Mobility Program Clinical Research Unit, Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
J Clin Densitom. 2010 Oct-Dec;13(4):370-8. doi: 10.1016/j.jocd.2010.07.007.
We conducted a phenomenological qualitative study to examine fracture patients' interpretations of their most recent bone densitometry results and perceptions of their current bone health. English-speaking outpatients who had sustained a fragility fracture in the previous 18-24 mo and reported having at least 1 previous bone mineral density (BMD) test were eligible. Data were collected through semistructured interviews in patients' homes. Patients were asked to describe their most recent BMD test results and perception of their bone health status based on these results. Eighteen patients (14 women and 4 men) aged 49-82 yr were recruited. BMD results showed bone density in patients to be normal (n=4), osteopenic (n=9), and osteoporotic (n=5). A correct diagnosis was recalled by 6 patients. Two common interpretations of BMD test results emerged: (1) no news was considered to be good news (n=9) and (2) evidence of compromised bone health was not considered to be serious or accurate (n=6). Medication adherence did not appear to be associated with perception of bone health or actual BMD results. Patients' perceptions of their current bone health did not correspond to the results of their most recent BMD test. Standardized bone densitometry reporting may improve patients' understanding of their bone health.
我们进行了一项现象学定性研究，以探讨骨折患者对其最近骨密度检测结果的解释以及对当前骨骼健康状况的看法。研究对象为过去 18-24 个月内发生脆性骨折且自述至少有 1 次骨矿物质密度（BMD）检测结果的讲英语的门诊患者。数据采集在患者家中通过半结构化访谈进行。患者被要求描述他们最近的 BMD 检测结果以及基于这些结果对他们的骨骼健康状况的看法。共招募了 18 名年龄在 49-82 岁的患者（14 名女性和 4 名男性）。BMD 结果显示患者的骨密度正常（n=4）、骨量减少（n=9）和骨质疏松（n=5）。有 6 名患者回忆起正确的诊断。BMD 检测结果有两种常见的解释：（1）没有消息被认为是好消息（n=9），（2）认为骨质健康受损的证据不严重或不准确（n=6）。药物依从性似乎与对骨骼健康或实际 BMD 结果的感知无关。患者对当前骨骼健康的看法与最近的 BMD 检测结果不符。标准化的骨密度报告可能会提高患者对其骨骼健康的理解。
