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老年腰椎融合术后患者骨质疏松预防的知识、态度及行为:一项横断面研究

Knowledge, attitude, and practice of osteoporosis prevention in elder patients following lumbar fusion surgery: a cross-sectional study.

作者信息

Sheng Shaoying, Wang Manman, Yu Chengfei, Li Qing, Wang Zhan, Ma Yaojing

机构信息

Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Department of Orthopedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Front Aging. 2025 Jun 10;6:1543839. doi: 10.3389/fragi.2025.1543839. eCollection 2025.

DOI:10.3389/fragi.2025.1543839
PMID:40556864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12185519/
Abstract

PURPOSE

To assess the knowledge, attitudes, and practices (KAP) regarding osteoporosis prevention among older adult patients following lumbar fusion surgery and identify associated factors.

PATIENTS AND METHODS

A cross-sectional study was conducted with participants aged ≥50 years. Data on demographic characteristics, KAP related to osteoporosis prevention, and lifestyle behaviors were collected using structured questionnaires. Chi-square tests were performed to explore associations between demographic variables and knowledge levels.

RESULTS

A total of 217 participants were included in the study. Participants demonstrated varying levels of knowledge, with 28.6% scoring high on the OPAAT. Female gender, higher educational attainment, urban residence, and diabetes were significantly associated with higher knowledge levels. Positive lifestyle practices, such as calcium and vitamin D supplementation, were observed in 64.5% and 41.0% of participants, respectively, while regular outdoor exercise and dairy product consumption were less common.

CONCLUSION

The findings highlight gaps in osteoporosis prevention KAP among older adult patients following lumbar fusion surgery. Tailored educational programs and interventions are necessary to enhance awareness and promote healthier behaviors.

摘要

目的

评估腰椎融合术后老年患者对骨质疏松症预防的知识、态度和行为(KAP),并确定相关因素。

患者与方法

对年龄≥50岁的参与者进行了一项横断面研究。使用结构化问卷收集了人口统计学特征、与骨质疏松症预防相关的KAP以及生活方式行为的数据。进行卡方检验以探讨人口统计学变量与知识水平之间的关联。

结果

共有217名参与者纳入研究。参与者的知识水平各不相同,28.6%的人在骨质疏松症预防知识评估工具(OPAAT)上得分较高。女性、较高的教育程度、城市居住以及糖尿病与较高的知识水平显著相关。分别有64.5%和41.0%的参与者采取了积极的生活方式行为,如补充钙和维生素D,而定期户外锻炼和食用乳制品则不太常见。

结论

研究结果凸显了腰椎融合术后老年患者在骨质疏松症预防KAP方面的差距。需要制定针对性的教育计划和干预措施,以提高认识并促进更健康的行为。

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本文引用的文献

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Untreated Osteoporosis in Lumbar Fusion Surgery Patients: Prevalence, Risk-factors, and Effect on Bone Metabolism.腰椎融合手术患者中未经治疗的骨质疏松症:患病率、危险因素及对骨代谢的影响。
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