Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam-si, 463-707, South Korea.
J Bone Miner Metab. 2013 Jul;31(4):481-4. doi: 10.1007/s00774-012-0420-y. Epub 2013 Feb 23.
Treatment gap between the treatment guideline and real clinical practice of osteoporosis has been found to be worldwide. Although insufficient knowledge of guardians on osteoporosis might be one important obstacle to diagnose and treatment of osteoporotic patients, there was not a study on the knowledge of guardians. We evaluated the guardians' knowledge on osteoporosis compared with the knowledge of orthopedic doctors, using a self-administered questionnaire, a modified Facts on Osteoporosis Quiz (FOOQ). In March and April 2012, the knowledge of osteoporosis was measured in 40 guardians of hip fracture patients and 40 orthopedic surgeons using, a modified FOOQ. In terms of treatment and prevention of osteoporosis, the modified FOOQ score of the guardians have inadequate knowledge and understanding about the osteoporosis, compared with orthopedic doctors (p < 0.001). The level of guardians' knowledge on osteoporosis should be considered and improved to achieve satisfactory osteoporosis treatment in hip fracture patients.
治疗骨质疏松症的治疗指南与实际临床实践之间的差距在全球范围内都存在。尽管监护人对骨质疏松症的了解不足可能是诊断和治疗骨质疏松症患者的一个重要障碍,但目前还没有关于监护人知识的研究。我们使用自我管理问卷,即改良版骨质疏松症知识测验(FOOQ),评估了监护人的骨质疏松症知识与骨科医生的知识之间的差异。2012 年 3 月至 4 月,我们使用改良版 FOOQ 测量了 40 名髋部骨折患者的监护人以及 40 名骨科医生的骨质疏松症知识。在治疗和预防骨质疏松症方面,与骨科医生相比,监护人在骨质疏松症的治疗和预防方面的改良 FOOQ 评分显示出不足的知识和理解(p<0.001)。应当考虑并提高监护人对骨质疏松症的认识水平,以实现髋部骨折患者的满意治疗。