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中老年住院患者骨质疏松症知信行现状调查及影响因素分析

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目的 调查中老年住院患者的骨质疏松症知信行现状,分析其影响因素。方法 选取2023年1月-2023年6月郑州市骨科医院495例中老年住院患者进行问卷调查,内容包括一般情况、骨质疏松知识测试量表、骨质疏松健康信念量表和骨质疏松自我效能量表,选用标准分作为评价指标进行统计分析。结果 495例中老年住院患者中男性172(34。75%)例,女性323(65。25%)例。中老年住院患者的知识标准分为37。31%(9。44±5。00);健康信念标准分为61。25%(128。63±27。12);自我效能标准分为62。34%(74。81±27。69)。多重线性回归分析表明,知识得分的影响因素有学历和体重指数;健康信念得分的影响因素有性别和学历;自我效能的影响因素有性别、每周锻炼时间、吸烟、酗酒和体重指数(P<0。05)。相关分析显示,中老年住院患者知识得分与健康信念得分呈正相关(r=0。406),与自我效能得分呈正相关(r=0。255);健康信念得分与自我效能得分呈正相关(r=0。266)。结论 中老年住院患者的骨质疏松症知信行处于中低水平。开展以"知信行"模式为依托的健康教育,需特别关注低学历水平、每周锻炼时间不足、吸烟、酗酒者,以助于预防和减缓骨质疏松症的发生及进展。
Analysis of knowledge and health beliefs and self-efficacy status of osteoporosis and influencing factors in middle-aged and elderly hospitalized patients
Objective To investigate the current status of knowledge,health beliefs,and self-efficacy of osteoporosis in middle-aged and elderly hospitalized patients,and to analyze its influencing factors.Methods A questionnaire sur-vey was conducted on 495 middle-aged and elderly hospitalized patients in the Zhengzhou Orthopedic Hospital from January to June 2023,including general information,the osteoporosis knowledge scale,health beliefs scale and self-ef-ficacy scale.Standard scores were selected as evaluation indicators for statistical analysis.Results Among the 495 hos-pitalized middle-aged and elderly patients,there were 172 males(34.75%)and 323 females(65.25%),the knowl-edge standard score of middle-aged and elderly hospitalized patients was 37.31%(9.44±5.00);the standard score for health beliefs was 61.25%(128.63±27.12)and the standard score for self-efficacy was 62.34%(74.81±27.69).Multiple linear regression analysis indicated that the influencing factors of knowledge scores were education lev-el and body mass index;the influencing factors of health beliefs scores were sex and education level;the influencing fac-tors of self-efficacy were sex,exercise time per week,smoking,alcohol abuse and body mass index(P<0.05).Cor-relation analysis showed that the knowledge score of middle-aged and elderly hospitalized patients was positively corre-lated with their health beliefs score(r=0.406)and positively correlated with their self-efficacy score(r=0.255);there was a positive correlation between health beliefs score and self-efficacy score(r=0.266).Conclusion The knowl-edge,health beliefs and self-efficacy of osteoporosis in middle-aged and elderly hospitalized patients are at a moder-ate to low level.Carrying out health education based on the"knowledge,health beliefs and self-efficacy"model re-quires special attention to individuals with low educational levels,insufficient exercise time per week,smoking and alco-holism,in order to prevent the occurrence and slow down the progression of osteoporosis.

OsteoporosisMiddle-aged and elderly peopleCognitionSelf-efficacyInfluencing factors

王迎秋、刘玮玮、李波、段智霞、刘传慧

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郑州市骨科医院院长办公室,郑州 450052

骨质疏松症 中老年人 认知 自我效能 影响因素

中华国际科学交流基金会检验检测科技专项基金

Z2022LHNB001

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(17)
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