|
| 福州糖尿病性骨质疏松高骨折风险患者“知-信-行”调查研究 |
| Survey on the knowledge, attitude, and practice in diabetic osteoporosis patients with high risk of osteoporotic fractures in Fuzhou |
| |
| DOI：10.3969/j.issn.1006.7108.2018.01.017 |
| 中文关键词: 糖尿病性骨质疏松症 骨折高风险 健康知识 自我效能 健康行为 |
| 英文关键词:Diabetic osteoporosis High risk of osteoporotic fractures Osteoporosis knowledge tests Osteoporosis self-efficacy scale Health behavior |
| 基金项目:福建中医药大学校管课题（X2014023） |
|
| 摘要点击次数: 893 |
| 全文下载次数: 560 |
| 中文摘要: |
| 目的 调查福州社区糖尿病性骨质疏松高骨折风险患者自我健康管理（知识-信念-行为）的现状，分析骨质疏松症知识水平的影响因素, 为进行有针对性的健康教育提供理论依据。方法 2016年12月～2017年3月，应用FRAX中文版子模块筛选出191名DO高骨折风险患者，采用基本情况调查表、骨质疏松症知识问卷(OKT)、骨质疏松症自我效能量表(OSES)和自行设计的健康行为问卷进行统一问卷调查，分析骨质疏松症患者知识、自我效能、健康行为水平及其相关影响因素。结果 骨质疏松症知识问卷每题平均得分为（0.44±0.16）分，钙知识维度得分最高，危险因素维度得分最低，性别、学历是骨质疏松症知识得分的影响因素，差异有统计学意义（P＜0.01），即男性的OKT得分高于女性，学历越高，OKT得分越高。自我效能平均分为（129.13±26.07）分，锻炼自我效能得分低于食钙自我效能。健康行为平均分为（31.74±6.88）分，摄钙健康行为维度得分最低。结论 女性、低学历患者是骨质疏松健康教育的重点人群，应强化危险因素教育，提高“治未病”的意识和行为，提供多样化的运动方案和摄钙来源，以降低骨质疏松性骨折发生率。 |
| 英文摘要: |
| Objective To investigate the knowledge, attitude, and behavior (KAP) in diabetic osteoporosis (DO) patients with high risk of osteoporotic fractures in Fuzhou community, and to analyze the influential factors of osteoporosis knowledge tests, which may provide evidences for the community health education. Methods From December 2016 to March 2017, 191 DO patients with high risk of osteoporotic fractures predicted by fracture risk assessment tool (FRAX) were involved in the survey. The level of KAP was evaluated by using osteoporosis knowledge tests (OKT), osteoporosis self-efficacy scale (OSES), and self-designed questionnaire of osteoporosis health behavior. The data were collected to explore the affecting factors. Results The average score of OKT was 0.44±0.16. The dimension score of the calcium knowledge was the highest, but the score of risk factors was the lowest. The patients with higher education degree and male patients got higher scores. In the survey of osteoporosis self-efficacy, the average score of OSES was 129.13±26.07, and the score of exercise self-efficacy was lower than that of dietary calcium self-efficacy. In the survey of osteoporosis health behavior, the average score of health behavior was 31.74±6.88. The dimension score of taking calcium and vitamin D supplements was lowest. Conclusion Females and patients with lower education should be paid more attention in osteoporosis health education. In order to decrease osteoporosis fractures, the education of risk factor knowledge and KAP should be focused, and diverse exercise programs and more sources of calcium intake should be provided. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |