Bombak A E, Hanson H M
Community Health Division, Central Michigan University, 2219 Health Professions Building, Mt. Pleasant, MI 48859, USA.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, TRW Building, Room 3D10, 3280 Hospital Drive NW, Calgary, Alberta, Canada T2N 4Z6; Seniors Health Strategic Clinical Network, Alberta Health Services, FMC, South Tower, Room 1103, 1403 29th Street NW, Calgary, Alberta, Canada T2N 2T9.
J Osteoporos. 2016;2016:7915041. doi: 10.1155/2016/7915041. Epub 2016 Nov 22.
Much of the research on osteoporosis has been generated quantitatively. However, the qualitative osteoporosis literature provides valuable information on patient and clinician experiences and perspectives, informing the design and implementation of health research and healthcare services. To identify knowledge gaps and inform the design of future qualitative research, a narrative review was conducted to consolidate and synthesize the existing insights available within the qualitative osteoporosis research. Search terms reflecting the domains of osteoporosis and qualitative research were entered into the Scopus database to generate a comprehensive survey of qualitative research in the area of osteoporosis. Articles were thematically analysed and the results are presented in the form of a narrative review. Forty-four articles were included in the narrative review. Qualitative research in the field of osteoporosis research can be summarized by 3 thematic areas: the meaning of osteoporosis for patients and the public, the lived experience of an osteoporosis diagnosis, and the programmatic approach to osteoporosis prevention and treatment. Qualitative studies provide clinically valuable insights in how osteoporosis is conceptualized and managed and programmatic aspects of osteoporosis treatment. The findings of this narrative review suggest the need for balance between presenting osteoporosis as a serious health condition and producing unwarranted anxiety and inactivity so as to ensure the best possible outcomes for individuals with osteoporosis.
关于骨质疏松症的许多研究都是定量研究。然而,定性的骨质疏松症文献提供了关于患者和临床医生经历及观点的宝贵信息,为健康研究和医疗服务的设计与实施提供了参考。为了找出知识空白并为未来定性研究的设计提供信息,进行了一项叙述性综述,以整合和综合定性骨质疏松症研究中现有的见解。将反映骨质疏松症领域和定性研究的检索词输入Scopus数据库,以全面调查骨质疏松症领域的定性研究。对文章进行了主题分析,并以叙述性综述的形式呈现结果。44篇文章被纳入叙述性综述。骨质疏松症研究领域的定性研究可归纳为三个主题领域:骨质疏松症对患者和公众的意义、骨质疏松症诊断的实际经历以及骨质疏松症预防和治疗的规划方法。定性研究在骨质疏松症的概念化、管理以及骨质疏松症治疗的规划方面提供了具有临床价值的见解。这项叙述性综述的结果表明,在将骨质疏松症呈现为一种严重的健康状况与引发不必要的焦虑和不活动之间需要取得平衡,以便为骨质疏松症患者确保尽可能好的结果。