Nurses’ knowledge, attitude, and practice regarding osteoporosis prevention and its correlation with their nutritional behaviors
pdf

Keywords

Awareness, Belief, Eating habits, Nutritional behaviors, Osteoporosis, Preventive measures

Abstract

Background. Nurses have good opportunities to communicate with osteoporotic patients and the public as well as convey osteoporosis prevention education to them. Therefore, nurses require specific knowledge, attitude, practice (KAP), and desirable nutritional behaviors for osteoporosis prevention and treatment strategies. Little is known about the KAP for osteoporosis prevention and nutritional behaviors among nurses in Iran.

Purpose. The present study was conducted to evaluate nurses’ KAP and nutritional behaviors for osteoporosis prevention, and the correlation between KAP and nutritional behaviors.

Methods. This cross-sectional study included 195 nurses working in three hospitals in southeastern Iran. Nurses were selected using a stratified random sampling method between April and June 2020. The data collection tools included questionnaires of KAP  and nutritional behaviors to prevent osteoporosis.

Findings. According to the findings, nurses’ knowledge regarding osteoporosis prevention was high level (20.23 ± 3.79), and their attitude (72.71 ± 6.97), practice (48.25 ± 6.38), and nutritional behavior scores (110.12 ± 13.68) were desirable. In addition, nurses’ KAP regarding osteoporosis prevention was correlated with their nutritional behaviors (P = 0.001).

Conclusions. Given the high levels of knowledge, desirable practices, and Iranian nurses regarding the prevention of osteoporosis, they can play a significant role in changing KAP and the nutritional behaviors of people to prevent this disease. To this end, educational and support programs should be implemented in clinical and community settings to develop a healthy lifestyle in the community.

