621所医院骨科护士骨质疏松症知识的掌握现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2025.01.011

摘要/Abstract

摘要：

目的了解国内骨科护士对骨质疏松症知识的掌握情况及影响因素，为提高护理人员骨质疏松症知识水平提供依据。方法采用便利抽样法，于2023年9月—11月，使用一般资料调查表、骨质疏松症知识评价工具对国内31个省（区、市）621所医院的5 681名骨科护士进行调查，采用单因素分析及Logistic回归分析探讨影响因素。结果共5 204名骨科护士完成调查，骨质疏松症知识评价工具得分为13.00（12.00，14.00）分，23.48%的护士对骨质疏松症知识的掌握情况较差。Logistic回归分析结果显示，年龄、职称、职务、医院所在地区、医院级别、是否开展骨折联络服务模式/组建再骨折防治团队、是否使用钙片/维生素D、是否使用抗骨质疏松症药物进行骨质疏松症治疗、是否对医务人员开展骨质疏松症及再骨折专题授课影响骨科护士对骨质疏松症知识的掌握程度（P<0.05）。结论国内骨科护士对骨质疏松症知识的掌握程度有待提升，护理管理者可针对影响因素从医院及护士2个层面开展针对性干预，提高骨科护士对骨质疏松症知识的掌握水平。

关键词: 护士, 骨质疏松症, 影响因素分析, 骨科护理学, 护理管理研究

Abstract:

Objective To investigate the current status and analyze the factors affecting the osteoporosis knowledge among orthopedic nurses，and to provide references for improving osteoporosis knowledge among orthopedic nurses. Methods We investigated 5 681 orthopedic nurses from 621 hospitals in 31 provinces （autonomous regions/municipalities） using a convenient sampling method from September 2023 to November 2023. We collected information using a general information questionnaire and osteoporosis knowledge assessment tool. We used univariate and multivariate logistic regression to identify risk factors. Results A total of 5 204 orthopedic nurses were included. The total mean score of osteoporosis knowledge assessment tool of nurses was [13.00（12.00，14.00）]，and 23.48% nurses had a low level of osteoporosis awareness. Logistic regression analysis showed that the age，title and position of the nurses，location of the hospital，the level of the hospital，whether to conduct the fracture liaison service/to set up the refracture prevention team，whether to use calcium tablets/vitamin D，whether to carry out anti-osteoporosis drug therapy，and whether to conduct topical lectures on osteoporosis or secondary fractures，were the factors that affected orthopedic nurses’ knowledge of osteoporosis（P<0.05）. Conclusion The osteoporosis knowledge of orthopedic nurses needs to be improved. Nursing managers should carry out personalized interventions from both hospital and nurse levels to improve the osteoporosis knowledge of orthopedic nurses in our country.

Key words: Nurses, Osteoporosis, Root Cause Analysis, Orthopedic Nursing, Nursing Administration Research

宋咪, 邱晨, 苏清清, 邵梦琪, 王庆梅, 高远. 621所医院骨科护士骨质疏松症知识的掌握现状及影响因素分析[J]. 中华护理杂志, 2025, 60(1): 77-82.

SONG Mi, QIU Chen, SU Qingqing, SHAO Mengqi, WANG Qingmei, GAO Yuan. Analysis of the current situation and influencing factors of osteoporosis knowledge among orthopedic nurses in 621 hospitals[J]. Chinese Journal of Nursing, 2025, 60(1): 77-82.

图/表 3

表1 调查对象的一般资料及对骨质疏松症知识掌握程度的单因素分析结果[名（百分比，%）]

Table 1 The general data of subjects and results of univariate analysis of osteoporosis knowledge[case（percent，%）]

表2 自变量赋值情况

Table 2 Assignment of independent variables

表3 骨科护士骨质疏松症知识掌握程度影响因素的二元Logistic回归分析结果

Table 3 Binomial logistic regression analysis of factors influencing osteoporosis knowledge in orthopedic nurses

