影響繼發性骨質疏鬆症高危險群對骨質疏鬆症之認知及預防行為之相關因素探討

Factors Influencing Osteoporosis Prevention Knowledge and Behaviors Among Secondary Osteoporosis High Risk Population

許玉嫺(Yu-Hsien Hsu)

指導教授 ： 陳靜敏

臺北醫學大學/護理學院/護理學研究所/碩士(2006年)

摘要

骨質疏鬆症造成的骨折、失能，不僅使罹病者身心受創、生活品質下降，骨折後所需之醫療、復健、長期照護等問題，對病患及家人都是沉重的負擔。文獻指出男性約30%至60%，停經前婦女則約五成是因疾病或藥物而導致繼發性骨質疏鬆症，然而國內目前多針對更年期婦女進行相關研究，但對繼發性骨質疏鬆症之高危險族群卻甚少，因此本研究之目的主要是想瞭解繼發性骨質疏鬆症高危險群骨密度現況及其對骨質疏鬆症之認知與預防行為，進而探討其影響因素。採橫斷式研究設計，以方便取樣方式選取臺北市某區域級以上教學醫院之內外科住院及門診20歲以上病患，且至少符合一項繼發性骨質疏鬆症之危險因子者為研究對象，並以結構式問卷收集相關資料及GE Lunar Achilles Express Bone Ultrasonometer測量跟骨骨密度，共取得有效樣本197人。結果發現骨密度正常（T-score>-1）者佔46.2%、骨質減少（-1

關鍵字

繼發性骨質疏鬆症高危險群 ； 骨質疏鬆症認知 ； 骨質疏鬆症預防行為 ； 骨密度

並列摘要

Osteoporosis is a major health threat. The quality of life of osteoporosis patients can be traumatized both physically and mentally induced by the consequences of the illness such as fracture and disability. Further medical treatment, rehabilitation, and long-term care will cause further financial burden to patients and their families. Literature indicated that around 30-60% in male and 50% in perimenopausal female of osteoporosis were secondary, however, investigations on this high risk population have not been fully explored. The purpose of this study was to examine the bone mineral density (BMD), knowledge and preventive behaviors of osteoporosis among secondary osteoporosis high risk population, and to explore its related factors. A cross-sectional research design was used. The structural questionnaire and GE Lunar Achilles Express Bone Ultrasonometer were used for data collection. The convenience sample of 197 secondary osteoporosis high risk cases aged 20 years and over were recruited from outpatient and inpatient of the medical and surgical department of 1 regional hospital in Taipei. Results indicated that participants had inadequate knowledge about osteoporosis (M = 57.64, SD = 28.18) and delivered osteoporosis preventive behaviors only occasionally (M = 2.05, SD = 0.57). BMD screening revealed that 48 subjects (24.4%) were osteoporosis and 58 (29.4%) cases would be classified having osteopenia. BMD would not be different by types of medical conditions and medication used which would lead to osteoporosis. Participants who were younger, with higher educational level and occupational status were positively correlated with osteoporosis preventive knowledge. Subjects’ past expose of osteoporosis related information were positively related to their knowledge and preventive behaviors. Osteoporosis preventive behaviors were positively correlated with women, knowledge and self-rated health. There were significant difference in both knowledge and preventive behaviors of osteoporosis by disease patterns. Results of stepwise multiple regression analyses indicated that previous expose of osteoporosis related information, age, and educational level accounted for 42% of total variances of knowledge; and knowledge on osteoporosis prevention, having hepatized problems, gender, and age accounted for 26% of the variation in osteoporosis preventive behaviors. Based on results of this study, educational interventions specifically based on individual characteristics to improve preventive knowledge and behaviors among secondary osteoporosis high risk population are recommended.

並列關鍵字

secondary osteoporosis high risk population ； knowledge of osteoporosis ； preventive behavior of osteoporosis ； bone mineral density

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