Study of disease recognition and re-fracture prevention behavior in osteoporotic spinal fracture women

• Main Authors: Yu- Chuan Wu, 吳玉娟
• Other Authors: 謝廣全
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/88304807805298155472

碩士 === 弘光科技大學 === 護理研究所 === 97 === ABSTRACT: Osteoporotic spinal fracture occurs frequently in menopause women. Therecurrent rate is even twice higher comparing with non- fracture ones. Thisstudy (1) investigates status of demographic characteristics, recognition ofdisease and prevention behavior of re-fracture in these patients, (2) Finds biostatic variance among them, and (3) explores prediction factors influencing disease recognition and prevention behavior.This cross- section and self – designed constructive research comprised a series of 76 women treated at neurosurgical outpatient department of a mid- Taiwan regional teaching hospital between January and April, 2009. Three questionnaires were designed for evaluation which included: 1demographic characteristics, 2recognition about osteoporosis and 3prevention behavior for spinal re-fracture. SPSS 12.0 software was used to assess biostaticsignificance. The results revealed (1) Mean age of osteoporosis spinal fracture women was 68.57 years (SD=8.56 years). Majority of case in this study of showed low BMI (underweight, 48.7%), 2 nd degree of osteoporosis (48.7%), low education status (elementary school, 57.1%), poor socioeconomic status (average annual income- 69400 NT dollars, SD=41700 NT dollars) and withpast history of certain disease (73.7%). Average times of labor in these cases were 4.3 times (SD=1.59 times). All cases were menopause and their mean age of menopause was 43.8 years (SD=3.72 years), 56.6% of the cases werenot aware of family osteoporosis history. The mean duration of fracture period was 9.7 months (SD=5.5 months), 48.7% of the cases had unknown reason spinal fracture, No regular excises happened in 64.5% of population,53.9% of case had positive acceptance of osteoporosis knowledge. Average score for self health status evaluation was 6.45points (SD=1.96points). And results revealed that there were significant differences between age,body mass index (BMI), bone density, status of education, socioeconomic status, family history of osteoporosis, regular excises or not, times of labor,age of menopause, reception of message or not, duration of fracture,self –health status and recognition of disease(P<.05). Age, bone density, status of education, socioeconomic status, times of labor, family history of osteoporosis, reception of message showed more significant differences(P<.001). Also, significant differences were found between socioeconomic status, family history of osteoporosis, duration of fracture and prevention behavior (P<.05). Duration of fracture showed more significant differences (P<.001). Average score for questionnaire 2 was 15.4 ± 11.98 points and for questionnaire 3 was 54.5 ± 16.53 points. The results of questionnaire 2 had relation with questionnaire 3 (γ=.614, P< .001) and showed significant differences (F=8.347, P<.001).The step multiple regression analysis had revealed that 3 factors - age (β= -.294, p< .005)、reception of osteoporosis message (β= .363，p< .001) and severe osteoporosis (β= -348, p< .001) play the role of predictive factors for recognition of disease. The explanation variance was 58.9% (R2＝ .589,F=34.460, P<.001). Both recognition of disease (β= .566, p<.001) as well as duration of fracture less than 6 months (β= .264, p<.05) were predictive factors for prevention behavior. The explanation variance was 46.0 % (R2=.460,F=30.620, p< .001). The analysis hindered that both better recognition of osteoporosis and shorter duration of fracture (within 6 months) had more favorable prevention behavior. This study suggests that nursing professionals should identify and imply strategies within golden time (less than 6 months) to promote successful rate of prevention behavior.Key