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Cost-effectiveness and effectiveness of applying intelligent osteoporosis health risk assessment system in community-dwelling women: a novel evidence-based study

机译:在社区居民中应用智能骨质疏松症健康风险评估系统的成本效益和有效性:一项基于证据的新颖研究

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Cost-effectiveness and effectiveness of applying intelligent osteoporosis health risk assessment system in community-dwelling women: a novel evidence-based study Background. Few studies have explored how to assist at risk females understand the status of osteoporosis without invasive data. Aims. To develop an intelligence osteoporosis health risk evaluation system and used for a preliminary empirical analysis of Asian women. Setting. This study is focused on community-dwelling women who had accepted dual-energy X-ray absorptiometry examination in health evaluation centre of a medical centre in north Taiwan from 2005-2006. Design. A longitudinal, evidence-based study was conducted. Method. The first stage is to establish the data base. This part included information from random samples (n = 220), including data for bone mineral density, osteoporosis risk factor, knowledge, belief and behaviour. The second stage is to detect the accuracy of this system including sensitivity, specificity, positive predictive value and negative predictive value. The third part is to evaluate the preliminary effect of nursing evidence-based study. Participants (n = 90) determined the relative risks of osteoporosis with system were randomly grouped into experimental or control group. Results. The content validity index among knowledge, beliefs and behaviours were 0-99, 0-89 and 0-95, respectively. In Cronbach's alpha value, osteoporosis prevention knowledge belies and behaviours were 0-84, 0-79 and 0-77, respectively. The sensitivity and specificity of the analytical tools were 75%. In preliminary empirical study, this study showed the knowledge and perceived benefits of osteoporosis could be promoted by individual nursing instruction and could obtain economical and effective results. Conclusions. This study can be applied in different diseases health risk evaluation in the future and provides community residents a good reliability, good validity, practical, convenient and economic sel...
机译:在社区居民妇女中应用智能骨质疏松症健康风险评估系统的成本效益和有效性:基于证据的新型研究背景。很少有研究探索在没有侵入性数据的情况下如何帮助处于危险中的女性了解骨质疏松症的状况。目的开发智力骨质疏松症健康风险评估系统,并将其用于对亚洲女性的初步经验分析。设置。这项研究的重点是2005年至2006年在台湾北部医疗中心的健康评估中心接受双能X线骨密度仪检查的社区妇女。设计。进行了基于证据的纵向研究。方法。第一步是建立数据库。这部分包括来自随机样本(n = 220)的信息,包括有关骨矿物质密度,骨质疏松症危险因素,知识,信念和行为的数据。第二阶段是检测该系统的准确性,包括敏感性,特异性,阳性预测值和阴性预测值。第三部分是评价护理循证研究的初步效果。参加者(n = 90)将骨质疏松症的相对风险与系统随机分为实验组或对照组。结果。知识,信念和行为之间的内容效度指数分别为0-99、0-89和0-95。在克伦巴赫(Cronbach)α值中,预防骨质疏松的知识和行为分别为0-84、0-79和0-77。分析工具的敏感性和特异性为75%。在初步的实证研究中,这项研究表明,通过个人护理指导可以促进对骨质疏松症的认识和认识到的益处,并可以获得经济有效的结果。结论。该研究可应用于未来不同疾病的健康风险评估,为社区居民提供良好的信度,效度,实用性,便捷性和经济性。

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