社区老年人骨质疏松性骨折风险感知偏差现况及影响因素分析

doi:10.16460/j.issn1008-9969.2023.15.001

摘要/Abstract

摘要： 目的探索社区老年人骨质疏松性骨折风险感知偏差现况及影响因素。方法于2022年4-6月分层随机抽取石河子市8个社区499名老年人为研究对象,使用骨质疏松性骨折风险感知偏差相关问卷进行调查,采用二元Logistic回归法分析老年人骨质疏松性骨折风险感知偏差的影响因素。结果社区老年人对骨质疏松性骨折风险感知无偏差占47.7%,有偏差占52.3%。年龄（OR=1.361,P=0.018）、文化程度（OR=5.364,P<0.001）、老年人骨质疏松相关的知识（OR=0.862,P<0.001）、社区护士骨质疏松健康教育能力（OR=0.685,P<0.001）和有无骨科医生义诊（OR=1.756,P=0.011）是社区老年人骨质疏松性骨折风险感知偏差的影响因素。结论社区老年人对骨质疏松性骨折风险感知存在偏差,年龄、文化程度、老年人骨质疏松相关的知识、社区护士骨质疏松健康教育能力和有无骨科医生义诊是社区老年人骨质疏松性骨折风险感知偏差的影响因素。社区护理人员应关注高龄、文化程度低、骨质疏松知识水平低和未接受骨科医生义诊的老年人,通过提升社区护士骨质疏松健康教育能力,纠正老年人骨质疏松性骨折风险感知偏差,促进其骨折预防行为。

关键词: 老年人, 骨质疏松性骨折, 风险感知偏差

Abstract: Objective To explore the current status and influencing factors of osteoporotic fracture risk perception bias in community elderly people. Methods Stratified random sampling was used to select 499 community elderly people from April to June 2022. The related questionnaires of osteoporotic fracture risk perception bias were used to conduct the survey. Binary logistic regression was used to analyze the influencing factors of osteoporotic fracture risk perception bias in community elderly people. Results The osteoporotic fracture risk perception bias was found in 52.3% of the interviewees and no bias in 47.7% of the interviewees. Age（OR=1.361, P=0.018）, education background（OR=5.364, P<0.001）, osteoporosis knowledge（OR=0.862, P<0.001）, osteoporosis health education competence of community nurses（OR=0.685, P<0.001）and with free diagnosis from orthopaedic surgeon or not（OR=1.756, P=0.011）were the influencing factors of osteoporotic fracture risk perception bias of community elderly people. Conclusion There is osteoporotic fracture risk perception bias in community elderly people. Age, education background, osteoporosis knowledge, osteoporosis health education competence of community nurses and with free diagnosis of orthopaedic surgeon or not are the influencing factors of the risk perception bias of osteoporotic fracture in community elderly people. Community nursing staff should pay attention to the elderly people with advanced age, less educated, and inadequate osteoporosis knowledge and without free diagnosis of orthopaedic surgeon. Improving the osteoporosis health education competence of community nurses is conducive to overcoming the osteoporotic fracture risk perception bias of the elderly and promoting their fracture prevention behavior.

Key words: elderly people, osteoporotic fracture, risk perception bias

中图分类号:

R473.2

王若仙, 何斌, 王玉环, 刘柯汝, 唐雪婷, 赵淑华, 魏杉杉. 社区老年人骨质疏松性骨折风险感知偏差现况及影响因素分析[J]. 护理学报, 2023, 30(15): 1-5.

WANG Ruo-xian, HE Bin, Wang Yu-huan, LIU Ke-ru, TANG Xue-ting, ZHAO Shu-hua, WEI Shan-shan. Current status and influencing factors of osteoporotic fracture risk perception bias in community elderly people[J]. Journal of Nursing, 2023, 30(15): 1-5.

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