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对台湾地区有骨质疏松症一级亲属的女性进行的横断面调查:知识、健康观念及预防行为

Cross-sectional survey of women in Taiwan with first-degree relatives with osteoporosis: knowledge, health beliefs, and preventive behaviors.

作者信息

Chang Shu-Fang, Hong Chin-Ming, Yang Rong-Sen

机构信息

Department of Nursing, National Taipei College of Nursing, National Taiwan Normal University, and Department of Orthopaedics, National Taiwan University Hospital, Taipei, Taiwan, ROC.

出版信息

J Nurs Res. 2007 Sep;15(3):224-32. doi: 10.1097/01.jnr.0000387618.72435.22.

Abstract

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 chi2 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.

摘要

此前尚无研究探讨过被诊断患有骨质疏松症的一级亲属(FDR)女性,尤其是亚洲女性的预防行为。本研究调查了有骨质疏松症家族史女性的骨质疏松症知识、健康信念和预防行为,以及有该家族病史女性在预防行为方面不同的知识和健康信念。研究对象是在台湾北部一家大型公共卫生中心招募的女性。对患有骨质疏松症FDR的女性进行问卷调查,重点关注骨质疏松症知识、健康信念和预防行为。首先进行描述性分析。对连续变量评估人口统计学、知识、健康信念和预防行为之间的相关性及差异,对分类变量进行卡方检验。共有251名符合抽样标准的女性被邀请参与研究。201名女性同意参加研究,参与率约为80%。这项研究强调了骨质疏松症信息的不足,限制了有骨质疏松症FDR女性的信念以及她们对健康预防行为的忽视。总体而言,女性采取积极预防行为的可能性与她们的人口统计学特征和知识水平有关。对于社区居住女性,与预防行为相关性最强的变量依次为知识、子女数量、教育水平、骨质疏松症知识、骨密度检查经历以及女性是否认为自己有脊柱后凸。这项研究结果可用于为预防骨质疏松症提供有效的实施指南,尤其是针对有该疾病家族史的女性。

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