自我保健行为和健康素养可以在老年女性骨质疏松症的预防中发挥重要作用。

The self-care behaviors and health literacy can play important preventive roles in older female osteoporosis.

机构信息

School of Nursing and Midwifery, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Science, Tabriz, Iran.

出版信息

BMC Womens Health. 2023 Aug 11;23(1):429. doi: 10.1186/s12905-023-02546-2.

DOI:10.1186/s12905-023-02546-2

PMID:37568152

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10422789/

Abstract

BACKGROUND

Osteoporosis is a common complication of aging and menopause. Self-care and health literacy are among the factors affecting health status. The purpose of this research was to determine the preventive roles of self-care behaviors and health literacy in older women with osteoporosis.

METHODS

This cross‑sectional analytical research was conducted on 250 postmenopausal women consisting of 125 osteoporotic and 125 healthy people aged 60-70. They were selected by purposive sampling in Tabriz Sina Hospital from September 2021 to December 2021. Data collection instruments were a demographic questionnaire, a Menopausal Self‑Care Questionnaire, and a European Health Literacy Survey Questionnaire. Data were analyzed using SPSS 23 software.

RESULTS

The mean (SD) total score of self-care in healthy women was 118.97 (19.92) and in women with osteoporosis was 84.7 (14.98) (p < 0.001). Also, healthy women all had sufficient health literacy (100%), but 52.8% of women with osteoporosis had insufficient health literacy. The odds of osteoporosis decreased significantly with the rise in the total score of self-care behaviors [Odds ratio 95% confidence interval (95% CI); p: 0.909 (0.880 to 0.939); p < 0.001] and its subdomains as well as with increasing health literacy level [OR (95% CI); p: 0.322 (0.266 to 0.383); p < 0.001]. There was a significant positive correlation between self-care behaviors and health literacy (r = 0.616, p < 0.001).

CONCLUSIONS

Self-care in aged women is particularly important in reducing the risk of osteoporosis, and empowering women in the field of health literacy is an important factor in improving self-care behaviors and ultimately the health of these people.

摘要

背景

骨质疏松症是衰老和绝经的常见并发症。自我护理和健康素养是影响健康状况的因素之一。本研究旨在确定自我护理行为和健康素养对老年骨质疏松症妇女的预防作用。

方法

这是一项横断面分析研究，纳入了 250 名绝经后妇女，包括 125 名骨质疏松症患者和 125 名健康对照者，年龄均为 60-70 岁。于 2021 年 9 月至 12 月，采用目的抽样法在大不里士 Sina 医院选取研究对象。数据收集工具包括人口统计学问卷、绝经自我护理问卷和欧洲健康素养调查问卷。采用 SPSS 23 软件进行数据分析。

结果

健康女性的自我护理总得分（均数±标准差）为 118.97±19.92，骨质疏松症女性为 84.70±14.98（p<0.001）。此外，健康女性的健康素养均为充足（100%），而 52.8%的骨质疏松症女性的健康素养不足。随着自我护理行为总分的升高（优势比 95%置信区间；p：0.909（0.880 至 0.939）；p<0.001）及其各亚域以及健康素养水平的升高，骨质疏松症的发生风险显著降低[OR（95%CI）；p：0.322（0.266 至 0.383）；p<0.001]。自我护理行为与健康素养之间呈显著正相关（r=0.616，p<0.001）。