• Title/Summary/Keyword: prevention of osteoporosis

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건강신념 모형 기반 폐경 여성의 골다공증 예방행위 모형 개발 및 검정 (An Equation Model Development and Test based on Health Belief Model Regarding Osteoporosis Prevention Behaviors among Postmenopausal Women)

  • 장현정;안숙희
    • 성인간호학회지
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    • 제27권6호
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    • pp.624-633
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    • 2015
  • Purpose: This study was to develop and test a theoretical model based on the revised health belief model explaining osteoporosis prevention behaviors among postmenopausal women under 65. Methods: This secondary data analysis included 342 postmenopausal women under 65 from original data sources of a total of 734 women. The measured instruments were scales for osteoporosis awareness, osteoporosis health belief scale (benefit, barrier, susceptibility, severity, and health motivation), self-efficacy, and osteoporosis prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 20.0. Results: The mean age of the subjects was 55.2 years and the mean age of menopause was 51.10. The hypothetical model of osteoporosis prevention behaviors was relatively fit. Osteoporosis prevention behaviors were significantly explained up to 62% by expectation factors (relative benefit, self-efficacy, health motivation) and modifying factors(knowledge only). Expectation factors of health belief had a mediation effect between modifying factors and prevention behaviors. Conclusion: This study partially supported the revised health belief model for explaining osteoporosis prevention behaviors. It provides a basis for developing an educational program focusing on expectation factors and knowledge with the aim of behavioral changes for osteoporosis prevention.

골다공증 예방건강교육 효과에 관한 연구 - 대도시 일부 지역사회 여성을 대상으로 - (Effect of an Osteoporosis Prevention Health Education for Women in an Urban Area)

  • 양승애
    • 근관절건강학회지
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    • 제16권2호
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    • pp.154-164
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    • 2009
  • Purpose: This study was conducted to evaluate the effects of an osteoporosis prevention health education on know ledge, health beliefs, self-efficacy and preventive health behaviors of women in an urban area. Methods: A one- group pre-test-post-test design was conducted to identify the effects of an osteoporosis prevention health education. The study was conducted between April and November 2008, and recruited 98 women in Seoul. All participants completed the pretest and posttest measures with self-administered questionaire: Osteoporosis Knowledge Test, Osteoporosis Health Belief Scale, Osteoporosis Self-Efficacy Scale and Osteoporosis Preventive Health Behaviors Survey. Results: The result of the paired t-test revealed statistically significant difference in the perceived susceptibility and perceived benefits of osteoporosis and osteoporosis preventive behaviors between pretest and posttest measures. However, the difference in knowledge and self-efficacy between the pretest and posttest measures was not statistically significant. Conclusions: These finding indicate the need for further health education to increase osteoporosis knowledge, health beliefs, self-efficacy and osteoporosis preventive health behaviors and provide guidance for developing effective osteoporosis prevention health education strategies.

저소득층 중년 여성의 골다공증 지식과 골다공증 예방행위에 영향을 미치는 요인 (Factors Influencing Knowledge and Prevention Behavior of Osteoporosis in Low-income Middle-aged Women)

  • 전은정
    • 한국응용과학기술학회지
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    • 제40권3호
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    • pp.392-401
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    • 2023
  • 본 연구는 저소득층 중년 여성의 골다공증 지식, 골다공증 예방행위의 상관관계 및 골다공증 예방행위에 영향을 미치는 요인을 확인하기 위한 서술적 조사연구이다. 연구대상자는 P시에 소재한 3개 종합병원에 내원한 저소득층 중년 여성 317명이며, 구조화된 설문지를 이용하여 2021년 2월 1일부터 2022년 12월 30일까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 27.0 프로그램을 이용하여 기술 통계, t-test, ANOVA, Pearson's correlation, Stepwise multiple linear regression으로 분석하였다. 연구 결과, 연구대상자의 골다공증 지식은 11.97±6.89점으로 낮게 나타났고, 골다공증 예방 교육 및 골절 경험에서 차이를 보였다. 골다공증 예방행위는 41.03±7.63점으로 낮았고, 종교, 동반질환, 골다공증 예방 교육 및 골절 경험, 주관적 건강상태에 따라 차이를 보였다. 골다공증 지식과 골다공증 예방행위는 통계적으로 유의한 양의 상관관계를 보였고(r=.527, p<.001), 골다공증 예방행위에 영향을 미치는 요인은 골절 경험(𝛽=.415, p<.001), 골다공증 예방 교육(𝛽=.359, p<.001), 주관적 건강상태(𝛽=.186, p<.001) 순으로 나타났다. 따라서 본 연구 결과를 토대로 저소득층 중년 여성의 골다공증 예방행위를 증진시킬 수 있는 프로그램을 개발하고, 참여를 권장할 수 있는 방안을 마련하는 등의 지속적인 관리가 이루어져야 할 것이다.

