乳腺癌患者骨质疏松知识、健康信念及相关生活行为调研  

Survey on osteoporosis knowledge,health belief and health behaviors of breast cancer patients

作　　者：王琴[1] 谢依玲[2] 杜春霞[1] 王海燕[1] 樊英[1] 张频[1] 

机构地区：[1]中国医学科学院北京协和医学院肿瘤医院肿瘤内科,100021 [2]美国耶鲁大学医学院风湿病科

出　　处：《中华乳腺病杂志（电子版）》2014年第6期28-33,共6页Chinese Journal of Breast Disease(Electronic Edition)

摘　　要：目的了解乳腺癌患者骨质疏松知识、健康信念及相关健康行为状况,以指导该人群骨质疏松的预防和治疗。方法此研究是一项以医院为基础的横断面研究,纳入100例5年前在本院确诊并接受治疗的乳腺癌患者,接受问卷调查,内容包括：患者基本情况、体力活动状况、摄入含钙/维生素D饮食状况、骨质疏松知识、健康信念及健康行为等。计量资料分析采用t检验,计数资料比较采用χ2检验或Fisher精确检验。结果分析已入组100例患者的调查问卷。患者的中位年龄为57岁（50~70岁）,绝经后患者88%,Ⅰ/Ⅱ期患者83%。51%的患者仅进行低强度的体力活动,仅有27%达到了国际癌症患者推荐运动量;46%的患者含钙/维生素D饮食摄入不足;56%的患者骨质疏松知识水平较低。健康信念方面,59%和32%的患者分别对个人骨质疏松易患性和骨质疏松严重性意识欠佳,仅有7%和10%的患者有较高的运动或饮食障碍,96%的患者有较高的健康动机。与低学历组相比,学历较高的患者其骨质疏松知识水平相对较高（14.2±1.7比10.7±2.3,t=8.539,P=0.000）、骨质疏松易患性意识相对较强（19.1±3.3比17.1±3.0,t=3.233,P=0.002）。骨质疏松知识水平较高的患者,体力活动强度相对较大（χ2=10.471,P=0.001）,摄入含钙/维生素D饮食相对更充足（χ2=5.715,P=0.017）。骨质疏松严重性意识较强的患者,体力活动强度相对较大（χ2=4.028,P=0.045）,摄入含钙/维生素D饮食相对更充足（χ2=9.805,P=0.002）。骨质疏松易患性意识较强的患者,摄入含钙/维生素D饮食相对更充足（χ2=3.391,P=0.047）。结论提高乳腺癌患者骨质疏松知识,加强患者骨质健康意识,促进骨质健康相关生活行为,有助于防治骨质疏松,提高乳腺癌患者生存质量。Objective To investigate the osteoporosis knowledge, health belief and relevant health behaviors in breast cancer patients in order to provide the guidance for the prevention and treatment of osteoporosis in this population. Methods We performed a hospital-based cross-sectional study which enrolled 100 breast cancer patients diagnosed and treated in our hospital 5 years ago. Each patient was required to accomplish a questionnaire, which consisted of general data, physical activities, dietary intake of calcium and vitamin D, osteoporosis knowledge, health belief and behaviors. Measurement data were analyzed by t test, count data by χ2 test. Results In 100 patients, the mean age was 57 years （ range ： 50 - 70 years ）, postmenopausal women accounted for 88% and stage Ⅰ / Ⅱ breast cancer patients accounted for 83%. Up to 51% of the patients reported having done low physical activity, 27% had completed the recommended exercise amount for breast cancer patients. Totally 46% of patients had inadequate dietary intake of calcium or vitamin D; 56% had poor knowledge of osteoporosis. As for health belief, 59% and 32% of the patients were unaware of the susceptibility and seriousness of osteoporosis, only 7% and 10% had relatively high level of movement disorder and eating disorder separately. Most patients （96%） had high health motivation. Patients with higher education had higher knowledge level （14. 2± 1.7 vs 10. 7±2. 3, t = 8. 539, P = 0. 000 ） and greater perception of susceptibility to osteoporosis（ 19. 1 ± 3.3 vs 17.1 ± 3.0, t = 3. 233, P = 0. 002 ） compared with low education group. Patients with higher osteoporosis related knowledge level reported higher intensity of physical activity （χ2 = 10. 471, P = 0. 001 ） and more adequate dietary calcium/vitamin D intake （ χ2 = 5. 715, P = 0. 017 ）. Patients with greater perception of seriousness of osteoporosis reported higher intensity of physical activity（ χ2 = 4. 028, P=0. 045 ） and more adequate dietary calcium/vitamin D intake

关 键 词：乳腺肿瘤 骨质疏松 知识 健康行为 

分 类 号：R737.9[医药卫生—肿瘤] R68[医药卫生—临床医学]