Knowledge of, Attitudes Toward, and Activity to Prevent Osteoporosis Among Middle-Aged and Elderly Women

中老年婦女骨質疏鬆症之知識、態度與行為之研究

于漱(Shu Yu) ； 黃奕清(Yi-Ching Huang)

《The Journal of Nursing Research》 11卷1期 (2003/03) Pp. 65-72

摘要

本研究主要目的探討居住於臺北市年滿四十歲以上中老年婦女對骨質疏鬆症知識、態度、行為與影響行為因素。本研究採以社區群體為基礎之橫斷面研究設計；針對447名經隨機抽樣之婦女進行研究，以問卷為工具，採面對面訪談法收集資料。結果發現社區婦女對骨質疏鬆症的知識普遍不足(平均值=15.37，標準差=11.37，總分介於0-44分)。六類知識中，“骨質疏鬆症的發生”得分最高；“診斷與治療”得分最低。五種態度中，“行動有效性認知”得分最高，“易感受性認知”得分最低。婦女之六項預防性健康行為執行比率均明顯很低，尤其是“適時檢查骨質的比率”(2.7%)與“主動閱讀有關骨質疏鬆症資訊”(7.8%)。影響因素分析發現：骨質疏鬆症知識、是否執行健康檢查、對比症嚴重性認知、對此症早期發現與治療價值認知、是否具高中以上學歷及健康狀況六個變項，共可解釋婦女預防性健康行為之36.1%總變異量；本研究顯示我國婦女仍存在著骨質疏鬆症健康照護與衛生教育的需求。

關鍵字

骨質疏鬆症 ； 預防性健康行為 ； 婦女

並列摘要

The purpose of this study was to explore the knowledge, attitude, and activity regarding osteoporosis of middle-aged and elderly women in Taipei, Taiwan, ROC. A community population-based cross-sectional study was con ducted with a randomly-selected sample of 447 females aged 40 and over (M(subscript _)=53.35 yrs) A questionnaire was used to collect data and was delivered by way of a face-to-face inter view. The findings indicated that the mean score on a “knowledge” scale was 15.37 (SD(subscript _)=11.37; total scores ranging from 0 to 44). Among six dimensions of knowledge, the highest score was noted for “incidence of osteoporosis”; and the lowest score was for “diagnosis and treatment”. For attitudes, the highest score was noted for “perceived efficacy of actions”; whereas the lowest score was for “perceived susceptibility”. For preventive activity, women revealed extremely low percentages in “checking bone mass density” (2.7%) and “reading materials relating to osteoporosis” (7.8%). Multiple and stepwise regression analyses on preventive activity indicated that six variables (knowledge, previous physical examination history, perceived severity of osteoporosis, perceived value of early detection and treatment, attainment of a senior high school degree or over, and health status) could be singled out as significant factors and accounted for 36.1% of the variance. These findings reveal that broader health educational programs and health ser vices regarding osteoporosis are necessary for Taiwanese women.

並列關鍵字

osteoporosis ； preventive activity ； women

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