OSTEOPROSIS AMONG MENOPAUSAL WOMEN AND NURSING IMPLICATIONS

Fatma Farahat
2015 Port Said Scientific Journal of Nursing  
Objectives: The aim of this study was to examine the impact of nursing implications (educational program on their knowledge) for osteoporosis among menopausal women. Subject and Methods: The study was carried out in the rheumatic and rehabilitation outpatients' clinic at Mansoura University Hospital at Mansoura city using a quasiexperimental (pre & post test) design. The subjects of the study were 120 menopausal women attending the rheumatic and rehabilitation outpatients' clinic at Mansoura
more » ... inic at Mansoura University Hospital and being diagnosed as positive for osteoporosis. Data were collected using one tools devised specifically for the study. Results: The results revealed that there was a significant improvement in the women' knowledge score about osteoporosis especially definition, causes, signs and symptom, risk factors, intervention, diagnosis and management meanwhile, the scores in the follow up (after 3 months) tend to decline. Conclusion: Educational program has a significant and improvement impact on the menopausal women"s knowledge regarding osteoporosis that tends to decline with the progress of time. Recommendations: Further research is required to investigate the effect of counseling program for osteoporotic women on their quality of life. of the different socio-cultural attitudes towards the menopause in different communities (Booth et al.,2004). The western woman attitude towards the menopause is generally positive and about one third of them considers the menopause as a normal physiological change (Sallam et al., 2006). 22 Effective disease management programs for osteoporosis involve patient education, recurrent BMD assessment, and the use of non-pharmacologic and pharmacologic interventions (Clifford and Rosen, 2007). The nursing role focuses on client education about prevention of disease, the identification and minimization of controllable risk factors (Whitaker et al., 2012). AIM OF STUDY: The aim of this study is to examine the impact of nursing implications (educational program on their knowledge) for osteoporosis among menopausal women. SUBJECT AND METHODS: Research Design: A quasi-experimental intervention study, with pre-post assessment to evaluate the effect of the implemented training program in changing menopausal women knowledge and opinion toward osteoporosis. Setting: The study was conducted in Rheumatic and Rehabilitation Outpatient Clinic of Mansoura University Hospital in Mansoura City. This hospital is a teaching hospital affiliated to the Ministry of High Education. It attracts women from all over Dakahlia Governorate, but principally from Mansoura city and all nearby areas. It provides low cost heath services for women with obstetrics and gynecological problems compared with other private centers and clinics. Sample: Menopausal women attending the previously mentioned setting and being diagnosed as positive for osteoporosis were included in the study sample. Their total number was 120 women. 23 Part 1: socio-demographic data: such as age, occupation, education and their source of knowledge about osteoporosis. Part 2: Knowledge and opinion questionnaire to assess:  Women knowledge regarding osteoporosis; definition, risk factors and consequence, investigations.  Women' opinion concerning the prevention and management of osteoporosis and their role in seeking early medical advice. Educational Program: The aim of the program was to improve menopausal women knowledge and opinion related to osteoporosis, which in turn improve their quality of their life. It was conducted through three phases, pre-planning, planning, implementation, and evaluation.  Phase I (Program Planning): The program was designed based on the identified needs and demands of women, and in the light of the most recent pertinent literature.  Phase II (Program Implementation): The training program was implemented for recruited women. Each session took about two hours per day. The program was presented in clear and concise form, using different teaching methods such as discussion, simulations, and role-playing. A booklet prepared by the researcher was distributed to the participants. Since it was difficult to fit all the study subjects at the same time in the program, the training program was implemented for a group of 10-15 women in 3 sessions. Each session took about one hour and at the end of each session each women was assessed for her understanding of the instructions. Different teaching methods as short lecture, group discussion, role playing, demonstration, and re-demonstration, were used. Also different audio visual materials were used as pamphlets, small books, diagrams picture, posters, real equipments and life situations. These were used to facilitate teaching of each topic.  Phase III (Evaluation Phase): After program implementation, a post-test was done immediately. Then, a follow-up test was done after three months of program implementation. The same study tools were used to evaluate the effect of the training
doi:10.21608/pssjn.2015.34129 fatcat:wjlybmhar5ayngvi5qsafblfg4