골다공증 치료를 받고 있는 환자의 지식, 건강신념, 골다공증성 골절예방행위 간의 관계
The Relationship between Knowledge, Health Beliefs, and Prevention Behaviors of Osteoporotic Fracture in Patients receiving Osteoporosis Treatment
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Purpose: This study was to examine the relationship of knowledge, health beliefs, and prevention behaviors of osteoporotic fracture in outpatients with osteoporosis. Methods: The subjects were 120 outpatients receiving osteoporosis treatment on K hospital in G city from Dec. 2007 to Feb. 2008. Questionnaires were collected and analyzed using the SPSS/WIN 12.0 program for descriptive statistics, and t-test, ANOVA, and Pearson correlation coefficient. Results: Subjects were treated for fracture about 28 months. The mean score of knowledge, health belief and prevention behaviors in subjects were 17.5 ± 3.22, 2.8 ± 0.23 and 2.8 ± 0.38 respectively. The score of health belief recorded the lowest point. However, the score of knowledge varied with general and disease-related characteristics of subjects. In contrast, the score of prevention behaviors did not showed any significant differences. Fracture prevention behavior in subjects showed rather higher relationship with the health belief system than the knowledge of fracture prevention. Conclusion: The present work suggested that education program for prevention behaviors of fracture should be developed to focus on altering the health belief system rather than the knowledge of osteoporotic fracture prevention. Furthermore, individual education program based on living circumstances and daily life habits should be also developed.
Abstract
Purpose: This study was to examine the relationship of knowledge, health beliefs, and prevention behaviors of osteoporotic fracture in outpatients with osteoporosis. Methods: The subjects were 120 outpatients receiving osteoporosis treatment on K hospital in G city from Dec. 2007 to Feb. 2008. Questionnaires were collected and analyzed using the SPSS/WIN 12.0 program for descriptive statistics, and t-test, ANOVA, and Pearson correlation coefficient. Results: Subjects were treated for fracture about 28 months. The mean score of knowledge, health belief and prevention behaviors in subjects were 17.5 ± 3.22, 2.8 ± 0.23 and 2.8 ± 0.38 respectively. The score of health belief recorded the lowest point. However, the score of knowledge varied with general and disease-related characteristics of subjects. In contrast, the score of prevention behaviors did not showed any significant differences. Fracture prevention behavior in subjects showed rather higher relationship with the health belief system than the knowledge of fracture prevention. Conclusion: The present work suggested that education program for prevention behaviors of fracture should be developed to focus on altering the health belief system rather than the knowledge of osteoporotic fracture prevention. Furthermore, individual education program based on living circumstances and daily life habits should be also developed.
참고문헌 (30)
- Ali, N. S, "Health promotion and osteoporosis prevention among postmenopausal women", Journal of Geriatric Nursing, 15(4), pp.528~534 (1995)
- Chapurlat, R. D, "Loss in Pre-and Perimenopausal Women: Evidence for Bone Loss in Perimenopausal Women", Osteoporosis International, 11, pp.493~498 (2000)
- Choo, S. O, "Comparative study of bone mineral density of women over 50 years old related with age, weight and height", 석사, pp.2001
- Chrischilles, E, "Costs and health effects of osteoporotic fracture", Journal of Bone & Mineral Research, 15(4), pp.377~386 (1994)
- Drugay, M, "Breaking the silence; A health promotion approach to osteoporosis", Journal of Gerontological Nursing, 23(6), pp.36~43 (1997)
- Grady, J . L, "Factors influating stage of change and osteoporosis prevention behaviors", 박사, pp.2000
- Hisley, S. M, "Osteoporosis Prevention; A Conceptual Model", 박사, pp.1998
- Jang, J. S., "Osteoporotic fracture - Introduction and physiology and pathology", Osteoporosis Symposium (2001), Orthopaedic Associatin Honam Office
- Kang, Y. M, "A study on the relationships between osteoporosis knowledge, health belief and self-efficacy of middleaged women", 석사, pp.1999
- Kim, E. G, "Survey on the education for patients discharging from hospital after open heart surgery", 석사, pp.1993
- 김명희, "중년여성의 골다공증에 관한 지식과 인지요인과의 관계", 여성건강간호학회지, 11(1), pp.52~57 (2005), 여성건강간호학회
- Kim, K, "Refinement of the osteoporosis health belief scale", Sigma Theta Tau International Research Conference (1991)
- Kim, S. J, "A study on the osteoporosis in Korean middleaged & elderly women in rural area", 석사, pp.2002
- Kim, S. N, "Effect of education for prevention of osteoporosis patients with bone fracture", Jourrnal of Korean Academy of Nursing, 31(2) (2001)
- Korean Society of Bone Metabolism, "Osteoporosis" (2000), Korean Society of Bone Metabolism
- Lee, H. Y, "A study of correlation among the knowledge of the disease, health, promoting behaviors and the quality of life in the female patients with osteoporosis", 석사, pp.2001
- Lee, J. G, "The effect of the knowledge and health beliefs on osteoporosis preventive health behaviors among middleaged women", Journal of Korean Community Health Nursing, 14(4), pp.14~4 (2003)
- Lee, S. H, "Prediction model of osteoporosis prevention behaviors in middle-aged women", 박사, pp.2006
- "Osteoporosis Online."[URL]
- Oh, S. A, "A study on climacteric women's risk of osteoporosis", 석사, pp.1997
- Park, C. Y, "A study on the relationships between osteoporosis knowledge, health belief, self-efficacy, and bone mineral density in middle-aged elderly women", 석사, pp.2002
- Rosenstock, I. M, "Historical origins of the health belief model: The Health Belief Model and personal health behavior", Therefare, ~ (1974), New Charles B. Slac, Inc, J ersey, 1-8
- Seon, G. S, "The effect of web-based osteoporosis prevention program on the osteoporosis knowledge, self efficacy, health belief, stage of change on female college student", 박사, pp.2003
- 신경림, "일개 도서지역 여성의 골다공증 지식, 자기효능감과 건강신념간의 관계 연구", Journal of Korean Academy of Nursing, 32(1), pp.89~99 (2002), 한국간호과학회
- 서현미, "노인의 건강증진생활양식에 영향을 미치는 요인 - Pender의 건강증진모형 적용", Journal of Korean Academy of Nursing, 34(7), pp.1288~1297 (2004), 한국간호과학회
- Waller, J, "Knowledge of osteoporosis in a Swedish municipality-a prospective study", Journal of Preventive Medicine, 34(4), pp.485~91 (2002)
- Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group, "WHO", World health Organization, ~ (1994)
- Yoon, E. J, "A study on knowledge and practices about osteoporosis in adults", Korean Journal of Rehabilitation Nursing, 1(1), pp.27~42 (1998)
- Yoon, E. J, "The model explaining variance in health promoting behavior and quality of life in women with osteoporosis", 박사, pp.2001
- 윤상호, "폐경 후 골다공증의 최신 치료", Korean Journal of Obstetrics and Gynecology, 48(4), pp.844~856 (2005), 대한산부인과학회