参考文献 18

[1]	中华医学会骨质疏松和骨矿盐疾病分会. 中国骨质疏松症流行病学调查及“健康骨骼”专项行动结果发布[J]. 中华骨质疏松和骨矿盐疾病杂志, 2019, 12(4):317-318.
	Chinese Society of Osteoporosis and Bone Mineral Research. Epidemiological investigation of osteoporosis in China and the release of the results of the special action of “healthy bones”[J]. Chin J Osteoporos Bone Miner Res, 2019, 12(4):317-318.
[2]	Si L, Winzenberg TM, Jiang Q, et al. Projection of osteoporosis-related fractures and costs in China:2010—2050[J]. Osteoporos Int, 2015, 26(7):1929-1937. DOI PMID
[3]	Merlijn T, Swart KMA, van der Horst HE, et al. Fracture pre-vention by screening for high fracture risk:a systematic review and meta-analysis[J]. Osteoporos Int, 2020, 31(2):251-257. DOI PMID
[4]	Ayers C, Kansagara D, Lazur B, et al. Effectiveness and safety of treatments to prevent fractures in people with low bone mass or primary osteoporosis:a living systematic review and network meta-analysis for the American college of physicians[J]. Ann Intern Med, 2023, 176(2):182-195.
[5]	LeBoff MS, Greenspan SL, Insogna KL, et al. The clinician’s guide to prevention and treatment of osteoporosis[J]. Osteoporos Int, 2022, 33(10):2049-2102. DOI PMID
[6]	徐又佳, 林华, 刘强, 等. 重视骨质疏松性骨折后再骨折的防治管理[J]. 中华骨科杂志, 2022, 42(14):873-879.
	Xu YJ, Lin H, Liu Q, et al. Emphasis on prevention and mana-gement of refractures after osteoporotic fractures[J]. Chin J Orthop, 2022, 42(14):873-879.
[7]	郑蔚, 张苇, 张利霞, 等. 某三级医院护士骨质疏松性骨折知识掌握情况及影响因素研究[J]. 重庆医学, 2015, 44(15):2093-2095.
	Zheng W, Zhang W, Zhang LX, et al. Study on the obtaining situation of osteoporotic fractures related knowledge and influencing factors of the nurses[J]. Chongqing Med, 2015, 44(15):2093-2095.
[8]	Peng LL, Reynolds N, He AL, et al. Osteoporosis knowledge and related factors among orthopedic nurses in Hunan Province of China[J]. Int J Orthop Trauma Nurs, 2020,36:100714.
[9]	Winzenberg TM, Oldenburg B, Frendin S, et al. The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women:the Osteoporosis Knowledge Assessment Tool (OKAT)[J]. BMC Musculoskelet Disord, 2003,4:17.
[10]	Zhang YP, Li XM, Wang DL, et al. Evaluation of educational program on osteoporosis awareness and prevention among nurse students in China[J]. Nurs Health Sci, 2012, 14(1):74-80.
[11]	国务院. 厅关于印发“十四五”国民健康规划的通知[EB/OL].(2022-04-27)[2024-01-16]. https://www.gov.cn/zhengce/zheng-ceku/2022-05/20/content_5691424.htm.
	State Council. Notice of the“14th Five-Year Plan” for natio-nal health[EB/OL].(2022-04-27)[2024-01-16]. https://www.gov.cn/zhengce/zhengceku/2022-05/20/content_5691424.htm.
[12]	谭薇, 龚仁蓉, 刘雨薇, 等. 护士处方权实施形式的研究进展[J]. 中华护理杂志, 2023, 58(19):2427-2433. DOI URL
	Tan W, Gong RR, Liu YW, et al. Research progress on imple-mentation models of nurse prescribing[J]. Chin J Nurs, 2023, 58(19):2427-2433.
[13]	Dilmaghani RB, Armoon B, Moghaddam LF. Work-family con-flict and the professional quality of life and their sociode-mographic characteristics among nurses:a cross-sectional study in Tehran, Iran[J]. BMC Nurs, 2022, 21(1):289. DOI PMID
[14]	苏彬彬, 杜鹃, 贾金忠, 等. 中国护理人力资源现状及其配置研究[J]. 中国卫生政策研究, 2018, 11(12):56-61.
	Su BB, Du J, Jia JZ, et al. Study on the current situation and allocation equity of China’s nursing human resources[J]. Chin J Health Policy, 2018, 11(12):56-61.
[15]	陈芸, 许伟杰, 田怀谷, 等. 智慧医疗背景下慢性病患者就医行为优化及展望[J]. 中国全科医学, 2022, 25(28):3484-3487. DOI
	Chen Y, Xu WJ, Tian HG, et al. Application and prospect of smart health technologies for optimizing the healthcare-seek-ing behaviors in chronic disease patients[J]. Chin Gen Pract, 2022, 25(28):3484-3487.
[16]	韩斌如, 陈曦, 徐凤霞, 等. 护士心理韧性与职业发展的相关性分析[J]. 中华护理杂志, 2021, 56(2):255-260. DOI URL
	Han BR, Chen X, Xu FX, et al. Correlation analysis between resilience and career development of nurses[J]. Chin J Nurs, 2021, 56(2):255-260. DOI URL
[17]	康洁, 张青, 杨红, 等. 消毒供应中心护士岗位胜任力现状及影响因素分析[J]. 中华护理杂志, 2022, 57(19):2385-2391. DOI URL
	Kang J, Zhang Q, Yang H, et al. The status quo and influe-ncing factors of post competency among nurses in central sterile service departments[J]. Chin J Nurs, 2022, 57(19):2385-2391.
[18]	国务院. 关于印发中国防治慢性病中长期规划(2017—2025年)的通知[EB/OL].(2017-02-01)[2024-01-16]. http://www.gov.cn/zheng-ce/content/2017-02/14/content_5167886.html.
	State Council. Notice of the issuance of China’s medium and long-term plan for the prevention and treatment of chronic diseases(2017—2025)[EB/OL].(2017-02-01)[2024-01-16]. http://www.gov.cn/zhengce/content/2017-02/14/content_5167886.html.

编辑推荐 0

Metrics

阅读次数

全文

HTML			PDF

最新录用	在线预览	正式出版	最新录用	在线预览	正式出版
0	0	0	0	0	8

	来源	本网站

	次数	8
	比例	100%

摘要

492

最新录用	在线预览	正式出版

0	0	492

	来源	本网站

	次数	492
	比例	100%