|
| 城乡老年骨质疏松症患者骨折风险认知差异 |
| Differences in cognition of fracture risk among elderly osteoporosis patients between rural and urban areas |
| |
| DOI：10.3969/j.issn.1006-7108.2026.05.012 |
| 中文关键词: 骨质疏松症 骨折 农村 城市 |
| 英文关键词:osteoporosis fracture rural area urban Area |
| 基金项目: |
|
| 摘要点击次数: 81 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探究农村与城市老年骨质疏松症患者骨折风险认知的差异，为制定地域化风险教育策略提供参考。方
法 采用横断面调查方法，选取2020年1月至2025年 1月吉林省四平市第一人民医院门诊收治的800例骨质疏松症老年患者作为研究对象，均使用骨质疏松骨折风险认知问卷调查，比较农村及城市老年群体骨折发生情况。结果 农村及城市骨质疏松症患者骨折发生率分别为26.97 %、20.00 %，农村高于城市（X2=5.330，P=0.021）；两组在文化程度、奶制品摄入、钙剂摄入方面有差异（P＜0.05）；两组在是否了解骨质疏松性骨折病因、临床表现，是否了解骨质疏松性骨折手术、非手术、药物治疗方法，是否了解骨质疏松性骨折后体位的自我护理，是否了解疼痛的处理方法，是否了解骨质疏松症的预防方法，是否了解再骨折的预防方法方面有差异（P＜0.05）；两组知识来源在巡讲讲座及电视科普方面比较有差异（P＜0.05）；与农村骨质疏松症患者相比，城市患者个人护理能力量表(self-care ability scale, ESCA)量表各项目健康知识水平、自我责任感、自我护理技能、自我概念评分及总分均较高（P＜0.05）。结论 农村老年骨质疏松症患者骨折发生率高于城市，城市患者疾病风险认知水平优于农村，知识来源在巡讲讲座和电视科普方面存在差异，且城市患者自我护理能力评分更高。 |
| 英文摘要: |
| Objective To explore the differences in the cognition of fracture risk between elderly patients with osteoporosis in rural and urban areas, and to provide references for formulating regional risk education strategies. Methods A cross-sectional survey was conducted to select 800 elderly patients with osteoporosis who were admitted to the outpatient department of our hospital from January 2020 to January 2025 as the research objects. All patients were investigated using the Osteoporosis Fracture Risk Cognition Questionnaire, and the incidence of fractures among elderly patients in rural and urban areas was compared. Results The fracture incidence rates of osteoporosis patients in rural and urban areas were 26.97% and 20.00%, respectively, with the rate in rural areas being higher than that in urban areas (χ2=5.330, P=0.021). There were significant differences between the two groups in educational level, dairy product intake, and calcium supplement intake (all P＜0.05). Significant differences were also observed in the following aspects: understanding of the etiology and clinical manifestations of osteoporotic fractures; knowledge of surgical, non-surgical, and drug treatment methods for osteoporotic fractures; awareness of self-care for body position after osteoporotic fractures; understanding of pain management methods; knowledge of osteoporosis prevention; and awareness of re-fracture prevention (all P＜0.05). Additionally, there were differences in knowledge sources between the two groups regarding lecture-based education and television (P＜0.05). Compared with rural osteoporosis patients, urban patients had significantly higher scores in all items of the Exercise of Self-Care Agency (ESCA) Scale, including health knowledge level, self-responsibility, self-care skills, self-concept, and total score (all P＜0.05).?Conclusion The fracture incidence rate is higher in elderly osteoporosis patients in rural areas than in urban areas. Urban patients have a better understanding of disease-related risk cognition than rural patients, with differences in knowledge sources regarding lectures and television. Moreover, urban patients achieve higher scores in self-care ability. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|