Health beliefs and sense of one’s own efficacy and prophylaxis of osteoporosis in peri- and post-menopausal women

Abstract

Introduction and objective. Osteoporosis constitutes one of the relevant health, social and economic problems of the contemporary world which concerns 200 million women, of whom about 20-25% will experience a bone fracture. The aim of the study was to learn about the health beliefs and sense of self-efficacy in peri-and post-menopausal women regarding the prevention of osteoporosis. Materials and method. A group of 300 randomly chosen women aged 45-65 who were patients of healthcare centres in Chełm, Lublin, and the surroundings of Zamość (eastern Poland), was examined. Own Health Beliefs Scale (OHBS) associated with Osteoporosis and Own Efficacy Evaluation Scale (OSES) were used for the study. The obtained material was subjected to descriptive and statistical analysis. Tukey test, t-student test and variance analysis (ANOVA) were all applied. A P value less than 0.05 was considered statistically significant. Results were analysed using the SPSS version 19 software package. Results and conclusions. It was stated that respondents had thought that osteoporosis is an averagely serious health problem, and they did not feel peculiarly exposed to falling ill with the disease. They attached great significance to the benefits of physical activity and correct nutrition. The perception of barriers to calcium intake and everyday exercise was moderate. Health motivation remained at the average level. Socio-demographic conditions influenced the respondents' health beliefs in a statistically significant way. Sense of self-efficacy from the aspect of taking possible action preventing osteoporosis remained on the average level; in addition, respondents more often declared the desire for a change in eating habits than resorting to physical activity.

Sociodemographic factors affecting the disease acceptance in the group of women with postmenopausal osteoporosis

“…It may result from an easier access to information, medical and psychological care. However, a study based on the Disease Acceptance Scale wska et al [26] which indicate that perimenopausal women perceive osteoporosis as a moderately serious health problem and do not feel particularly burdened with the risk of developing the disease [26]. Additionally, as stated by the latest recommendations of diagnostic and therapeutic procedures in osteoporosis in Poland, it turns out that 80-90% of patients suffering from osteoporosis, including osteoporosis with fractures, do not receive adequate pharmacotherapy.…”

“…In this study, the respondents' high scores may suggest that women accepted their chronic disease and felt it was well-controlled. On the other hand, their positive attitude may result from ignorance about the disease [ 4 , 25 , 26 ]. Higher acceptance of an illness improves cooperation between the patient and the physician, which translates into a better therapeutic effect.…”

Physiopathology of Osteoporosis: Nursing Involvement and Management

“…Osteoporosis affects more than 30% of postmenopausal women [ 18 ] ( Table 1 ). In 2012, 200 million women worldwide suffered from this disease, of which 20–25% will suffer injuries in the form of a fracture [ 19 ]. At present, the risk of fracture for life in women 50 years old is approximately 50% [ 20 ].…”

“…Coffee consumption reduces the absorption of interstitial calcium, and high dosages (>300 mg/g or 4 cups per day) can hasten bone loss at the level of the lumbar spine in older postmenopausal women [ 16 ]. Indeed, women who drink coffee or strong tea regularly have noticed fewer benefits of applying a calcium-rich diet [ 19 ].…”

Modele funkcji poznawczych względem wybranych parametrów stanu funkcjonalnego tarczycy u kobiet po menopauzie

“…During this period there develop in women psychological, somatic, and vasomotor symptoms of the menopausal syndrome; incontinence is more frequent, there occur changes in the connective tissue, as well as in the bone tissue, leading to the development of postmenopausal osteopaenia and osteoporosis. All these changes decrease the quality of life of women during this period [8,9]. The fact of the deterioration of cognitive functions with age is well known [10].…”