Spencer S J
Department of Orthopaedic Surgery Glasgow Royal Infirmary.
Scott Med J. 2007 Feb;52(1):13-6. doi: 10.1258/rsmsmj.52.1.13.
Osteoporosis poses a significant health problem. As the population ages, its incidence increases. Effective prevention requires good awareness of the disease among the general public. The aim of this study was to assess the level and source of osteoporosis knowledge in a group of patients attending for Dual Emission X-ray Absorpitometry (DEXA) scanning.
A questionnaire was devised to assess knowledge of the osteoporosis risk factors, risk-reducing measures and signs/symptoms. Questionnaires were completed by 176 patients in two centres; Glasgow Royal Infirmary, UK (120 patients), and Christchurch Public Hosp, New Zealand (56 patients).
Overall knowledge of osteoporosis was poor. In terms of risk factors 31.8% (n=56/176) knew no risk factors at all, 19.3% (n=34/176) knew no risk reducing measures and 39.2% (n=69/176) knew no signs or symptoms of osteoporosis.
Knowledge of osteoporosis, despite this cohort being a group of patients attending for DEXA scanning, was poor. There is a need for the public to to be made more aware of osteoporosis, thereby enabling them to be more actively involved in preventive measures. National campaigns are required to increase awareness. Furthermore, increasing health professionals' awareness of the considerable limitations which exist in public knowledge of the disease, leading to a new realisation of the need for them to discuss osteoporosis with their patients, could provide a highly effective means of increasing awareness of the disease.
骨质疏松是一个重大的健康问题。随着人口老龄化,其发病率上升。有效的预防需要公众对该疾病有良好的认知。本研究的目的是评估一组接受双能X线吸收测定法(DEXA)扫描的患者对骨质疏松知识的了解程度和来源。
设计了一份问卷来评估对骨质疏松风险因素、降低风险措施以及体征/症状的了解情况。两个中心的176名患者完成了问卷;英国格拉斯哥皇家医院(120名患者)和新西兰克赖斯特彻奇公立医院(56名患者)。
对骨质疏松的总体了解较差。在风险因素方面,31.8%(n = 56/176)的人完全不知道任何风险因素,19.3%(n = 34/176)的人不知道任何降低风险的措施,39.2%(n = 69/176)的人不知道骨质疏松的任何体征或症状。
尽管该队列中的患者是接受DEXA扫描的人群,但对骨质疏松的了解仍较差。需要让公众更多地了解骨质疏松,从而使他们能够更积极地参与预防措施。需要开展全国性运动来提高认识。此外,提高卫生专业人员对公众对该疾病认知存在的严重局限性的认识,促使他们重新认识到需要与患者讨论骨质疏松问题,这可能是提高对该疾病认识的一种非常有效的手段。