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系統識別號 U0007-1704200715050450
論文名稱(中文) 影響繼發性骨質疏鬆症高危險群對骨質疏鬆症之認知及預防行為之相關因素探討
論文名稱(英文) Factors Influencing Osteoporosis Prevention Knowledge and Behaviors Among Secondary Osteoporosis High Risk Population
校院名稱 臺北醫學大學
系所名稱(中) 護理學研究所
系所名稱(英) Graduate Institute of Nursing
學年度 94
學期 2
出版年 95
研究生(中文) 許玉
研究生(英文) Yu-Hsien Hsu
學號 M406093015
學位類別 碩士
語文別 中文
口試日期
論文頁數 153頁
口試委員 指導教授-陳靜敏
中文關鍵字 繼發性骨質疏鬆症高危險群  骨質疏鬆症認知  骨質疏鬆症預防行為  骨密度 
英文關鍵字 secondary osteoporosis high risk population  knowledge of osteoporosis  preventive behavior of osteoporosis  bone mineral density 
學科別分類
中文摘要 骨質疏鬆症造成的骨折、失能,不僅使罹病者身心受創、生活品質下降,骨折後所需之醫療、復健、長期照護等問題,對病患及家人都是沉重的負擔。文獻指出男性約30%至60%,停經前婦女則約五成是因疾病或藥物而導致繼發性骨質疏鬆症,然而國內目前多針對更年期婦女進行相關研究,但對繼發性骨質疏鬆症之高危險族群卻甚少,因此本研究之目的主要是想瞭解繼發性骨質疏鬆症高危險群骨密度現況及其對骨質疏鬆症之認知與預防行為,進而探討其影響因素。採橫斷式研究設計,以方便取樣方式選取臺北市某區域級以上教學醫院之內外科住院及門診20歲以上病患,且至少符合一項繼發性骨質疏鬆症之危險因子者為研究對象,並以結構式問卷收集相關資料及GE Lunar Achilles Express Bone Ultrasonometer測量跟骨骨密度,共取得有效樣本197人。結果發現骨密度正常(T-score>-1)者佔46.2%、骨質減少(-1
英文摘要 Osteoporosis is a major health threat. The quality of life of osteoporosis patients can be traumatized both physically and mentally induced by the consequences of the illness such as fracture and disability. Further medical treatment, rehabilitation, and long-term care will cause further financial burden to patients and their families. Literature indicated that around 30-60% in male and 50% in perimenopausal female of osteoporosis were secondary, however, investigations on this high risk population have not been fully explored. The purpose of this study was to examine the bone mineral density (BMD), knowledge and preventive behaviors of osteoporosis among secondary osteoporosis high risk population, and to explore its related factors. A cross-sectional research design was used. The structural questionnaire and GE Lunar Achilles Express Bone Ultrasonometer were used for data collection. The convenience sample of 197 secondary osteoporosis high risk cases aged 20 years and over were recruited from outpatient and inpatient of the medical and surgical department of 1 regional hospital in Taipei. Results indicated that participants had inadequate knowledge about osteoporosis (M = 57.64, SD = 28.18) and delivered osteoporosis preventive behaviors only occasionally (M = 2.05, SD = 0.57). BMD screening revealed that 48 subjects (24.4%) were osteoporosis and 58 (29.4%) cases would be classified having osteopenia. BMD would not be different by types of medical conditions and medication used which would lead to osteoporosis. Participants who were younger, with higher educational level and occupational status were positively correlated with osteoporosis preventive knowledge. Subjects’ past expose of osteoporosis related information were positively related to their knowledge and preventive behaviors. Osteoporosis preventive behaviors were positively correlated with women, knowledge and self-rated health. There were significant difference in both knowledge and preventive behaviors of osteoporosis by disease patterns. Results of stepwise multiple regression analyses indicated that previous expose of osteoporosis related information, age, and educational level accounted for 42% of total variances of knowledge; and knowledge on osteoporosis prevention, having hepatized problems, gender, and age accounted for 26% of the variation in osteoporosis preventive behaviors. Based on results of this study, educational interventions specifically based on individual characteristics to improve preventive knowledge and behaviors among secondary osteoporosis high risk population are recommended.
論文目次 目 錄 致 謝------------------------------------------------------------I 中文摘要------------------------------------------------------------II 英文摘要------------------------------------------------------------IV 目 錄------------------------------------------------------------VI 圖表目次------------------------------------------------------------IX 第一章 緒論 第一節 研究背景及重要性----------------------------------------------1 第二節 研究動機-----------------------------------------------------5 第三節 研究目的-----------------------------------------------------9 第四節 名詞解釋----------------------------------------------------10 第二章 文獻查證 第一節 骨質疏鬆症--------------------------------------------------11 第二節 骨質疏鬆症危險因子-------------------------------------------12 第三節 骨質疏鬆症之檢測、診斷與治療----------------------------------24 第四節 骨質疏鬆症之預防行為------------------------------------------32 第五節 骨質疏鬆症相關之認知、預防行為與骨密度之相關研究----------------39 第六節 研究架構---------------------------------------------------44 第七節 研究假設---------------------------------------------------46 第三章 研究方法 第一節 研究設計---------------------------------------------------47 第二節 研究對象---------------------------------------------------49 第三節 研究工具---------------------------------------------------49 第四節 研究資料收集過程--------------------------------------------56 第五節 資料分析方式------------------------------------------------58 第四章 研究結果 第一節 個案特質分析------------------------------------------------59 第二節 危險因子罹患情形與骨密度現況----------------------------------64 第三節 研究對象對骨質疏鬆症之認知與預防行為執行現況--------------------71 第四節 個案特質、危險因子罹患情形與骨質疏鬆症認知之相關-----------------74 第五節 個案特質、危險因子罹患情形與骨質疏鬆症預防行為之相關--------------79 第六節 骨質疏鬆症之認知及骨密度與預防行為執行之相-----------------------82 第七節 預測影響繼發性骨質疏鬆症高危險群對骨質疏鬆症之認知及預防行為之重要變 項--85 第五章 討論 第一節 研究對象特質說明---------------------------------------------89 第二節 探討影響個案骨質疏鬆症認知之相關因素----------------------------93 第三節 探討影響個案執行骨質疏鬆症預防行為之相關因素---------------------98 第六章 結論與建議 第一節 結論-------------------------------------------------------104 第二節 建議-------------------------------------------------------108 第三節 研究限制---------------------------------------------------110 參考資料 中文部份-----------------------------------------------------------111 英文部份-----------------------------------------------------------115 附錄 附錄一 評鑑問卷效度之專家名單----------------------------------------137 附錄二 專家效度檢定結果---------------------------------------------138 附錄三 人體試驗委員會審查證明書--------------------------------------148 附錄四 正式研究問卷-------------------------------------------------149
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