswere higher than those of before intervention, there were all statistical differences (P<0.05).The scores of osteoporosis knowledge, beliefs and dietary guidance in the control group afterthree months and six months were higher than those of before intervention, there were allstatistical differences (P<0.05).（2）The scores of partial constitution in the experiment group after six months were lower thanthose of before intervention and after three months，and there were statistical differences(P<0.05). However there were no statistical differences in the control group at the different time(P>0.05).Conclusion1. The main constitutions of the senile primary osteoporosis high-risk elderly in the communitywere yang deficiency constitution, qi deficiency constitution and yin deficiency constitution.2. Individual TCM health care education according to subjects’ constitution can improve thelevels of osteoporosis KAP of the senile primary osteoporosis high-risk elderly in thecommunity.3. Individual TCM health care education according to subjects’ constitution can to some extentalleviate the partial constitution state and reduce the incidence of osteoporosis relatedsymptoms of the senile primary osteoporosis high-risk elderly in the community, whichincarnates the advantage of individual TCM health care education according to subjects’constitution. It is worth to generalize in the community because of its safety, efficiency andconvenience.