类风湿关节炎患者骨质疏松健康教育相关因素调查分析  

Health education survey of osteoporosis related factors in patients with rheumatoid arthritis

作　　者：于文广[1] 张鲁阳[2] 张学顺[1] 

机构地区：[1]海阳市第三人民医院,山东265100 [2]山东省烟台市烟台山医院

出　　处：《中国骨质疏松杂志》2012年第7期623-627,共5页Chinese Journal of Osteoporosis

摘　　要：目的对类风湿关节炎患者进行骨质疏松健康教育相关因素调查分析,以指导临床医师和患者加强类风湿关节炎骨质疏松发生的防治。方法采用统一问卷表,对在海阳市第三人民医院2011年6月至12月门诊就医的112名类风湿关节炎患者,随机按问卷项全面询问,并完成该问卷表的填写,分析相关因素,将数据用SPSS13.0统计软件进行处理分析。结果知道年龄与骨质疏松相关者60.71%,性别与骨质疏松相关者20.54%。知道吸烟、过量饮酒、饮用咖啡和喝浓茶与骨质疏松相关者8.93%。知道绝经与骨质疏松相关者60.71%,少或不锻炼与骨质疏松相关者32.14%,钙摄入不足与骨质疏松相关者52.68%,接受日照少与骨质疏松相关者47.32%。知道应用激素与骨质疏松相关者73.21%,知道类风湿关节炎能引起骨质疏松者22.32%。接受过骨健康公共教育者5.36%,生活中注意钙营养的摄入者49.11%,不嗜烟酗酒者78.57%(24例有嗜烟酗酒习惯的均为男性),少喝浓咖啡者93.75%,接受阳光照射者25.89%,加强运动者78.57%。用药物补钙者33.93%,用保健品补钙者43.75%。定期进行骨密度和骨质量的监测者18.75%。类风湿关节炎患者对引起骨质疏松危险因素的认知率和在建立骨健康生活方式方面,文化程度高、经济收入好的明显优于文化程度低、经济收入差的,P<0.05。结论类风湿关节炎患者对骨质疏松相关知识知晓率很低,加强类风湿关节炎患者骨质疏松健康教育,让患者了解骨质疏松的重要危险因素,引导患者自愿放弃不良行为和生活方式,掌握骨质疏松的干预要点,对类风湿关节炎患者骨质疏松的治疗及预防骨折的发生有重要作用。Objective To survey the health education of osteoporosis related factors in rheumatoid arthritis （RA） patients in order to instruct the clinicians and patients to strengthen the prevention and treatment of RA-assoclated osteoporosJs. Methods A uniform questionnaire was assigned to 112 RA patients from June to December 2011 in the Third People＇ s Hospital of Haiyang. Complete inquiry was given to the patients according to the questionnaire items. Questionnaires were also filled out. Data were analyzed using SPSS13.0 software. Results Acknowledge of the association between age and osteoporosis was in 60. 71% of the patients. Acknowledge of the association between gender and osteoporosis was in 20. 54% of the patients. Acknowledge of the association among smoking, drinking, coffee, tea and osteoporosis was in 8.93% of the patients. Acknowledge of the association between postmenopause and osteoporosis was in 60. 71% of the patients. Acknowledge of the association between little or no exercise and osteoporosis was in 32. 14% of the patients. Acknowledge of the association between calcium deficiency and osteoporosis was in 52.68% of the patients. Acknowledge of the association between less sunshine and osteoporosis was in 47.32% of the patients. Acknowledge of the association between hormones and osteoporosis was in 73.21% of the patients. Acknowledge of the association between RA and osteoporosis was in 22. 32% of the patients. 5.36% of the patients received public bone health education. 49. 11% of the patients paid attention to daily calcium nutrition intake. 78.57% of the patients were not smoking or drinking at all （24 male cases with smoking and drinking habit）. 93.75% of the patients did not drink strong coffee. 25.89% of the patients received sunlight exposure. 78.57% of the patients excised intensively. 33.93% of the patients took calcium tablets. 43.75% of the patients took calcium products. 18.75% of the patients received regular monitoring of bone mineral density and bone quality. Recognition rate

关 键 词：类风湿关节炎 骨质疏松 健康教育 相关因素 

分 类 号：R593.22[医药卫生—内科学]