Korean J Women Health Nurs.  2010 Jun;16(2):147-156. 10.4069/kjwhn.2010.16.2.147.

The Relationship between Knowledge, Health Beliefs, and Prevention Behaviors of Osteoporotic Fracture in Patients receiving Osteoporosis Treatment

• Moon ES
• Lee ES

• KMID: 2308176
• DOI: http://doi.org/10.4069/kjwhn.2010.16.2.147

Abstract

PURPOSE
This study was to examine the relationship of knowledge, health beliefs, and prevention behaviors of osteoporotic fracture in outpatients with osteoporosis.
METHODS
The subjects were 120 outpatients receiving osteoporosis treatment on K hospital in G city from Dec. 2007 to Feb. 2008. Questionnaires were collected and analyzed using the SPSS/WIN 12.0 program for descriptive statistics, and t-test, ANOVA, and Pearson correlation coefficient.
RESULTS
Subjects were treated for fracture about 28 months. The mean score of knowledge, health belief and prevention behaviors in subjects were 17.5 +/- 3.22, 2.8 +/- 0.23 and 2.8 +/- 0.38 respectively. The score of health belief recorded the lowest point. However, the score of knowledge varied with general and disease-related characteristics of subjects. In contrast, the score of prevention behaviors did not showed any significant differences. Fracture prevention behavior in subjects showed rather higher relationship with the health belief system than the knowledge of fracture prevention.
CONCLUSION
The present work suggested that education program for prevention behaviors of fracture should be developed to focus on altering the health belief system rather than the knowledge of osteoporotic fracture prevention. Furthermore, individual education program based on living circumstances and daily life habits should be also developed.

Keyword

Osteoporosis; Knowledge of fracture prevention; Health belief; Fracture prevention behaviors

MeSH Terms

Humans
Osteoporosis
Osteoporotic Fractures
Outpatients
Surveys and Questionnaires

Reference

1. Ali N.S., Twibell R.K. Health promotion and osteoporosis prevention among postmenopausal women. Journal of Geriatric Nursing. 1995. 15(4):528–534.

2. Chapurlat R.D., Garnero P., Sornay-Rendu E., Arlot M.E., Claustrat B., Delmas P.D. Loss in Pre-and Perimenopausal Women: Evidence for Bone Loss in Perimenopausal Women. Osteoporosis International. 2000. 11:493–498.

3. Choo S.O. Comparative study of bone mineral density of women over 50 years old related with age, weight and height. 2001. Seoul: Soonchunhyang University;Unpublished master's thesis.

4. Chrischilles E., Shireman T., Wallace R. Costs and health effects of osteoporotic fracture. Journal of Bone & Mineral Research. 1994. 15(4):377–386.

5. Drugay M. Breaking the silence; A health promotion approach to osteoporosis. Journal of Gerontological Nursing. 1997. 23(6):36–43.

6. Grady J.L. Factors influating stage of change and osteoporosis prevention behaviors. 2000. University of Pittsburgh Doctor's Dissertation.

7. Hisley S.M. Osteoporosis Prevention; A Conceptual Model. 1998. Texas Woman's University;Doctoral Dissertation.

8. Jang J.S. Osteoporotic fracture - Introduction and physiology and pathology. 2001. In : Osteoporosis Symposium; Korean Orthopaedic Associatin Honam Office;13–17.

9. Kang Y.M. A study on the relationships between osteoporosis knowledge, health belief and self-efficacy of middle-aged women. 1999. Seoul: Ewha Woman University;Unpublished master's thesis.

10. Kim E.G. Survey on the education for patients discharging from hospital after open heart surgery. 1993. Seoul: Seoul National University;Unpublished master's thesis.

11. Kim M.H., Kim M.S. A study on the relationships between knowledge about osteoporosis and cognitive factors in middle-aged women. Korean Journal of Women Health Nursing. 2005. 11(1):52–57.

12. Kim K., Horan M., Gendler P. Refinement of the osteoporosis health belief scale. 1991. In : Sigma Theta Tau International Research Conference; Columbus, Ohio.

13. Kim S.J. A study on the osteoporosis in Korean middle-aged & elderly women in rural area. 2002. Seoul: Ewha Womans University;Unpublished master's thesis.

14. Kim S.N., Lee H.R. Effect of education for prevention of osteoporosis patients with bone fracture. Journal of Korean Academy of Nursing. 2001. 31(2):194–205.

15. Korean Society of Bone Metabolism. Osteoporosis. 2000. Seoul: Korean Society of Bone Metabolism.

16. Lee H.Y. A study of correlation among the knowledge of the disease, health, promoting behaviors and the quality of life in the female patients with osteoporosis. 2001. Seoul: Kyung Hee University;Unpublished master's thesis.

17. Lee J.G. The effect of the knowledge and health beliefs on osteoporosis preventive health behaviors among middle-aged women. Journal of Korean Academy of Community Health Nursing. 2003. 14(4):14–14.

18. Lee S.H. Prediction model of osteoporosis prevention behaviors in middle-aged women. 2006. Seoul: Korea University;Unpublished doctoral dissertation.

19. Osteoporosis Online. National Osteoporosis Foundation. 2003. http://www.nof.org/osteoporosis/index.htm.

20. Oh S.A. A study on climacteric women's risk of osteoporosis. 1997. Seoul: Yonsei University;Unpublished master's thesis.

21. Park C.Y. A study on the relationships between osteoporosis knowledge, health belief, self-efficacy, and bone mineral density in middle-aged elderly women. 2002. Seoul: Ewha Womans University;Unpublished master's thesis.

22. Rosenstock I.M. Historical origins of the health belief model: The Health Belief Model and personal health behavior. 1974. Jersey: Therefare, New Charles B. Slac, Inc;1–8.

23. Seon G.S. The effect of web-based osteoporosis prevention program on the osteoporosis knowledge, self efficacy, health belief, stage of change on female college student. 2003. Gwangju: Cheonnam National University;Unpublished doctoral dissertation.

24. Shin G.R., Gang Y.M. A study on the relationships between osteoporosis knowledge, self-efficacy and health belief of women in an island. Journal of Korean Academy of Nursing. 2002. 32(1):89–99.

25. Seo H.M., Ha Y.S. Factors influencing health-promoting lifestyle. Journal of Korean Academy of Nursing. 2004. 34(7):1288–1297.

26. Waller J., Eriksson O., Foldevi M., Kronhed A.C., Larsson L., ILofman O, et al. Knowledge of osteoporosis in a Swedish municipality-a prospective study. Journal of Preventive Medicine. 2002. 34(4):485–491.

27. WHO. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. 1994. Geneva: World health Organization.

28. Yoon E.J. A study on knowledge and practices about osteoporosis in adults. Korean Journal of Rehabilitation Nursing. 1998. 1(1):27–42.

29. Yoon E.J. The model explaining variance in health promoting behavior and quality of life in women with osteoporosis. 2001. Seoul: Kyung Hee University;Unpublished doctoral dissertation.

30. Yoon S.H., Kim J.G. Current treatment of postmenopausal osteoporosis. Korean Journal of Obstetrics and Gynecology. 2005. 48(4):844–856.