Cross-Sectional Survey of Women in Taiwan with First-Degree Relatives with Osteoporosis: Knowledge, Health Beliefs, and Preventive Behaviors

一等親有骨質疏鬆症之婦女在預防骨質疏鬆症的橫斷性研究

張淑芳(Shu-Fang Chang) ； 洪欽銘(Chin-Ming Hong) ； 楊榮森(Rong-Sen Yang)

《The Journal of Nursing Research》 15卷3期 (2007/09) Pp. 224-232

摘要

有鑑於過去針對一等親有骨質疏鬆症的亞洲婦女，在預防骨質疏鬆症的相關性研究仍極為少見，實有必要進行更深入探討。本研究主要針對一等親有骨質疏鬆症的婦女，進行知識、信念與預防行為現況的探討，以及了解婦女在預防骨質疏鬆症之知識、健康信念與預防行為之差異。研究是以立意取樣方式，針對北台灣某一健康服務中心所舉辦大型健康篩檢活動，選取符合抽樣條件的婦女參與研究。共有251位符合條件而實際收集到201位婦女，回收率達80%。研究顯示，一等親有骨質疏鬆症的婦女，缺乏正確及完整的骨質疏鬆症相關訊息，而且對於預防骨鬆症的信念，婦女不僅認為自己容易罹患此疾病，而且也感到預防此疾病是困難的。此外，與預防行為相關的變項包括知識、生育子女數、接受骨密度檢查經驗、教育程度、是否接受過骨質疏鬆症相關訊息與自覺駝背。研究結果可提供社區護理人員及相關研究者，在協助一等親有骨質疏鬆症的婦女，在採取預防行為上的參考方向，以促使一等親有骨質疏鬆症的婦女，能提升預防知識並加以落實在日常生活型態之中。

關鍵字

骨質疏鬆症 ； 一等親屬 ； 知識 ； 健康信念 ； 預防行為

並列摘要

No previous investigation has explored preventive behaviors among women with First-Degree Relatives (FDRs) diagnosed with osteoporosis, particularly Asian women. This study investigates osteoporosis knowledge, health beliefs and preventive behaviors of women with a family history of osteoporosis, and the different knowledge and health beliefs regarding preventive behaviors of women with such a history. Women were recruited at a large public health center in northern Taiwan. A questionnaire was administered to women with FDRs with osteoporosis with a focus on osteoporosis knowledge, health beliefs and preventive behaviors. Descriptive analysis was initially conducted. Correlation and differences between demographics, knowledge, health beliefs and preventive behaviors were rated for continuous variables, and the χ^2 test was performed for categorical variables. A total of 251 who women satisfied the sampling criteria were invited to engage in the study. Two hundred and one women agreed to take part in the study, and the participation rate was around 80%. This work stresses the insufficiency of information on osteoporosis, constraining beliefs and ignorance of healthy preventive behaviors among women with FDRs with osteoporosis. Overall, the likelihood that women would take positive preventive behaviors is associated with their demographics and knowledge. The variables most strongly correlated with preventive behaviors for community-dwelling women are, in order, knowledge, number of children, educational level, knowledge of osteoporosis, experience of bone density examination, and whether or not women believed they had kyphosis. The results of this work can be applied to provide effective implementation guidelines for preventing osteoporosis, especially for women with a family history of the disease.

並列關鍵字

osteoporosis ； first-degree relatives ； knowledge ； health beliefs ； preventive behaviors

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