伊朗护士对骨质疏松症指南的认知：知识和态度调查结果。
Osteoporosis guideline awareness among Iranian nurses: results of a knowledge and attitudes survey.
机构信息
Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
J Prev Med Hyg. 2021 Jul 30;62(2):E415-E420. doi: 10.15167/2421-4248/jpmh2021.62.2.1738. eCollection 2021 Jun.
INTRODUCTION
Osteoporosis is a chronic and progressive disease associated with gradual bone loss and elevated risk of fracture. Role of health care professional especially nurses in lowering burden of osteoporosis via patients and public education is critical. Current study conducted to evaluate knowledge and attitude regarding osteoporosis among the nurses in orthopedic wards and their experience with national clinical osteoporosis guideline.
METHODS
A cross-sectional study was conducted from August to December 2016 among all nurses in orthopedic ward of hospitals affiliated to Shiraz University of Medical Sciences. The 23- item self-administered scale consisted of knowledge and attitude questions were used. Moreover, data regarding participation in osteoporosis training courses and awareness of the national osteoporosis clinical guideline were collected as a measure of nurses' experience with guideline. The gathered data were analyzed using SPSS (V. 16), student t-test was used to compare total knowledge and attitude scores between categorical demographic and professional data. Pearson test was used to calculate the correlation between total knowledge and attitude scores and years of practice. A p-value < 0.05 was considered statistically significant.
RESULTS
From total of 160 nurses, 143 of them completed the questionnaire (response rate: 89.3%). The total mean ± SD knowledge and attitude scores were 11.60 ± 3.10 and 3.47 ± 0.92 respectively. Six nurses (4.2%) had participated in osteoporosis training courses after graduation, and 39 (27.3%) had been aware of the national osteoporosis clinical guideline. Knowledge and attitude scores among nurses who practice in private hospitals was higher than those practices in the teaching hospitals. These differences were statistically significant based on student t-test. According to Pearson correlation coefficient, there was positive and significant correlation between nurses' knowledge and attitude score (Correlation coefficient: 0.199, p-value = 0.037).
CONCLUSION
Our findings reveal that nurses' knowledge and attitude regarding osteoporosis was not satisfactory. Most of them were not aware of national osteoporosis clinical guideline and had not participated in osteoporosis training courses after their graduation. We need more empowered nurses to lowering burden of osteoporosis and its consequences in the future.
简介
骨质疏松症是一种慢性且进行性的疾病，与逐渐的骨质流失和骨折风险升高有关。医疗保健专业人员，尤其是护士，通过对患者和公众进行教育，在降低骨质疏松症负担方面发挥着至关重要的作用。本研究旨在评估骨科病房护士对骨质疏松症的知识和态度，以及他们对国家临床骨质疏松症指南的了解和应用经验。
方法
本研究为 2016 年 8 月至 12 月在 Shiraz 医科大学附属医院骨科病房进行的横断面研究。采用 23 项自我管理量表，包括知识和态度问题。此外，还收集了护士参加骨质疏松培训课程以及对国家骨质疏松临床指南的了解程度等数据，作为其对指南应用经验的衡量标准。使用 SPSS（V.16）对收集的数据进行分析，采用学生 t 检验比较分类人口统计学和专业数据之间的总知识和态度评分。采用 Pearson 检验计算总知识和态度评分与实践年限之间的相关性。p 值<0.05 为具有统计学意义。
结果
在总共 160 名护士中，有 143 名完成了问卷（应答率：89.3%）。护士的总平均知识和态度得分为 11.60±3.10 和 3.47±0.92。6 名护士（4.2%）在毕业后参加过骨质疏松培训课程，39 名护士（27.3%）了解国家骨质疏松临床指南。在私立医院工作的护士的知识和态度评分高于在教学医院工作的护士，且这些差异在统计学上具有显著性（基于学生 t 检验）。根据 Pearson 相关系数，护士的知识和态度评分之间存在正相关且具有统计学意义（相关系数：0.199，p 值=0.037）。
结论
我们的研究结果表明，护士对骨质疏松症的知识和态度并不理想。他们中的大多数人不了解国家骨质疏松症临床指南，且在毕业后也未参加过骨质疏松症培训课程。我们需要更多有能力的护士来降低未来骨质疏松症的负担及其后果。
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