Prevalence rate of primary osteoporosis in China: a meta-analysis.

BACKGROUND: Primary osteoporosis (POP) is recognized as a "silent disease" and often ignored. This meta-analysis aimed to determine the prevalence of POP in the Chinese population over the past 20 years to raise awareness of the disease's epidemiology, which is hoped to help prevent and treat the condition better. METHODS: Eight English and three Chinese language databases were searched systematically from January 2002 to December 2023. Relevant data were analysed using Stata 16.0. Meta-regression and subgroup analyses were performed to explore causes of heterogeneity. A funnel plot was further drawn in combination with Egger and Begg tests to determine publication bias. RESULTS: A total of 45 studies (241,813 participants) were included. The meta-analysis revealed that the overall prevalence of POP in the Chinese population was 18.2% (95% CI: 14.7-21.7%), showing a positive correlation with age. Specifically, prevalence rates were 23.4% (18.3-28.5%) in women and 11.5% (9.1-13.9%) in men. A notable increase was observed within the span of 20 years (16.9% before 2010 and 20.3% in 2011-2020). Notably, regional variations were observed, with southern China reporting a lower prevalence of 16.4% compared to 20.2% in northern China. Meta-regression suggested that sample size significantly influenced the estimation of point prevalence (P = 0.037). CONCLUSIONS: Over the past two decades, there has been an increase in the prevalence of POP within the Chinese population. The growing prevalence of older individuals and women further highlights the urgency for tailored disease prevention and control measures.

Prevalence and influencing factors of kinesiophobia in older patients with primary osteoporosis: A cross-sectional survey.

AIM: To explore the prevalence of kinesiophobia in older patients with primary osteoporosis and analyze its influencing factors. METHODS: A cross-sectional survey was conducted among 221 older patients with primary osteoporosis in a general hospital in Kunming, China. Data were collected through a sociodemographic-clinical questionnaire, Tampa Scale for Kinesiophobia-11 (TSK-11), Global Pain Scale (GPS), Five Facets Mindfulness Questionnaire-Short Form (FFMQ-SF), and Hospital Anxiety and Depression Scale (HADS). SPSS 27.0 software was utilized for univariate and binary logistic regression analyses. RESULTS: The findings revealed that the prevalence of kinesiophobia in this study was 57.01 %. Age, history of fractures, chronic obstructive pulmonary disease (COPD), lumbar disc herniation, chronic pain, mindfulness, anxiety, and depression were identified as significant influencing factors of kinesiophobia in the binary logistic regression analyses. CONCLUSION: Healthcare professionals should be attentive to occurrence of kinesiophobia. Timely measures should be implemented to improve pain, anxiety and depression, and employ mindfulness interventions to mitigate kinesiophobia.

Perceptions Toward Exercise or Mindful Exercise Participation Among Patients With Primary Osteoporosis: A Qualitative Study.

Exercise is significantly beneficial for patients with osteoporosis. However, physiological and psychological factors such as pain and kinesiophobia prevent patients from participating in exercise. Therefore, it is important to understand how these patients perceive participation in exercise. This qualitative study was conducted in China using conventional content analysis. Using a purposeful sampling method, 17 patients with primary osteoporosis were recruited. Data were collected through a semi-structured interview and managed using ATLAS.ti 21. Nine generic categories were developed from 26 subcategories and two main categories were identified: Barriers and facilitators, support systems, network resources, positive emotions, and reactions were the facilitators for exercise in this study. In addition, mindful exercise was positively viewed by the patients. Inefficient awareness, weak support systems, and burdens were identified as barriers. To improve compliance in clinical practice, targeted exercise protocols should be developed for patients based on these perceptions.

Career maturity, psychological resilience, and professional self-concept of nursing students in China: A nationwide cross-sectional study.

BACKGROUND: The career maturity of nursing students has an influence on their individual career choices and their personal career development trajectory. Psychological resilience and a positive professional self-concept might help students adjust and adapt to their nursing careers. Therefore, there is a growing need to assess and develop these psychological concepts among nursing students. PURPOSE: This study aimed to determine the levels of career maturity, psychological resilience, and professional self-concept among Chinese senior nursing students as well as to examine the relationships between the variables. METHODS: A cross-sectional survey was carried out across six undergraduate medical colleges in China from May to August 2021. A total of 1223 full-time final year undergraduate nursing students who fulfilled the study criteria were recruited using the universal sampling method. Self-administered questionnaires including the Career Maturity Scale (CMS), Connor-Davidson Resilience Scale-2 (CD-RISC2), and Professional Self-Concept of Nurses Instrument (PSCNI) were used for data collection. For results reporting, the study complied with the STROBE checklist. RESULTS: The participants' career maturity, professional self-concept, and psychological resilience were found to be at moderate levels. Experience of being a class leader and actively choosing a nursing major were factors that had significant influence on students' career maturity, professional self-concept, and psychological resilience. Pearson's correlation analysis revealed career maturity to be closely related to professional self-concept and psychological resilience (p < 0.01). Results of structural equation modelling analyses revealed a good fit to the data based on various fit indices (χ2/df = 6.18, GFI = 0.926, CFI = 0.915, IFI = 0.957, RMSEA = 0.058). Nursing students with positive professional self-concepts demonstrated higher psychological resilience, which in turn influenced their career maturity. CONCLUSIONS: The results of this study provide the initial indications for an extended career maturity model. A positive professional self-concept and psychological resilience has the potential to improve the career maturity of nursing students. The study findings provide a basis for nursing educators to focus on improving the professional self-concept and psychological resilience of nursing students.