The Effect of Learning Package on Knowledge and Practice of Women's Regarding Osteoporosis in Port Said City, Egypt.

Abstract

Osteoporosis is a major and growing public health problem in both sexes but particularly in women which associated with fragility fractures at the hip, spine, and wrist. Hip fracture contributes to both morbidity and mortality in the elderly. Approximately 1.6 million hip fractures occur each year worldwide, the incidence is set to increase to 6.3 million by 2050. It is a systemic skeletal disorder, characterized by reduction of bone mass, deterioration of bone structure, increasing bone fragility, and increasing fracture risk. It is a major cause of fractures in elderly, resulting in pain, disability, costly rehabilitation, poor quality of life, and premature death .Data survey from the Egyptian national nutrition institute to determine bone mass density (BMD) among the elderly in 2001 and, among adolescents and adults in 2004 revealed that (16.7%) of 1190 Egyptian menopausal females had lumbar osteoporosis. Aim: The present research was designed to assess effect of learning package on knowledge and practice of women's regarding osteoporosis in Port Said City .This intervention study was at the gynecological and obstetric clinic at Port Said general hospital. Study sample composed of 129 women. Tools: Data were collect using interview questionnaire sheet contains 4 main parts based on literature review & modificated tool to assess knowledge and practice of women's regarding osteoporosis in Port Said City. Results: The study found that the majority of studied women have poor knowledge regarding osteoporosis. Also, revealed a highly statistically significant difference between pre and post program in relation to knowledge about calcium p- value (0.003) and total knowledge score p- value (0.002).and there was  statistically difference between pre and post program in relation to walk more than 10 min in sun daily and practice physical exercise p- value =(0.021 and 0.0007) respectively. And there was statistically difference between pre and post program in relation to walk more than 10 min in sun daily and practice physical exercise p- value =(0.021 and 0.0007) respectively Conclusion: The present study concluded that the family needs to improve their knowledge and practice regarding prevention osteoporosis Recommendations: It is recommended to design and implement educational trials to change and improve women lifestyle to prevent osteoporosis. Also long-term effects of such educational programs should be assessed. Women should also be aware of their risks factors for developing osteoporosis.

Keywords: learning package, knowledge, practice, women, osteoporosis