Mobility Program Clinical Research Unit, Li Ka Shing Knowledge Institute, St. Michael's Hospital, St. Michael's, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada,
Osteoporos Int. 2014 Jan;25(1):281-8. doi: 10.1007/s00198-013-2405-7. Epub 2013 Jun 6.
We examined patients' self-management of bone health and fracture risk, particularly behaviors other than medication use and seeking diagnostic testing. Awareness of fracture risk was accompanied by positive lifestyle changes in participants' lives such as being careful. Future research should evaluate how lifestyle changes mitigate fracture risk.
We examined patients' understanding of bone health and self-management decisions regarding bone health and fracture risk, particularly behaviors other than medication use and seeking diagnostic testing.
A phenomenological (qualitative) study was conducted. English-speaking patients, 65+ years old, who were "high risk" for future fracture and prescribed pharmacotherapy after being screened through a post-fracture osteoporosis initiative were eligible. Patients were interviewed for 1-2 h and were asked to discuss perceptions of bone health status (bone densitometry results and perceived fracture risk), recommendations received for bone health, and lifestyle changes since their most recent fracture. We analyzed the data guided by Giorgi's methodology.
We interviewed 21 fracture patients (6 males and 15 females), aged 65 to 88 years old. With the exception of one participant, all participants appeared to understand that they had low bone mass and were at risk of sustaining another fracture. Most participants (n = 20) were predominantly concerned about being careful, and they focused their responses on personal and environmental factors that they perceived to be modifiable. Participants also spoke about strategies to manage their bone health such as exercise, having a healthy diet and taking supplements, and using aids and devices. Non-pharmacological strategies used by patients appeared to be independent of current use of pharmacotherapy.
Awareness of fracture risk was accompanied by a number of positive lifestyle changes in participants' lives such as being careful and engaging in exercise. Future research needs to evaluate how lifestyle changes such as being careful mitigate fracture risk.
我们研究了患者对骨骼健康和骨折风险的自我管理，特别是药物使用和寻求诊断性检查以外的行为。参与者对骨折风险的认识伴随着生活方式的积极改变，例如小心谨慎。未来的研究应该评估生活方式的改变如何降低骨折风险。
我们进行了一项现象学（定性）研究。符合条件的参与者为年龄在 65 岁及以上、因骨折后骨质疏松症计划而接受药物治疗的英语患者，且他们存在未来骨折的“高风险”。对患者进行了 1-2 小时的访谈，要求他们讨论对骨骼健康状况（骨密度测定结果和感知的骨折风险）的看法、对骨骼健康的建议，以及最近骨折后的生活方式变化。我们根据 Giorgi 的方法对数据进行了分析。
我们采访了 21 名骨折患者（6 名男性和 15 名女性），年龄在 65 至 88 岁之间。除了一名参与者外，所有参与者似乎都明白他们的骨量低，有再次骨折的风险。大多数参与者（n=20）主要关注的是小心谨慎，他们的回答集中在他们认为可以改变的个人和环境因素上。参与者还谈到了管理骨骼健康的策略，如锻炼、健康饮食和补充剂，以及使用辅助器具。患者使用的非药物策略似乎与当前药物治疗的使用无关。
对骨折风险的认识伴随着参与者生活中许多积极的生活方式改变，例如小心谨慎和进行锻炼。未来的研究需要评估生活方式的改变，如小心谨慎，如何降低骨折风险。
