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绝经前后女性的健康信念、自我效能感与骨质疏松症预防

Health beliefs and sense of one's own efficacy and prophylaxis of osteoporosis in peri- and post-menopausal women.

作者信息

Janiszewska Mariola, Firlej Ewelina, Dziedzic Małgorzata, Żołnierczuk-Kieliszek Dorota

机构信息

The Chair of Public Health, Faculty of Nursing and Health Sciences, Medical University of Lublin, Poland.

出版信息

Ann Agric Environ Med. 2016;23(1):167-73. doi: 10.5604/12321966.1196875.

Abstract

INTRODUCTION AND OBJECTIVE

Osteoporosis constitutes one of the relevant health, social and economic problems of the contemporary world which concerns 200 million women, of whom about 20-25% will experience a bone fracture. The aim of the study was to learn about the health beliefs and sense of self-efficacy in peri- and post-menopausal women regarding the prevention of osteoporosis.

MATERIALS AND METHOD

A group of 300 randomly chosen women aged 45-65 who were patients of healthcare centres in Chełm, Lublin, and the surroundings of Zamość (eastern Poland), was examined. Own Health Beliefs Scale (OHBS) associated with Osteoporosis and Own Efficacy Evaluation Scale (OSES) were used for the study. The obtained material was subjected to descriptive and statistical analysis. Tukey test, t-student test and variance analysis (ANOVA) were all applied. A P value less than 0.05 was considered statistically significant. Results were analysed using the SPSS version 19 software package.

RESULTS AND CONCLUSIONS

It was stated that respondents had thought that osteoporosis is an averagely serious health problem, and they did not feel peculiarly exposed to falling ill with the disease. They attached great significance to the benefits of physical activity and correct nutrition. The perception of barriers to calcium intake and everyday exercise was moderate. Health motivation remained at the average level. Socio-demographic conditions influenced the respondents' health beliefs in a statistically significant way. Sense of self-efficacy from the aspect of taking possible action preventing osteoporosis remained on the average level; in addition, respondents more often declared the desire for a change in eating habits than resorting to physical activity.

摘要

引言与目的

骨质疏松症是当代世界一个重要的健康、社会和经济问题,涉及2亿女性,其中约20% - 25%会发生骨折。本研究的目的是了解围绝经期和绝经后女性对骨质疏松症预防的健康信念和自我效能感。

材料与方法

对一组随机选取的300名年龄在45 - 65岁的女性进行了检查,这些女性是波兰东部切尔姆、卢布林以及扎莫希奇周边地区医疗中心的患者。采用与骨质疏松症相关的自身健康信念量表(OHBS)和自身效能评估量表(OSES)进行研究。对获得的材料进行描述性和统计分析。应用了Tukey检验、t检验和方差分析(ANOVA)。P值小于0.05被认为具有统计学意义。结果使用SPSS 19版软件包进行分析。

结果与结论

结果表明,受访者认为骨质疏松症是一个中等严重程度的健康问题,且不觉得自己特别容易患这种疾病。她们非常重视体育活动和正确营养的益处。对钙摄入和日常锻炼障碍的认知处于中等水平。健康动机维持在平均水平。社会人口统计学状况对受访者的健康信念有统计学意义的影响。从采取预防骨质疏松症可能行动的方面来看,自我效能感处于平均水平;此外,受访者更常表示希望改变饮食习惯而非增加体育活动。

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