| 梁瑞杰,田燕华,姚佳慧,贾芸.综合医院门诊2型糖尿病患者骨质疏松风险及认知的现况调查[J].上海护理,2021,21(8): |
| 综合医院门诊2型糖尿病患者骨质疏松风险及认知的现况调查 |
| Investigation on the risk of osteoporosis and cognition in patients with type 2 diabetes in general hospital outpatients |
| DOI： |
| 中文关键词: 2型糖尿病 骨质疏松症 现况研究 |
| 英文关键词:type 2 diabetes osteoporosis cross-sectional study |
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| 中文摘要: |
| 目的 调查门诊2型糖尿病患者是否存在骨质疏松风险，对骨质疏松症的认知水平及其影响因素。方法 以便利抽样的方法，采用骨质疏松症风险1 min测试题、FRAX骨折风险测评系统和自行设计的骨质疏松疾病认知水平问卷对2018年4月—2019年1月就诊于上海仁济医院的102例门诊2型糖尿病患者的骨质疏松风险及认知现况进行调查与分析。结果 102例2型糖尿病患者中，60例存在骨质疏松风险（58.8%）。未来10年，发生主要骨质疏松性骨折的概率和髋部骨折的概率男性和女性之间存在统计学差异[（3.99±1.80）% vs（8.94±6.30）%，P=0.000；（1.67±1.33）%vs（4.09±4.90）%，P=0.001]；年龄≥60岁患者和＜60岁患者之间也有统计学意义[（7.57±5.75）% vs（3.68±2.00）%，P=0.000；（3.70±4.19）% vs（0.63±0.39）%，P=0.000]。受试者的骨质疏松认知得分为2~22分，平均（14.34±4.37）分，文化程度和有无骨质疏松家族史对其认知有影响，差异有统计学意义（P=0.000，P=0.013）。结论 半数以上2型糖尿病患者存在骨质疏松风险；未来10年发生骨折概率女性高于男性，老年人高于中年人；患者对骨质疏松相关知识掌握中等偏上，但对糖尿病合并骨质疏松的专科知识掌握不足。根据调查所得问题，采取针对性健康教育很有必要。 |
| 英文摘要: |
| Objective To investigate whether there is a risk of osteoporosis in outpatients with type 2 diabetes, the level of knowledge of osteoporosis and its influencing factors. Methods To facilitate the sampling method, the osteoporosis risk 1 min test question, the FRAX fracture risk assessment system and the self-designed osteoporosis disease cognition level questionnaire were used to investigate and analyze the osteoporosis risk and cognitive status of 102 outpatients with type 2 diabetes treated in Shanghai renji hospital from April 2018 to January 2019. Results Of the 102 patients with type 2 diabetes, 60 had a risk of osteoporosis (58.8%).In the next 10 years, the probability of major osteoporotic fractures and hip fractures are statistically different between men and women((3.99±1.80)%vs(8.94±6.30)%,P=0.000.(1.67±1.33)%vs(4.09±4.90)%,P=0.001).There is also statistically significant difference between patients aged ≥60 years and patients <60 years old((7.57±5.75)%vs(3.68±2.00)%,P=0.000,(3.70±4.19)% vs(0.63±0.39)%,P=0.000). The subject's osteoporosis cognitive score was 2 to 22 points, with an average of (14.34±4.37) points,and the degree of education and the family history of osteoporosis have an impact on their cognition, and the difference is statistically significant(P=0.000,P=0.013) .Conclusion More than half of people with type 2 diabetes are at risk for osteoporosis, the probability of fracture in the next 10 years is higher for women than for men,older people are significantly higher than middle-aged people. The knowledge of osteoporosis was above average, but the knowledge of diabetes mellitus combined with osteoporosis was insufficient.According to the survey results, it is necessary to adopt targeted health education. |
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