골다공증 여성의 골절위험도와 낙상예방행위와의 관계에 미치는 낙상위험지각의 매개효과 (The Mediating Effect of Fall Risk Perception on the Relationship between Fracture Risk and Fall Prevention Behaviors in Women with Osteoporosis)

  • 이은남;최은정;장문정;황현주
    • 근관절건강학회지
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    • 제22권2호
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    • pp.130-137
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    • 2015
  • Purpose: This study aims to establish a theoretical framework for the fall prevention behavior improvement program by verifying the associations between fracture risk, fall risk perception, and fall prevention behaviors in women with osteoporosis. Methods: A survey was conducted in 122 women who were diagnosed as osteoporosis by having T-score of the femur bone density below -2.5 standard deviation from the bone density examination performed in 2 orthopedic clinics located in B metropolitan city between July 2014 and September 2014. The risk of fracture, level of fall risk perception, and fall prevention behaviors were measured. Results: Fall risk perception had a complete mediating effect on the relationship between the fracture risk and fall prevention behaviors in women with osteoporosis. Conclusion: The perception of fall risk is important to enhance fall prevention behaviors in women with osteoporosis, and the development of various education programs to improve awareness of fall risk is needed.

Relationships among Knowledge, Self-efficacy, and Health Behavior of Osteoporosis and Fall Prevention in Old Aged Women

  • Ahn, Sukhee;Oh, Jiwon
    • 여성건강간호학회지
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    • 제24권2호
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    • pp.209-218
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    • 2018
  • Purpose: This study was conducted among older women to (1) identify their levels of knowledge, self-efficacy, and health behavior in dealing with osteoporosis and falls and (2) explore the relationships between the study variables based on a health-beliefs model. Methods: With a cross-sectional survey design, we recruited 94 older women of ages from 65 to 74 at a community setting via convenience sampling. The study participants completed two sets of structured questionnaires (on osteoporosis and fall prevention). Results: The general characteristics of the study participants demonstrated that the women were at high risk for osteoporosis and falls. Overall, the levels of knowledge about osteoporosis and falls, their self-efficacy, and their preventive behaviors were average or slightly above. The relationships between the study variables showed that self-efficacy and healthy behavior, such as doing osteoporosis exercise, eating an osteoporosis diet, and avoiding falls, were related (r=38, p<.001; r=.33, p<.05; r=.26, p<.05). In addition, there were statistically significant relationships between osteoporosis and fall prevention knowledge (r=.37~.46, p<.001), self-efficacy (r=.50~.53, p<.001), and preventive behaviors (r=.50, p<.001). Conclusion: The women's scores on osteoporosis and fall knowledge, self-efficacy, and preventive behaviors suggest an urgent need for the implementation of educational programs for older women. A close relationship between self-efficacy and health behaviors implies a need for transformation of a traditional one-way lecture form.

골다공증교육이 골절환자의 지식과 생활양식변화 수행에 미치는 영향 (The Effect of Education for Prevention of Osteoporosis Patients with Bone Fracture)

  • 이향련;김숙녕
    • 대한간호학회지
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    • 제31권2호
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    • pp.194-205
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    • 2001
  • The purpose of the study was to identify the effect of structured patients education had on prevention of osteoporosis, with fracture and the resulting of life style changes in patients. In this study, a non equivalent control group pre and a post test design was employed. Data were collected through an interview process using questionnaires from April to December of 1999. The subjects, consisting of 59 patients with fractures and over 40 years of age, were diagnosed in K University Hospital. This study tested the patients knowledge at three times. The times were before the program 2 weeks into the program, and 6 months after education program. Life style change related to prevention of osteoporosis was shown twice (before and 6 months after the education program) in the experimental group, and control group went without it. The instruments used for this study were developed by literature review according to a reliability test. Data was analyzed using X2 test and t test to determine similarities between the experimental and control groups. The hypothesis was tested using repeated measures of ANOVA, t-test and Pearson correlation coefficients. The results of the study were summarized as follows: 1. The first hypothesis was accepted: a higher level of knowledge about osteoporosis was found in experimental groups who received education than to the control group during the period (F=19.82, p=.0001). 2. The second hypothesis was accepted: a higher level of life style changes about osteoporosis on experimental group were recorded than as compared to control group (t=3.55, p=.001). 3. The third hypothesis was accepted: the higher the knowledge about osteoporosis the higher the level of performance of life style changes about prevention of osteoporosis (r=.600, p=.0001). In conclusion, structured patient education in patient with fractures improved the level of knowledge about osteoporosis and more likely undergo of life style changes 6 months after the education program. Also reeducation would be needed 6 months after program ends. That is structured patient education in pamphlet form would be very effective in nursing intervention that may to result in life style changes. Therefore further research is needed to reinforce the education material and to generalize the education effect.

