中华护理杂志2024,Vol.59Issue(24) :2995-3002.DOI:10.3761/j.issn.0254-1769.2024.24.008

老年椎体骨折术后患者骨质疏松症知识掌握现状及影响因素分析

Osteoporosis knowledge and its influencing factors in elderly patients with osteoporotic vertebral fractures after surgery

邵梦琪 高远 邱晨 宋咪 苏清清 宋杰 李佳楠 王友婷
中华护理杂志2024,Vol.59Issue(24) :2995-3002.DOI:10.3761/j.issn.0254-1769.2024.24.008

老年椎体骨折术后患者骨质疏松症知识掌握现状及影响因素分析

Osteoporosis knowledge and its influencing factors in elderly patients with osteoporotic vertebral fractures after surgery

邵梦琪 1高远 2邱晨 3宋咪 2苏清清 2宋杰 2李佳楠 4王友婷5
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作者信息

  • 1. 100853 北京市 解放军总医院第二医学中心/国家老年疾病临床医学研究中心心血管内科
  • 2. 解放军总医院第一医学中心护理部
  • 3. 解放军总医院第四医学中心骨科医学部
  • 4. 100853 北京市 解放军总医院第二医学中心/国家老年疾病临床医学研究中心肿瘤内科
  • 5. 解放军医学院
  • 折叠

摘要

目的 了解老年椎体骨折术后患者骨质疏松症知识掌握程度及影响因素,为提高老年椎体骨折术后患者骨质疏松症认知提供依据.方法 采用便利抽样法,2023年9月-11月,选取31个省(自治区、直辖市)5 955例老年椎体骨折术后患者作为调查对象,应用一般资料调查表、健康教育情况调查表、骨质疏松知识评价工具进行调查,采用单因素分析及Logistic回归分析其骨质疏松症知识掌握程度的影响因素.结果 回收有效问卷5 248份,有效问卷回收率为88.13%,老年椎体骨折术后患者骨质疏松知识评价工具得分为11.00(7.00,13.00)分,3 675例(70.03%)患者骨质疏松症知识掌握较差.就诊医院所在地区(东部地区医院)、罹患肿瘤、有既往手术史、入院原因为跌倒、诊断为严重骨质疏松症、合并术后并发症、使用助行器、使用抗骨质疏松药物、接受了骨质疏松症健康教育、接受了跌倒预防健康教育、健康教育形式(视频、电话随访、健康教育手册、微信平台)是老年椎体骨折术后患者骨质疏松症知识掌握程度的影响因素(P<0.05).结论 老年椎体骨折术后患者骨质疏松症知识掌握程度有待提升,应加强规范的骨质疏松症健康教育,关注重点人群,助力骨质疏松症的二级预防.

Abstract

Objective To assess the level of knowledge and influencing factors related to osteoporosis in elderly patients with osteoporotic vertebral fractures after surgery in China,providing a basis for improving their under-standing.Methods A total of 5 955 elderly patients with osteoporotic vertebral fractures in 31 provinces(au-tonomous regions and municipalities)were selected as survey subjects from September to November 2023.A gener-al information questionnaire and an osteoporosis knowledge assessment tool were used for a cross-sectional survey.The univariate analysis and logistic regression were used to analyze the influencing factors.Results 5 248 valid questionnaires were collected,and the effective questionnaire recovery rate was 88.13%.The score of osteoporosis knowledge assessment tool of elderly patients with osteoporotic vertebral fractures after surgery was 11.00(7.00,13.00).70.03%of the patients had poor knowledge of osteoporosis.The location of the hospital(eastern re-gion hospitals),presence of tumors,past surgical history,admission for falls,diagnosis of severe osteoporosis,postop-erative complications,use of walking aids,use of anti-osteoporosis drugs,osteoporosis health education,fall prevention health education,and health education forms(video,telephone,manual,and WeChat)were the influencing factors of osteoporosis knowledge in elderly patients with osteoporotic vertebral fractures after surgery(P<0.05).Conclusion The osteoporosis knowledge of elderly patients with osteoporotic vertebral fractures after surgery needs to be im-proved.To help the secondary prevention of osteoporosis,the standardized osteoporosis health education should be strengthened,and attention should be paid to key groups.

关键词

老年人/椎体骨折/骨质疏松症/影响因素分析/横断面调查/护理

Key words

Aged/Vertebral Fractures/Osteoporosis/Root Cause Analysis/Cross-Sectional Study/Nursing Care

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出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
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