Giangregorio L, Thabane L, Cranney A, Adili A, deBeer J, Dolovich L, Adachi J D, Papaioannou A
Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada.
Orthop Nurs. 2010 Mar-Apr;29(2):99-107. doi: 10.1097/NOR.0b013e3181d2436c.
To evaluate osteoporosis knowledge among patients with fractures and to evaluate factors associated with osteoporosis knowledge.
Patients with fragility fractures participated in a telephone interview. Participants were asked what they thought osteoporosis was. Unadjusted odds ratios (OR, 95% CI) were calculated to identify factors associated with a correct definition. Predictors identified in univariate analysis were entered into multivariable logistic regression models. A subset also completed the Facts on Osteoporosis Quiz.
One hundred twenty-seven patients (82% women) participated in the study, with mean (SD) age being 67.5 (12.7) years. Ninety-five (75%) respondents gave correct osteoporosis definitions. The odds of an individual providing a correct definition of osteoporosis were higher for those who reported a diagnosis of osteoporosis or those who reported higher education levels, but the odds decreased with increasing age. A total of 49 (39%) respondents completed the Facts on Osteoporosis Quiz; the average score was 13.6 (3.8) of 21. Areas that respondents scored poorly on were related to key risk factors.
Many patients with fractures are unaware of important risk factors. Education initiatives aimed at improving osteoporosis knowledge should be directed at individuals at high risk of fracture. Nurses and other allied healthcare providers working in fracture clinics, acute care, and rehabilitation settings are in an ideal position to communicate information about osteoporosis and fracture risk to individuals with a recent fragility fracture.
评估骨折患者对骨质疏松症的认知情况，并评估与骨质疏松症认知相关的因素。
对脆性骨折患者进行电话访谈。询问参与者他们认为骨质疏松症是什么。计算未调整的优势比（OR，95%可信区间）以确定与正确定义相关的因素。单因素分析中确定的预测因素被纳入多变量逻辑回归模型。一部分参与者还完成了骨质疏松症知识测验。
127名患者（82%为女性）参与了研究，平均（标准差）年龄为67.5（12.7）岁。95名（75%）受访者给出了正确的骨质疏松症定义。报告诊断为骨质疏松症或报告受教育程度较高的个体给出正确骨质疏松症定义的几率更高，但几率随着年龄增长而降低。共有49名（39%）受访者完成了骨质疏松症知识测验；平均得分为21分中的13.6（3.8）分。受访者得分较低的领域与关键风险因素有关。
许多骨折患者未意识到重要的风险因素。旨在提高骨质疏松症认知的教育举措应针对骨折高风险个体。在骨折诊所、急性护理和康复环境中工作的护士及其他相关医疗保健提供者处于向近期发生脆性骨折的个体传达骨质疏松症和骨折风险信息的理想位置。
