Effects Of Different Health Education On Postmenopausal Women's Knowledge, Health-belief And Behaviors Of Osteoporosis In Community

Background: The incidence of osteoporosis among postmenopausal women was high. Evidence demonstrated that increasing dietary calcium (Ca) intake and weight-bearing physical activity (WBPA) can decrease bone loss in postmenopausal women. But dietary Ca intake in many postmenopausal women is far below the recommended daily allowance,They also participate less frequently in physical activity. And recently there are lack of an efficient education program to increase dietary Ca intake and WBPA. Objective: To Evaluate and compare the effects of two kinds of interfering methods. Methods: A quasi-experimental study was used in the study.Conveniently selected two community sites in Beijing Dongcheng district. There were seventy subjects in the study which was divided into two groups, group one was given general health education,group two was given general health education and tailored intervention. General health education included two lectures and health education manual. Tailored intervention consisted of interpretation of bone mineral density testing results,one face to face guidance according to participants' daily calcium intake and exercise level and one telephone guidance. Data were collected at four points: before and after general health education, first month and third month after general health education.The outcome measures included: knowledge of osteoporosis, health belief of osteoporosis, self-efficacy of osteoporosis, daily dietary Ca intake and hours of WBPA per day. Results: Sixty-five subjects completed data collection procedures, 33 subjects in group one and 32 subjects in group two. Compared with baseline data, the knowledge score, self-efficacy and daily dietary Ca intake of two groups increased significantly (P<0.05), but there was no significant effect on health belief and WBPA per day about osteoporosis after general health education.One month after general health education, all the other index in group one didn't show significant difference (P>0.05) compared with baseline data, except the knowledge score and self-efficacy, but all the index in group two increased significantly; Compared two groups,all the index of group two were higher than group one (P<0.05) .Three month after general health education, all the other index in group one didn't show significant difference (P>0.05) compared with baseline data except the knowledge score, but all the other index in group two increased significantly (P<0.05) except WBPA per day, Compared two groups, all the other index of group two were higher than group one(P<0.05) except health belief and WBPA per day.Conclusions: The effect of general health education and tailored intervention is better than general health education including knowledge of osteoporosis, health belief of osteoporosis, self-efficacy of osteoporosis, daily dietary Ca intake and hours of WBPA per day.