摘要
目的了解2型糖尿病患者骨质疏松发生风险及其对骨质疏松的认知情况。方法采用便利抽样法,选取2018年4月至2019年1月在上海交通大学医学院附属仁济医院内分泌科门诊就诊的2型糖尿病患者102例为研究对象,采用一般资料调查表、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2型糖尿病患者骨质疏松疾病知识调查问卷对其进行调查。结果被调查的102例2型糖尿病患者中,有58.82%的患者存在骨质疏松发生风险;未来10年主要部位骨质疏松性骨折和髋部骨折的发生概率分别为(6.66±5.37)%、(2.98±3.89)%;患者骨质疏松疾病知识调查问卷总得分为(14.34±4.37)分,整体处于中等偏高水平,但其对糖尿病和骨质疏松关系的认知有待进一步提高。结论2型糖尿病患者骨质疏松发生风险较高,未来10年主要部位骨质疏松性骨折和髋部骨折的发生概率也较高。患者对骨质疏松的整体认知水平尚可,但其对糖尿病对骨质疏松影响的认知有所欠缺,医护人员应根据患者骨质疏松发生风险及认知现状,给予针对性的健康教育。
Objective To investigate the risk of osteoporosis in patients with type 2 diabetes and their cognition.Methods A total of 102 patients with type 2 diabetes who visited the Endocrinology Clinic of Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from April 2018 to January 2019 were selected by convenience sampling.They were investigated by a general information questionnaire,a 1 min osteoporosis risk test,FRAX fracture risk assessment tool and a self-designed questionnaire on osteoporosis disease knowledge in patients with type 2 diabetes.Results Of the 102 patients with type 2 diabetes investigated,58.82% had the risk of osteoporosis.The probability of major osteoporotic fractures and hip fractures in the next 10 years was(6.66±5.37)% and(2.98±3.89)%,respectively.The total score of the osteoporosis disease knowledge questionnaire was(14.34±4.37)points,which was at a moderately high level.However,patients'cognition of the correlation between diabetes and osteoporosis needed to be further improved.Conclusion Patients with type 2 diabetes have a higher risk of osteoporosis and a higher probability of major osteoporotic fractures and hip fractures in the next 10 years.Patients'overall cognitive level of osteoporosis is fair,but their cognition of the effect of diabetes on osteoporosis is deficient.Medical staff should give targeted health education according to the risk of osteoporosis and their cognitive level.
作者
梁瑞杰
田燕华
姚佳慧
贾芸
LIANG Ruijie;TIAN Yanhua;YAO Jiahui;JIA Yun(Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200127)
出处
《上海护理》
2021年第8期29-33,共5页
Shanghai Nursing
关键词
2型糖尿病
骨质疏松
骨折
疾病认知
Type 2 diabetes
Osteoporosis
Fracture
Disease cognition
