Objective We analyzed the dietary behavior of osteoporosis patients with the aim of developing targeted community health management strategies.Methods 160 osteoporosis patients who had established electronic medical records in the 8 communities of the 309 medical consortiums were selected randomly.A questionnaire investigation was made among the patients,included dietary behavior,activity of daily living,awareness of healthy diet,family concern index,and social support degree.Multiple regression was used,P ＜ 0.05 was considered statistically significant.Results 131 questionnaires were collected,and the effective rate was 83％.The partial regression coefficients of instrumental activities of daily living scale,awareness of healthy diet,family concern index,and social support degree were significant (P ＜ 0.05).Among these patients,the principles of food selection were convenience and fresh.The phenomenon of eating leftovers and shelf-life expired foods still existed.Diet preference was "soy products," "dark vegetables",with less consumption of "dairy products seafood".Conclusion The compliance of dietary behavior in osteoporosis patients was not optimistic.Feasible and individual healthy recipes and intuitive diet cards should be made according the dietary habit of the residents in the communities.Community non-staple food supply network should be established in line with the activity and dietary requirements of osteoporosis patients.Community health guidance should be carried out to ensure the balanced diet.%目的 分析社区骨质疏松患者饮食行为及影响因素,提出有针对性的健康管理策略.方法 2016年5月在解放军第309医院医联体所属的8个社区随机选择160例(每社区20例)电子健康档案登记患有骨质疏松症的患者,采用现场发放问卷的方式进行调查.项目包括骨质疏松患者饮食行为、骨质疏松患者独立生活能力、骨质疏松患者家庭关怀度、健康饮食知晓程度、社会支持度.采用多元回归方法进行统计学处理,P ＜0.05为差异有统计学意义.结果 回收有效问卷131份,有效回收率81.88％.多元回归结果显示,工具性日常生活能力、家庭关怀度、社会支持度、健康饮食知晓率偏回归系数差异有统计学意义(P＜0.05).食物选择主要考虑“便利原则”“是否新鲜”;食物制作存在食用“剩饭剩菜”“过保质期食物”现象;饮食偏好“豆制品”“深色蔬菜”,较少食用“奶制品”“海鲜”.结论 骨质疏松患者的饮食行为依从性并不乐观.需要根据社区居民的饮食习惯,制定可操作性的、个体化的健康食谱和直观的饮食指导卡片.建立符合骨质疏松患者活动能力和饮食需求的社区副食供应网络.开展骨质疏松社区健康指导,定期进行家庭关怀度评估,提供延伸服务,保证骨质疏松患者饮食均衡.
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