Application of TeamSTEPPS in training of community osteoporosis management team
10.3760/cma.j.issn.1671-7368.2018.07.009
- VernacularTitle:TeamSTEPPS在社区骨质疏松管理团队中的应用效果评估
- Author:
Xiuying MAO
1
;
Shanzhu ZHU
;
Hua YANG
;
Zhijie YU
;
Yuezhong TANG
;
Huajiang ZHU
;
Donghao XU
;
Jiang YUE
Author Information
1. 200233,上海市徐汇区康健街道社区卫生服务中心全科医学科
- Keywords:
Osteoporosis;
Bone density;
Risk factors;
Effect evaluation
- From:
Chinese Journal of General Practitioners
2018;17(7):529-532
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application of TeamSTEPPS in training of community osteoporosis management team .Methods The TeamSTEPPS was applied for training of osteoporosis management team, and 1 513 residents aged ≥45 year were screened for osteoporosis in Kangjian community from January 2014 to March 2017.The identified patients with osteopenia and osteoporosis were intervened for one year.Cognitive level of the risk factors and symptoms associated with osteoporosis were assessed by questionnaires before and after the intervention .The bone density was examined at baseline and 6 months, 12 months after intervention.The effect of intervention was evaluated .Results A total of 467 patients (30.87%) with osteopenia and 476 patients (31.46%) with osteoporosis were detected .The cognitive levels of osteoporosis risk factors , including low calcium, vitamin D deficiency, lack of exercise, low weight, women menopause, matrilineal family history, smoking, excessive alcohol drinking and coffee drinking, were higher than those before intervention ( χ2＝62.909,78.742,59.974,50.478,29.512, 34.699,6.500,15.779,6.089,all P＜0.05).The awareness rates of symptoms , including lower back pain or body bone pain, shorter height and hunchback , low energy or nonviolent fracture , were also increased (χ2＝59.942,76.220,16.856,all P＜0.01).After intervention, the bone mineral density levels were increased compared to those before intervention (F＝530.28, P＜0.01 for osteopenia group; F＝339.51, P＜0.01 for osteoporosis group ); meanwhile, the differences were also significant between 6 months, 12 months after intervention and before intervention , between 12 months and 6 months after intervention (t＝-0.452,-0.968,-0.516,all P＜0.01 for osteopenia group; t＝-0.530,-1.045,-0.518, all P＜0.01 for osteoporosis group ).Conclusion The community osteoporosis management team trained by TeamSTEPPS can effectively improve the management levels of osteoporosis among residents in the community.
