摘要
目的研究骨质疏松症患者BMI、疾病认知水平、医疗依从性与腰背部疼痛相关性。方法采用便利抽样方法,选取2021年3月至2022年9月该院247例骨质疏松症患者作为研究对象,对BMI、骨质疏松症知识问卷(OKT)评分、医疗依从性评分、腰背部疼痛视觉评分量表(VAS)评分进行问卷调查,并开展路径分析。结果患者腰背部疼痛VAS评分为(2.59±1.13)分。多元线性回归分析显示,BMI、OKT评分、医疗依从性评分对VAS评分有直接影响(P<0.05)。路径分析显示,BMI对VAS评分有直接作用(Z=0.145,P<0.05),直接效果占总效果的61.93%;BMI可通过OKT评分对VAS评分产生间接作用(Z=2.522,P<0.05),占总效果的13.30%。结论骨质疏松症患者降低BMI,提高疾病认知水平和医疗依从性评分,可有效改善腰背部疼痛不适症状。
Objective To study the correlation between the body mass index(BMI),disease awareness level(OKT)and medical adherence with lower back pain in the patients with osteoporosis.Methods Using the convenient sampling method,from March 2021 to September 2022 a total of 247 patients with osteoporosis were selected as the research subjects,and BMI,OKT,medical compliance,and lower back pain visual VAS scores conducted the questionnaire survey,and the path analysis was carried out.Results The VAS score of lower back pain in the patients was(2.59±1.13)points.The multiple linear regression analysis showed that BMI,OKT and medical compliance had a direct impact on the VAS score(P<0.05).The path analysis showed that BMI had a direct effect on the VAS score(Z=0.145,P<0.05),and the direct effect accounted for 61.93% of the total effect.BMI could have an indirect effect on the VAS score through OKT(Z=2.522,P<0.05),accounting for 13.30% of the total effect.Conclusion The patients with osteoporosis reducing BMI and improving OKT and medical compliance could effectively improve lower back pain discomfort symptom.
作者
孙克萍
顾艳芬
赵正楣
叶彤
蔡瑞婷
王吟雨
陈丽萍
SUN Keping;GU Yanfen;ZHAO Zhengmei;YE Tong;CAI Ruiting;WANG Yinyu;CHEN Liping(Department of Geriatrics,Affiliated Dongfang Hospital,Tongji University,Shanghai 200120,China)
出处
《重庆医学》
CAS
2023年第20期3077-3080,3087,共5页
Chongqing medicine
基金
全国全科医学教育教学科研课题项目(B-YXGP20210301-03)。
