类风湿关节炎患者对骨质疏松知识的认知调查  

Investigation on cognition of osteoporosis knowledge in patients with rheumatoid arthritis

作　　者：单增宗吉 孙玉梅 Danzengzongji;SUN Yumei(Lhasa Second Secondary Vocational School,Lasa,Tibet,850000,China;Peking University Health Science Center,Beijing,100191,China)

机构地区：[1]拉萨市第二中等职业技术学校,西藏拉萨850000 [2]北京大学医学部,北京100191

出　　处：《当代医学》2023年第3期5-10,共6页Contemporary Medicine

摘　　要：目的调查类风湿关节炎(RA)患者对骨质疏松知识的认知现状并分析其影响因素。方法采用方便抽样法选取2019年3—5月于北京市某三甲医院门诊及住院的103例RA患者作为研究对象,以面对面访谈的形式调查RA患者对骨质疏松知识的认知情况,采用单因素及多因素逐步Logistic回归方法分析RA患者对骨质疏松认知情况的影响因素,采用多因素逐步线性回归方法分析RA患者对骨质疏松认知情况的影响因素。结果103例RA患者骨质疏松知识认知总分为(45.19±16.25)分,其中钙知识得分最高,为(54.25±18.24)分,运动知识得分为(43.00±20.25)分,危险因素得分最低,为(39.64±23.78)分。RA患者对成人应饮牛奶量和大豆、豆腐、酸奶、虾是最好的钙来源的知晓率均>70%,而对最需要补充钙剂人群、油菜是最好的钙来源及成人钙摄入的推荐剂量知晓率较低。RA患者对每周运动时间及慢跑或跑步为减少骨质疏松患病机会的最好方式的知晓率均>75%,而对跳健美操、骑单车、快走为减少骨质疏松患病机会的最好方式和每次运动时间、运动强度的知晓率较低。RA患者对危险因素认知水平较低,其中除长期服用激素外,其他项目知晓率均<60%,而人种的答对率仅2.9%。单因素分析结果显示,不同职业、学历、个人平均月收入、关节是否畸形、生活是否自理、是否接触过骨质疏松患者、是否患有骨质疏松患者骨质疏松知识评分比较差异有统计学意义(P<0.05),不同性别、年龄、民族、婚姻状况、病程、是否服用糖皮质激素、是否服用钙剂、有无测量骨密度、是否发生过骨折患者骨质疏松知识评分比较差异无统计学意义。多因素逐步Logistic回归分析结果显示,学历、关节是否畸形、是否接触过骨质疏松患者为RA患者骨质疏松认知情况的主要影响因素(P<0.05)。结论RA患者对骨质疏松知识的认知有待提高,医护人员应�Objective To investigate the cognitive status of osteoporosis knowledge in patients with rheumatoid arthritis(RA)and analyze its influencing factors.Methods Convenience sampling method was used to select 103 RA patients who were outpatients and inpatients in tertiary hospital in Beijing from March to May 2019 as the research subjects,face-to-face interviews were conducted to investigate the cognition of RA patients on osteoporosis knowledge,univariate and multivariate stepwise Logistic linear regression methods were used to analyze the influencing factors of RA patients'cognition of osteoporosis.Results The total score of osteoporosis knowledge in 103 RA patients was(45.19±16.25)scores,among which the score of calcium knowledge was the highest,it was(54.25±18.24)scores,the score of exercise knowledge was(43.00±20.25)scores,and the score of risk factors was the lowest,it was(39.64±23.78)scores.The awareness rate of RA patients on the amount of milk that adults should drink,soybean,tofu,yogurt,and shrimp was the best source of calcium was>70%,while the awareness rate of the people who need the most calcium supplements,rapeseed is the best source of calcium and the recommended dose of adult calcium intake was low.The awareness rate of RA patients on the weekly exercise time and jogging or running as the best way to reduce the chance of osteoporosis was>75%,while the awareness rate of aerobics jumping,cycling,brisk walking as the best way to reduce the chance of osteoporosis,and exercise time and exercise intensity was low.RA patients had low awareness of risk factors,except for long-term use of hormones,the awareness rate of other items was less than 60%,while the correct rate of race was only 2.9%.There were statistically significant differences in osteoporosis knowledge scores among patients with different occupations,educational backgrounds,personal average monthly income,joint deformity,self-care,exposure to osteoporosis,and osteoporosis(P<0.05).There was no statistically significant difference in osteoporos

关 键 词：类风湿关节 骨质疏松 影响因素 健康宣教 认知 

分 类 号：R687.4[医药卫生—骨科学]