Patel S, Ogunremi L, Chinappen U
Osteoporosis Unit, Department of Rheumatology, St George's Hospital, London, SW17 0QT, UK.
Rheumatology (Oxford). 2003 Jun;42(6):769-72. doi: 10.1093/rheumatology/keg215. Epub 2003 Feb 28.
To determine acceptability and compliance with hip protectors in women at high risk of hip fracture who are living independently in the community.
Women aged 65 yr and over referred for open access bone densitometry who had femoral neck osteoporosis and a high risk of falling were asked to wear hip protectors.
Eighty five women fulfilled the inclusion criteria of whom 32 (38%) found the hip protectors acceptable and agreed to participate. Reasons given by the remaining 53 (62%) for not finding the hip protectors acceptable included discomfort on wearing, dislike of their personal appearance with the hip protectors on, and disagreement about their fracture risk. Participants were more likely to have a family history of osteoporosis (47 vs 26%, respectively) and hip fracture (16 vs 8%) compared with non-participants. At 12 months only about half of the subjects were wearing hip protectors daily.
Our findings suggest that only a minority of community-dwelling women at high risk of hip fracture will wear hip protectors to reduce fracture risk. Their use should be restricted to highly motivated women who should be carefully identified.
确定社区中独立生活的髋部骨折高危女性对髋部保护器的接受程度及依从性。
邀请65岁及以上因接受开放式骨密度检测而被转诊、患有股骨颈骨质疏松症且跌倒风险高的女性佩戴髋部保护器。
85名女性符合纳入标准，其中32名（38%）认为髋部保护器可接受并同意参与。其余53名（62%）认为髋部保护器不可接受的原因包括佩戴时不适、不喜欢佩戴髋部保护器时的个人外观以及对自身骨折风险存在异议。与未参与者相比，参与者更有可能有骨质疏松症家族史（分别为47%和26%）和髋部骨折家族史（分别为16%和8%）。在12个月时，只有约一半的受试者每天佩戴髋部保护器。
我们的研究结果表明，只有少数社区居住的髋部骨折高危女性会佩戴髋部保护器以降低骨折风险。其使用应仅限于经过仔细识别的积极性高的女性。
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