老年女性骨质疏松性骨折患者骨折风险评估工具概率值与知信行相关性分析

摘要

Objective? To explore the status quo of the probability value of fracture risk assessment tool (FRAX) and knowledge, attitude and practice (KAP) in elderly female patients with osteoporotic fracture as well as the correlation between the two. Methods? Totally 600 elderly female patients with osteoporotic fracture aged 60 or above who were hospitalized in a ClassⅢ Grade A hospital were selected by convenient sampling and investigated with the self-designed osteoporotic fracture related knowledge, behavior and attitude questionnaire from May 2016 to June 2018. The FRAX was used to calculate the FRAX probability value for the 10 years to come. Spearman correlation analysis was employed to analyze the correlation between the FRAX value and KAP in elderly female patients with osteoporotic fracture with different ages. Results? The FRAX probability value of main fractures in the 600 elderly female patients with osteoporotic fracture in the 10 years was (6.88±2.70), and there was statistical difference in the probability value of fractures between the patients with different ages (F=12.40, P＜ 0.01). According to the Speraman correlation analysis, basic knowledge (r=0.158), diagnosis and treatment knowledge (r=0.178), and calcium intake behavior (r=0.149) were positively correlated with the FRAX probability value (P＜0.05) in the patients aged between 60 and 69; diagnosis and treatment knowledge (r=0.208) and prevention attitude (r=0.148) were positively correlated with the FRAX probability value (P＜0.05) in the patients aged between 70 and 79; and calcium intake behavior was positively correlated with the FRAX probability value (r=0.353,P＜0.05) in the patients aged 80 or above. Conclusions? Nursing staff shall pay attention to the correlation between the FRAX probability value and KAP in elderly female patients with osteoporotic fracture with different ages when taking nursing interventions, thereby reducing the risk behavior of osteoporotic fracture and the recurrence of fracture radically.%目的? 了解不同年龄老年女性骨质疏松性骨折患者骨折风险评估工具(FRAX)概率值及知信行现况,探讨其相关性.方法? 采取便利抽样法,于2016年5月—2018年6月对某三级综合性医院600例60岁及以上的老年女性骨质疏松性骨折患者采用自行设计的骨质疏松性骨折相关知识、行为及态度问卷进行调查,应用FRAX评估工具计算未来10年FRAX概率值;采用Spearman相关分析对不同年龄老年女性骨质疏松性骨折患者FRAX值与知信行的相关性进行分析.结果? 600例老年女性骨质疏松性骨折患者未来10年主要部位FRAX概率值为(6.88±2.70),不同年龄患者FRAX概率值比较,差异有统计学意义(F=12.40,P＜0.01).Spearman相关分析显示,60～69岁年龄段中,基础知识(r=0.158)、诊疗知识(r=0.178)、摄钙行为(r=0.149)与FRAX概率值呈正相关(P＜0.05);70～79岁年龄段中,诊疗知识(r=0.208)、预防态度(r=0.148)与FRAX概率值呈正相关(P＜0.05);≥80岁年龄段中,摄钙行为与FRAX概率值呈正相关(r=0.353,P＜0.05).结论? 在实施护理干预时,应重视不同年龄老年女性骨质疏松性骨折患者FRAX概率值与知信行之间的相关关系,从根本上改善骨质疏松性骨折的风险行为,减少骨折的再次发生.