https://doi.org/10.15167/2421-4248/jpmh2023.64.4.2709
pdf

References

1. El-Tawab SS, Saba EKA, Elweshahi HMT, Ashry MH: Knowledge of osteoporosis among women in Alexandria (Egypt): A community based survey. The Egyptian Rheumatologist 2016, 38(3):225-231.
2. Khan JA, McGuigan FE, Akesson KE, Ahmed Y, Abdu F, Rajab H, Albaik M: Osteoporosis knowledge and awareness among university students in Saudi Arabia. Archives of osteoporosis 2019, 14(1):8.
3. Sözen T, Özışık L, Başaran NÇ: An overview and management of osteoporosis. European journal of rheumatology 2017, 4(1):46.
4. Tootee A, Larijani B: World osteoporosis day: celebrating two decades of progress in preventing osteoporotic fractures in Iran. Journal of Diabetes & Metabolic Disorders 2019, 18(2):725-727.
5. Nguyen VH: Osteoporosis prevention and osteoporosis exercise in community-based public health programs. Osteoporosis and sarcopenia 2017, 3(1):18-31.
6. Peng L, Reynolds N, He A, Liu M, Yang J, She P, Zhang Y: Osteoporosis knowledge and related factors among orthopedic nurses in Hunan province of China. International journal of orthopaedic and trauma nursing 2020, 36:100714.
7. Chan CY, Mohamed N, Ima-Nirwana S, Chin K-Y: A review of knowledge, belief and practice regarding osteoporosis among adolescents and young adults. International journal of environmental research and public health 2018, 15(8):1727.
8. Wang J, Chen L, Yu M, He J: Impact of knowledge, attitude, and practice (KAP)-based rehabilitation education on the KAP of patients with intervertebral disc herniation. Annals of Palliative Medicine 2020, 9(2):388-393.
9. Tian X, Lian J-x, Yi L-j, Ma L, Wang Y, Cao H, Song G-m: Current status of clinical nursing specialists and the demands of osteoporosis specialized nurses in Mainland China. International Journal of Nursing Sciences 2014, 1(3):306-313.
10. Dange AK, Premchand P: Knowledge, attitude and practice of General Medical Practitioners and Nursing professionals regarding osteoporosis. practitioner 2016, 75(23.53):23.53.
11. Hannon C, Murphy K: A survey of nurses’ and midwives’ knowledge of risks and lifestyle factors associated with osteoporosis. Journal of Orthopaedic Nursing 2007, 11(1):30-37.
12. Park C-H, Lee Y-K, Koo K-H: Knowledge on osteoporosis among nurses. Journal of bone metabolism 2017, 24(2):111-115.
13. Riaz MS, Kanwal N, Rasool RG: To assess the knowledge of nurses regarding prevention of osteoporosis among nurses of Jinnah Hospital and General Hospital Lahore Pakistan. International Journal of Social Sciences and Management 2017, 4(3):202-209.
14. Fourie H, Floyd S, Marshall B: Exploring New Zealand orthopaedic nurses' knowledge of osteoporosis. Orthopaedic Nursing 2015, 34(1):29-35.
15. Zhang R, Chandran M: Knowledge of osteoporosis and its related risk factors among nursing professionals. Singapore medical journal 2011, 52(3):158.
16. Moradi T, Adib-Hajbaghery M, Safa A, Ahmadishad M: Iranian nurses self-reported mastery and use of musculoskeletal assessment skills. Nursing and Midwifery Studies 2021, 10(4):272-277.
17. Mahdaviazad H, Keshtkar V, Emami MJ, Kargarshouroki Z, Vosoughi AR: Osteoporosis guideline awareness among Iranian nurses: results of a knowledge and attitudes survey. Journal of preventive medicine and hygiene 2021, 62(2):E415.
18. Forouzi M, Haghdoost A, Saidzadeh Z, Mohamadalizadeh S: Study of knowledge and attitude of Rafsanjanian female teachers toward prevention of osteoporosis. J Birjand Univ Med Sci 2009, 16(1):71-77(persian).
19. Forouzi M, Haghdoost A, Saidzadeh Z, S M: Study of knowledge and attitude of Rafsanjanian female teachers toward prevention of osteoporosis. Thesis of Master in nursing, Kerman University of Medical Sciences. 2007.
20. Seyd Abadi Z, Mohammadi M, Mehri A, Akrami R: Development and Psychometric Assessment of Nutritional Preventive Treatment of osteoporosis in women based on protection motivation theory. scientific journal of ilam university of medical sciences 2017, 25(4):24-33.
21. Alshammari KF: Women knowledge, attitude and practices about osteoporosis prevention “Riyadh Saudi Arabia”. World Journal of Medical Sciences 2014, 11(3):422-431.
22. Ramli N, Rahman NAA, Haque M: Knowledge, Attitude, and Practice Regarding Osteoporosis Among Allied Health Sciences Students in a Public University in Malaysia. Erciyes Medical Journal/Erciyes Tip Dergisi 2018, 40(4).
23. Park D-I, Choi-Kwon S, Han K: Health behaviors of Korean female nursing students in relation to obesity and osteoporosis. Nursing outlook 2015, 63(4):504-511.
24. Bilal M, Haseeb A, Merchant AZ, Rehman A, Arshad MH, Malik M, Rehman AHU, Rani P, Farhan E, Rehman TS: Knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Pakistan. Asia Pacific family medicine 2017, 16(1):1-7.
25. Ghaffari M, Nasirzadeh M, Rakhshanderou S, Bakhtiari MH, Harooni J: Osteoporosis-related knowledge among students of a medical sciences university in Iran: Calcium intake and physical activity. Journal of medicine and life 2015, 8(Spec Iss 4):203.
26. Graves RJ, Williams SG, Hauff C, Fruh SM, Sims B, Hudson GM, McDermott RC, Sittig S, Shaw T, Campbell M: Undergraduate versus graduate nursing students: Differences in nutrition, physical activity, and self-reported body mass index. Journal of American College Health 2020:1-6.
27. Ghajari H, Ghaderi N, Valizadeh R, Shakerinezhad G, Haghighizadeh MH: Knowledge, attitude and nutritional behavior of female high school students about consumption of calcium-rich foods in Khorramshahr City, South West of Iran. International Journal of Pediatrics 2016, 4(11):3837-3846.
28. Alghamdi MA, Mohammed AGA: Knowledge and awareness of osteoporosis among Saudi physicians and nurses: a cross-sectional study. Open access Macedonian journal of medical sciences 2018, 6(5):913.
29. Lin C-Y, Tseng Y-H, Lin M-L, Hou W-L: Factors related to intentions to commit dating violence among Taiwanese university students: application of the extended theory of planned behavior. International journal of environmental research and public health 2021, 18(4):1956.
30. Hou W-L, Lin C-Y, Wang Y-M, Tseng Y-H, Shu B-C: Assessing related factors of intention to perpetrate dating violence among university students using the Theory of Planned Behavior. International journal of environmental research and public health 2020, 17(3):923.