Browse > Article
http://dx.doi.org/10.5932/JKPHN.2014.28.1.102

The Effects of Long term Osteoporosis Management Education on BMD Level and Medication Compliance in Postmenopausal Women  

Kim, Dong-Hee (Department of Nursing Pusan National University)
Bae, Young-Sil (Department of Nursing, Pusan National University)
Lee, Sang-Hwa (Department of Nursing, Pusan National University)
Publication Information
Journal of Korean Public Health Nursing / v.28, no.1, 2014 , pp. 102-113 More about this Journal
Abstract
Purpose: The purpose of this study was to evaluate the effects of long term osteoporosis management education consist of exercise, drug therapy, and nutrition on bone mineral density (BMD) and medication compliance among postmenopausal women who have just been diagnosed with osteoporosis. Methods: The research design consisted of a pre-and post-test quasi-experimental design through a nonequivalent control group. The participants in this study were 60 individuals with osteoporosis, and who were classified according to two groups; the control group (n=30) who were given general clinical guidelines, and the experimental group (n=30) who received management education once for 60 minutes every three months using a standardized educational sheet. After one year, BMD was assessed using band dual energy X-ray absorptiometry (DXA) and medication possession ratio (MPR) for medication compliance. Analysis of collected data was performed using descriptive statistics t-test, chi-test, and paired t-test. Results: No significant difference in BMD (t=-1.02, p=.311) and MPR (t=-0.77, p=.440) was observed between the two groups. However, a significant increase in femur neck BMD was observed in the experimental group compared with the control group (t=-2.18, p=.033). Conclusion: Conduct of further study will be needed for examination of the effect of long-term osteoporosis management education on BMD Level and Medication Compliance in Postmenopausal Women.
Keywords
Education; Osteoporosis; Medication compliance; Bone mineral density;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 Choi, P. B. (2011). Long term combined exercise has effect on regional bone mineral density and cardiovascular disease risk factors of the elderly with osteoporosis. Journal of the Gerontological Society, 31(2), 355-369.
2 American College of Sports Medicine (2003). Exercise Prescription; A Case Study Approach to the ACSM Guidelines (3rd ed). HumanKinetics. U.S.A.
3 Bae, J. H. (2005). Effects of aerobic dance and osteoporosis prevention program on postmenopausal women's health belief and self-efficacy. Korean Sport Research, 16(2), 193-202.
4 Choi, Y. H., & Lee, C. J. (2013). The relationship of health-related variables with regular walking exercise in the elderly based on: the Korea national health and nutrition examination survey(KNHNES). Journal of Korean Academy of Public Health Nursing, 27(1), 5-15.   과학기술학회마을   DOI   ScienceOn
5 Choi, E. T., & Lee, S. J. (2003). The effect of postmenopausal program of osteoporosis protection exercise on the density of bone and the improvement of physical fitness of middle-age women. The Korean Journal of Physical Education, 24(5), 727-734.   과학기술학회마을
6 Hager, K. K., Loprinzi, P., & Stone, D. (2013). Implementing diabetes care guidelines in long term care. Journal of the American Medical Directors Association, 14(11), 851.27-851.215.
7 Kim, A. R., Lee, S. E., Lee, Y., M., An, J. H., & Choi, S. W. (2010). The effect of resistance exercise program on body composition and bone mineral density in osteopenia woman. The Korean Journal of Physical Education, 49(4), 465-471.
8 Jee, Y. S., Yoon, K. J., Byeun, J. J., & Kim, M. K. (2003). The effects of exercise on bone mineral density and relating variables of elderly women with osteoporosis during taking the alendronate. Journal of sport and Leisure Studies 19, 1455-1466.
9 Jo, J. H., & Kim, D. J. (2010). The effects of resistance exercise programs on lumbar extension strength, bone mineral density and balance ability in sexagenary women patient with low back pain. Journal of Exercise Science, 12(4), 33-43.
10 Kang, B. M., Kim, M. R., Yoon, B. K., Lee, B. S., Chung, H. W., Choi, H., Park, H. M., & Kim, J. G. (2007). The influence of exercise on bone mineral density in Korean postmenopausal women. Journal of Korean Science Menopause, 13(2), 131-136.
11 Kim, S. H., Oh, S. D., & Park, Y. S. (2003). Relationship of regular physical activity to body composition. Journal of Korean Physical Education Association for Girls and Women, 17(2), 65-74.
12 Minister of Health & Welfare & Korea Center for Disease Control. (2011). 2009 National health and nutrition survey (The first year of the fifth survey) (Issue No. 11-1351159-000027-10). Seoul: Author.
