الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 126 |  |  |
| | | from | 126 | | |
Abstract
Although osteoporosis begins in childhood, it does not manifest until a later time in life. Early intervention to improve dietary calcium intake and weight-bearing physical activity in adolescence may result in less future geriatric fragility fractures, improved quality of life, and decreased health care costs. This makes it essential to educate and promote healthy diet and weight bearing physical activity behavior throughout the lifespan promotes maximum bone health. Adequate calcium intake of 1500 mgs of elemental calcium per day is essential in obtaining peak bone mass during the pubertal growth spurt period. Encouraging moderate to vigorous weight bearing physical activity of 30 to 60 minutes each day is equally important in maximizing peak bone density.
The present study used a quasi-experimental study design. The main aim of the study was to assess the knowledge level regarding osteoporosis among Perimenopausal women, to assess information need of Perimenopausal women regarding osteoporosis care and to provide nursing intervention needed in Perimenopausal women. The research hypotheses were that demographic variables (education, occupation) affect perimenopausal women’s level of knowledge about osteoporosis and health education improves perimenopausal women’s knowledge about osteoporosis.
The estimated sample size was 372 women, 45:54 years, were recruited. The present study concerns itself, in particular, with a descriptive data that were collected from the 400 women at baseline. Participants were recruited according the following criteria, free from chronic diseases for example: diabetes, anemia and hypertension and free from osteoporosis. The study
was conducted at two settings in home visits and El -Shohada Hospital at El -Shohada city in the province of Menoufiya.
Data were collected using three instruments which were developed to collect the data: an interviewing questionnaire; an osteoporosis risk factors assessment questionnaires and osteoporosis knowledge test. Piloting was conducted on forty women to test the applicability of the instruments and to estimate the time needed.
Potential participants received an information sheet with a full explanation of the study and gave oral consent prior to enrolment. Anonymity and confidentiality were assured and participants were told that they could withdraw from the study at any point without prejudice. The study limitation is related to participants selected from one study site only which may limit the generalizability of the study findings.
The main study findings are as follows:
The women ages ranged between 43 and 54 years, with mean of 49.66 ± 2.83 years.
As regards their education, the highest percentage of them (22.5 %) had secondary education. Concerning occupation, more than half of them (52.7 %) did not have work.
Also, concerning marital status, the majority of them (94.0 %) were married.
Regarding the family history, only ten percent of the women (10%) in the sample had family history of osteoporosis.
Concerning the menstrual history, their first menstrual period ranged between 9 -18years, with mean of 13.54± 1.64. Number of births of the participants had ranged between 0.00-15.00. The majority of the
women (88.0%) had used the method of contraception. According to menstrual cycle the majority of them (66.5%) had not interrupted.
Also, concerning the present medical history, the majority had no complaint of any of the mentioned disease in the questionnaire sheet.
Comparison of the women regarding knowledge scores of osteoporosis pre-post implementing health education program, there was statistically significant correlation between knowledge score of osteoporosis pre-post implementing health education program.
As for comparison of passive smokers’ women in the sample pre-post intervention, there was no statistically significant difference between passive smokers’ women during pre and post counseling.
Comparison of women frequency exposure to sunshine pre-post intervention revealed that less than half of women in the sample (46%) had sometimes exposure to sunshine during pre intervention compared to more than half of women in the sample (51.8%) who had sometimes exposure to sunshine in post intervention.
Comparison of women about education level, knowledge and practice for osteoporosis before and after implementing health education program should that there was a statistically significant difference between pre-post interventions.
The comparison between employee and house wife women regarding knowledge level and practice of osteoporosis care before and after intervention, statistically significant differences between them were revealed with knowledge level (P value < 0.001) and practice (P value = 0.78) in pre intervention. Compared to this, statistically significant differences between them were revealed with knowledge level (P <0.001) and practice (P < 0.001).