CAJ | 학술논문

目的：了解乳腺癌患者骨质疏松知识、健康信念及相关健康行为状况,以指导该人群骨质疏松的预防和治疗。方法此研究是一项以医院为基础的横断面研究,纳入100例5年前在本院确诊并接受治疗的乳腺癌患者,接受问卷调查,内容包括：患者基本情况、体力活动状况、摄入含钙/维生素D饮食状况、骨质疏松知识、健康信念及健康行为等。计量资料分析采用t检验,计数资料比较采用χ2检验或Fisher精确检验。结果分析已入组100例患者的调查问卷。患者的中位年龄为57岁(50~70岁),绝经后患者88%,Ⅰ/Ⅱ期患者83%。51%的患者仅进行低强度的体力活动,仅有27%达到了国际癌症患者推荐运动量；46%的患者含钙/维生素D饮食摄入不足；56%的患者骨质疏松知识水平较低。健康信念方面,59%和32%的患者分别对个人骨质疏松易患性和骨质疏松严重性意识欠佳,仅有7%和10%的患者有较高的运动或饮食障碍,96%的患者有较高的健康动机。与低学历组相比,学历较高的患者其骨质疏松知识水平相对较高(14．2±1．7比10．7±2．3,t=8．539, P=0．000)、骨质疏松易患性意识相对较强(19．1±3．3比17．1±3．0,t=3．233,P=0．002)。骨质疏松知识水平较高的患者,体力活动强度相对较大(χ2=10．471,P=0．001),摄入含钙/维生素D饮食相对更充足(χ2=5．715,P=0．017)。骨质疏松严重性意识较强的患者,体力活动强度相对较大(χ2=4．028,P=0．045),摄入含钙/维生素D饮食相对更充足(χ2=9．805,P=0．002)。骨质疏松易患性意识较强的患者,摄入含钙/维生素D饮食相对更充足(χ2=3．391,P=0．047)。结论提高乳腺癌患者骨质疏松知识,加强患者骨质健康意识,促进骨质健康相关生活行为,有助于防治骨质疏松,提高乳腺癌患者生存质量。
목적：료해유선암환자골질소송지식、건강신념급상관건강행위상황,이지도해인군골질소송적예방화치료。방법차연구시일항이의원위기출적횡단면연구,납입100례5년전재본원학진병접수치료적유선암환자,접수문권조사,내용포괄：환자기본정황、체력활동상황、섭입함개/유생소D음식상황、골질소송지식、건강신념급건강행위등。계량자료분석채용t검험,계수자료비교채용χ2검험혹Fisher정학검험。결과분석이입조100례환자적조사문권。환자적중위년령위57세(50~70세),절경후환자88%,Ⅰ/Ⅱ기환자83%。51%적환자부진행저강도적체력활동,부유27%체도료국제암증환자추천운동량；46%적환자함개/유생소D음식섭입불족；56%적환자골질소송지식수평교저。건강신념방면,59%화32%적환자분별대개인골질소송역환성화골질소송엄중성의식흠가,부유7%화10%적환자유교고적운동혹음식장애,96%적환자유교고적건강동궤。여저학력조상비,학력교고적환자기골질소송지식수평상대교고(14．2±1．7비10．7±2．3,t=8．539, P=0．000)、골질소송역환성의식상대교강(19．1±3．3비17．1±3．0,t=3．233,P=0．002)。골질소송지식수평교고적환자,체력활동강도상대교대(χ2=10．471,P=0．001),섭입함개/유생소D음식상대경충족(χ2=5．715,P=0．017)。골질소송엄중성의식교강적환자,체력활동강도상대교대(χ2=4．028,P=0．045),섭입함개/유생소D음식상대경충족(χ2=9．805,P=0．002)。골질소송역환성의식교강적환자,섭입함개/유생소D음식상대경충족(χ2=3．391,P=0．047)。결론제고유선암환자골질소송지식,가강환자골질건강의식,촉진골질건강상관생활행위,유조우방치골질소송,제고유선암환자생존질량。
Objective To investigate the osteoporosis knowledge, health belief and relevant health behaviors in breast cancer patients in order to provide the guidance for the prevention and treatment of osteoporosis in this population. Methods We performed a hospital-based cross-sectional study which enrolled 100 breast cancer patients diagnosed and treated in our hospital 5 years ago. Each patient was required to accomplish a questionnaire, which consisted of general data, physical activities, dietary intake of calcium and vitamin D, osteoporosis knowledge, health belief and behaviors. Measurement data were analyzed by t test, count data by χ2 test. Results In 100 patients, the mean age was 57 years ( range: 50-70 years ) , postmenopausal women accounted for 88% and stage Ⅰ/Ⅱ breast cancer patients accounted for 83%. Up to 51% of the patients reported having done low physical activity, 27% had completed the recommended exercise amount for breast cancer patients. Totally 46% of patients had inadequate dietary intake of calcium or vitamin D;56% had poor knowledge of osteoporosis. As for health belief, 59% and 32% of the patients were unaware of the susceptibility and seriousness of osteoporosis, only 7% and 10% had relatively high level of movement disorder and eating disorder separately. Most patients(96%) had high health motivation. Patients with higher education had higher knowledge level(14. 2±1. 7 vs 10. 7±2. 3,t=8. 539,P=0. 000) and greater perception of susceptibility to osteoporosis( 19. 1 ± 3. 3 vs 17. 1 ± 3. 0, t=3. 233, P=0. 002 ) compared with low education group. Patients with higher osteoporosis related knowledge level reported higher intensity of physical activity (χ2=10. 471, P=0. 001) and more adequate dietary calcium/vitamin D intake(χ2=5. 715,P=0. 017). Patients with greater perception of seriousness of osteoporosis reported higher intensity of physical activity(χ2=4. 028, P=0. 045) and more adequate dietary calcium/vitamin D intake (χ2=9. 805, P=0. 002). Patients with greater perception of susceptibility of osteoporosis reported more adequate dietary calcium/vitamin D intake (χ2=3. 391, P=0. 047). Conclusion To improve osteoporosis knowledge and health belief, and promote the adoption and maintenance of bone health related behaviors in breast cancer patients can be helpful to prevent osteoporosis and improve the quality of life.