13 Ko, Y. J., & Park, E. O. (2013). Factors related to blood pressure control in hypertensive patients in Jeju province. Journal of Korean Academy of Public Health Nursing, 27(2), 267-279.   과학기술학회마을   DOI   ScienceOn
14 Lee, J. K. (2013). Evaluation of medication self-management education program for elders with hypertension living in the community. Journal of Korean Academy Nursing, 43(2), 267-275.   과학기술학회마을   DOI   ScienceOn
15 Lee, H. J., & Kang, S. (2010). Education needs of elderly hypertensive or diabetes patients and educators for education program development of cardiocerebrovascular high-risk group. Journal of Agriculture Medicine Community Health, 35(2), 177-192.   과학기술학회마을   DOI   ScienceOn
16 Lee, Y. W., Lee, K. H., Baek, S. G., & Ko, E. M. (1999). Factors affecting compliance to normonal replacement therapy in postmenopausal women. Obstetrics & Gynecology Science, 42(10), 2270-2274.
17 Lim, Y. W., & Kim, Y. S. (2009). The medical treatment of osteoporosis. Journal of Korean Hip Society, 21(3), 211-218.   과학기술학회마을
18 Lai, P. S. M., Chua, S. S., Chew, Y. Y., & Chan, S. P. (2011). Effects of pharmaceutical care on adherence and persistence to bisphosphonates in postmenopausal osteoporotic women. Journal of Clinical Pharmacy Therapeutics, 36, 557-567.   DOI   ScienceOn
19 Moon, J. S., & Won, K. C. (2008). The diagnosis and treatment of osteoporosis. Journal of Korean Medicine, 25(1), 19-30.   과학기술학회마을   DOI
20 Park, H. M., Kim, J. Y., Chung, R. J., & Kim, J. J. (2007). The Vitamin D perception survey on Korean postmenopausal women in the treatment of osteoporosis Obstetrics & Gynecology Science, 50(7), 1003-1011.
21 Papaioannou, A., Kennedy, C. C., Dolovich, L., Lau, E., & Adachi, J. D. (2007). Patient adherence to osteoporosis medication: problems, consequences and management strategies. Drugs & Aging, 24(1), 37-55.   DOI   ScienceOn
22 Ravn, P., Weiss, S. R., Rodriguez-Portales, J. A., McClung, M. R., Wasnich, R. D., Gilchrist, N. L., Sambrook, P., Fogelman, I., Krupa, D., Yates, A. J., Daifotis, A., & Fuleihan, G. E. (2000). Alendronate in early postmenopausal women: effects on bone mass during long-term treatment and after withdrawal. Alendronate Osteoporosis Prevention Study Group. Journal of Clinical Endocrinol Metabolism, 85, 1492-1497.
23 Statistics Korea (2012). Statistics of Hypertension Medication Ratio: 2008-2012. Retrieved Februry 16, 2014, from http://kostat.go.kr/wnsearch/search.jsp
24 Yang, S. A. (2009). Effect of an osteoporosis prevention health education for women in an urban area. Journal of Muscle Joint Health, 16(2), 154-164.
25 Schousboe, J. T., Debold, R. C., Kuno, L. S., Chen, Y. T., & Abbott, T. A. (2005). Education and phone follow-up in postmenopausal women at risk for osteoporosis: effects on calcium intake, exercise frequency, and medication use. Disease Management & Health Outcomes, 13(6), 395-404.   DOI   ScienceOn
26 Shu, A. D., Stedman, M. R., Polinski, J. M., Jan, S. A., Patel, M., Truppo, C., Breiner, L., Chen, Y. T., Weiss, T. W., & Solomon, D. H. (2009). Adherence to osteoporosis medications after patient and physician brief education: post hoc analysis of a randomized controlled trial. The American Journal of Managed Care, 15(7), 417-424.
27 Im, M. Y., & Mun, Y. H. (2013). The effectiveness of health promotion program for the elderly. Journal of Korean Academy of Public Health Nursing, 27(2), 384-398.   과학기술학회마을   DOI   ScienceOn
28 The Korean Society and the Mineral Research. (2011). The Physician's Guidline for Diagnosis and Treatment of Osteoporosis. (4th ed.). Retrieved January 10, 2014, from http://ksbmr.org/journal/index4.php
29 Yoo, J. S., Park, J. W., & Lee, S. J. (2009). A meta analysis on the effects of exercise on bone mineral density among middle-aged and older women. The Journal of the Korean Academy Community Health Nurse, 20(3), 285-295.   과학기술학회마을
30 Yoon, S. H., & Kim, S. Y. (2009). Alendronate use and changes in bone mineral density. Journal of Korean Hip Society, 21(1), 22-28.   DOI