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

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