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노인요양시설 간호제공자의 골다공증 관련 지식과 골다공증 예방활동 (Knowledge and Prevention Activity of Osteoporosis among Care Providers in Nursing Home)

  • 심하은;박미화;박명숙
    • 융합정보논문지
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    • 제9권12호
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    • pp.71-80
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    • 2019
  • 본 연구는 노인요양시설 간호제공자의 골다공증 관련 지식과 골다공증 예방활동을 파악하기 위한 서술적 조사연구이다. 연구대상자는 S시와 Y시의 노인요양시설 4곳에서 근무 중인 간호제공자 142명이며 자료 수집기간은 2019년 7월 1일부터 7월 20일까지이다. 연구 자료는 SPSS 24.0 Version을 이용하였으며 t-test, ANOVA, Pearson's correlation coefficient를 실시하였다. 연구결과, 간호제공자의 골다공증 관련 지식은 중간수준으로 간호제공자의 학력, 골다공증 관리 교육 경험, 입소자 수, 노인 뼈 건강 중요도 인식에 따라 차이를 보였으며, 골다공증의 예방활동은 골다공증 관리 교육 경험, 노인 뼈 건강 중요도 인식에 따라 차이를 보였다. 연구대상자의 골다공증 관련 지식과 골다공증 예방활동은 정적 상관이 있었다. 따라서 노인 요양시설 간호제공자의 노인 골다공증 관리와 노인 뼈 건강 중요도 인식을 향상시키기 위한 교육 프로그램의 개발과 그에 따른 교육이 필요하며, 향후 교육의 효과를 확인하는 추가연구가 필요하다.

Health-Related Characteristics that Affect the Prevalence of Osteoporosis in Elderly Women

  • Yim, Eun-Sil;Lee, Kwang-Ok;Kim, Kyung-Ha
    • 동서간호학연구지
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    • 제16권2호
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    • pp.172-178
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    • 2010
  • Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a secondary data analysis of 118,903 66-yr-old women who received a health examination conducted by the National Health Insurance Corporation in 2008. Multiple logistic regression analysis was used to identify factors affecting the prevalence of osteoporosis. Results: The prevalence of osteoporosis was 46.8%, whereas the prevalence of osteopenia was 38.4% among elderly women in this study. Statistically significant differences were observed between the osteoporosis and non-osteoporosis group in terms of smoking (p<.001), exercise (p<.001), obesity (p<.001), waist circumference (p<.001), depression (p<.001), falling experience (p<.05), and the cognitive function risk (p<.05). Based on the multiple logistic regression results, the risk for osteoporosis was high in those who were under-weight, smoked, or were depressed. In contrast, moderate or high level obesity showed a negative relationship with osteoporosis. Conclusion: The prevalence of osteopenia and osteoporosis was 85.2%. Therefore, there is a need to develop health care programs pertaining to osteoporosis intervention and prevention for elderly women. Because smoking, non-exercise, and obesity are main osteoporosis risk factors, it is highly recommended that some sound practical life programs and psychological support programs be considered for this population.

Osteoporosis and Osteoporotic Fractures in Gastrointestinal Disease

  • Oh, Hyun Jin;Ryu, Kum Hei;Park, Bum Joon;Yoon, Byung-Ho
    • 대한골대사학회지
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    • 제25권4호
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    • pp.213-217
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    • 2018
  • Patients with gastrointestinal disease (GI) are at risk for osteopenia or osteoporosis, which can lead to fractures. Although these patients may be at risk from a young age, gastroenterologists often overlook this fact in practice. There are well-known GI diseases associated with osteopenia and osteoporosis, such as the post-gastrectomy state, inflammatory bowel disease (IBD), and celiac disease. As there is an increase in the prevalence of IBD patients, newly diagnosed celiac disease in adulthood, and gastric cancer survivors following gastrectomy, bone disease in these patients becomes an important issue. Here, we have discussed osteoporosis and fractures in GI disease, especially in the postgastrectomy state, IBD, and celiac disease. Although the pathogenesis of bone loss in each disease has not been fully identified, we have confirmed that the prevalence of osteoporosis and fractures in each of these diseases is high. There are scarce studies comparing the prevalence of osteoporosis or osteoporotic fractures in GI disease patients with studies in postmenopausal women, and specific guidelines for their management in each disease have not been established. Intensive surveillance and management are needed to ensure that these patients attain peak bone mass for age and sex to prevent fractures.

건강신념모델 기반의 골다공증 예방 중재연구에 대한 체계적 문헌고찰 (Systematic Review of Osteoporosis Preventive Intervention Studies based on Health Belief Model)

  • 노은영;류소임
    • 근관절건강학회지
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    • 제30권2호
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    • pp.70-82
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    • 2023
  • Purpose: This study aims to systematically clarify and enhance the understanding of osteoporosis prevention interventions based on Health Belief Model (HBM). The analysis includes HBM constructs, intervention characteristics, and outcomes from prior studies. Methods: We extensively searched eight electronic databases to identify peer-reviewed studies that implemented HBM-based interventions for osteoporosis prevention until June 2023. Results: Initially, 638 articles were identified, and after a rigorous evaluation process, 11 articles were included in the evidence synthesis. The analysis revealed that HBM-based interventions significantly improved likelihood of taking action including knowledge, HBM constructs and adopting preventive behaviors such as calcium intake and exercise. However, most interventions included in this study did not fully encompass all five HBM constructs or specify the particular components adopted. Conclusion: There is a need for additional research and intervention refinement for a more comprehensive understanding of osteoporosis preventive interventions. This should involve a concerted effort to incorporate all HBM constructs into the context of osteoporosis prevention. Thus, more effective interventions promoting optimal preventive behaviors and reducing the burden of osteoporosis can be developed.