الفهرس 
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Abstract
Osteoporosis is considered a disorder of
postmenopausal women because bone mineral loss and accompanying fragility fractures are common in this group. So osteoporosis is a major public health concern,resulting in increased fracture risk. Osteoporosis-related fractures impose a considerable economic burden on health care systems, and the disease has severe,debilitating consequences if left untreated. Measures for
osteoporosis prevention should begin at childhood and include balanced nutrition, physical activity, and avoidance of risk factors such as smoking. In adulthood,early recognition of osteoporosis followed by timely and effective management can reduce fracture risk. However,the rates of screening and treatment for osteoporosis are
low, even in patients who have sustained a fragility fracture. Comprehensive fracture risk assessment should be part of routine patient care ( Frank, 2009).
Aim of the Study
1. The aim of this study was to assess premenopausal woman self care directed for minimizing osteoporosis.
2. To recommend self care program for premenopausal woman regard osteoporosis.
Subjects and Methods
Setting The study of convenience was conducted at the Bone Density out patient clinic at Ain Shams University Hospital as it is mainly specialized for such cases.
Subject The study samples consisted of 245 women, less than 45 years, still menstruate and agreed to participate in the study.
Tools used for data collection were:
I. A Structured interview questionnaire:
It was designed by the researcher an Arabic
questionnaire after reviewing the related literature. It consisted of (58) questions of open and closed ended types, which were divided into 6 parts.
II. Self care booklet.
Self care guidelines booklet will be constructed by
researcher. It will be suggested in the program and cover the following (exercise, nutrition& changing bad habits, .etc).
*Fieldwork
The actual fieldwork was carried out over 6
months in the period between the 24th of October 2009 and 24th of April 2010. The researcher visited the bone density out patient clinic from 10.00 a.m. to 1.00 p.m.
for 5 days/week during the time of the study. All the participants with the previously mentioned criteria were asked to interview to participate in the study.
Results of the present study revealed that:
Only 10.6% of the women had total satisfactory
knowledge about menopause and osteoporosis.
In total, only 13.9 % of the women had adequate practices.
Statistically significant relations were revealed
between women’s education and knowledge
(p=0.02), and practice (p<0.001).
The relation between women’ knowledge about
menopause and osteoporosis and their practice was also statistically significant (p=0.004).
The present study concluded:
Premenopausal women in the study sample have a
marked deficiency in their knowledge regarding
menopausal changes and osteoporosis. This is
associated with a lack of adequate practices and selfcare directed measures for minimizing osteoporosis.
The present study recommended to:
Programs should concentrate on proper diet and the food items that may protect women from the risk of osteoporosis, as well as self-care measures such as exercise and sun exposure. Rural women with low educational level need more emphasis in education.