The Effect Of Individualized Nutritional Health Education On KAP And Bmd Of Middle-aged And Senile Patients With Osteoporosis

Objectives To explore the effect of individualized nutritional health education on osteoporosis health knowledge, health beliefs, related health behaviors and BMD of middle-aged and senile patients with osteoporosis. To provide a scientific theoretical basis for osteoporosis health education, in order to increase patients’ knowledge level and health beliefs, improve patients’ reasonable diet and enhance the effect of conventional treatment.Methods Patients who were diagnosed of osteoporosis by a top three hospital in Tangshan between June 2014 and June 2015 and voluntarily participated in this investigation were randomly divided into education group and control group. The control group was received conventional therapy and the education group added with individualized nutritional health education on the basis of conventional therapy. The course was 6 months. The osteoporosis knowledge, health beliefs, self-efficacy scores,health behavior changes, dietary composition, nutrient intake and BMD were analyzed at the beginning and the end of the intervention respectively. Nutrition calculator V2.5 was used to calculate dietary survey data. Epi Data3.1.0 and SPSS17.0 were used to conduct data verification, data analysis and data processing.Results 1 Osteoporosis related knowledge: Intra-group comparison, the two groups patients’ osteoporosis knowledge scores were all increased, the difference was statistically significant. After intervention, in addition to the male risk factor score, the education group’ female risk factor score, calcium knowledge score, sports knowledge score and total score were statistically higher than that of the control group. 2Osteoporosis health belief: Intra-group comparison, the education group patients’ osteoporosis health belief total scores and subscales scores were improved obviously,while the control group patients’ total score improved. After intervention, in addition to the severity score, the education group’ osteoporosis health belief total score and all subscale scores were statistically higher than that of the control group. 3 Osteoporosis selfefficacy: Intra-group comparison, the education group’ osteoporosis self-efficacy score,movement efficiency and effectiveness of calcium score were increased while the control group’ scores had no statistical significance. After intervention, the education group’ osteoporosis self-efficacy score, movement efficiency and effectiveness of calcium score were statistically higher than that of the control group. 4 Osteoporosis related health behaviors: After six month education, the education groups’ smoking, drinking, eating soy products frequency and other behaviors were impoved substantially, while the control group’ eating soy products frequency had no statistical significance.After intervention,compare to health related behaviors of the two groups, the education group’ strong tea drinking, sedentary, less sunshine ratio were less than that of the control group, more sports times per week, often eating soy products proportion were higher than that of the control group. 5 Dietary structure: After intervention, the ratio of subjects whose intake of grain, vegetables, fruits, fish and shrimp, eggs, milk and dairy products, legumes and nuts, oil and salt in line with recommended intake of the education group was higher than that of the control group. 6 Nutrients intakes: After intervention, the daily intake of protein, VA, VC, calcium, zinc, magnesium, dietary fiber of the education group was significantly closer to the recommended intake than that of the control group. 7 BMD:After six months’ education and treatment, two groups’ bone mineral density were all increased. After intervention, BMD of lumbar spine and femoral neck in the education group were significantly higher than that in the control group, thus the increasing range of BMD in the education group were significantly higher than that in the control group.Conclusion 1 The individualized nutritional health education could improve middle-aged and senile patients’ osteoporosis knowledge level, health belief and self-efficacy. 2 The individualized nutritional health education could promote the improvement of osteoporosis related health behaviors. 3 The individualized nutritional health education could promote middle-aged and senile patients’ reasonable diet. 4 The individualized nutritional health education could enhance bone mineral density and improve the effect of conventional therapy for osteoporosis.