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甲状腺功能减退患者中频繁出现错误做法、误解和知识欠缺的情况。

Frequent Occurrence of Faulty Practices, Misconceptions and Lack of Knowledge among Hypothyroid Patients.

作者信息

Goel A, Shivaprasad C, Kolly A, Pulikkal A A, Boppana R, Dwarakanath C S

机构信息

Senior Resident, Department of Endocrinology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.

Associate Professor, Department of Endocrinology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.

出版信息

J Clin Diagn Res. 2017 Jul;11(7):OC15-OC20. doi: 10.7860/JCDR/2017/29470.10196. Epub 2017 Jul 1.

Abstract

INTRODUCTION

Hypothyroidism is a common endocrine disorder with a reported prevalence of 4%-10%. Previous studies have reported significant gaps in the basic knowledge about the condition in hypothyroid patients. It has also been observed that faulty practices prevail among these patients. There is paucity of data on the assessment of knowledge and practices among treated hypothyroid patients.

AIM

The present study was aims to assess the knowledge, awareness and practices in treated hypothyroid patients.

MATERIALS AND METHODS

The current cross-sectional study was conducted on 244 consecutive hypothyroid patients, attending the Endocrinology Outpatient Department (OPD). The patients were asked to fill a structured questionnaire pertaining to knowledge and practices about various aspects of hypothyroidism.

RESULTS

Only two-thirds of the participants correctly identified thyroid as a gland and 41% were aware that hypothyroidism is caused due to decreased function of the thyroid gland. The most common symptom attributed to hypothyroidism was weight gain (139 responses). Nearly 45% of the patients believed alternative forms of medicine can be used for treatment of hypothyroidism. It was believed by 42% of the patients that hypothyroidism runs in the family and about 10% believed it could be transferred to their spouses. Only 33% of the patients gave one hour gap between levothyroxine and food intake.

CONCLUSION

The study demonstrates the lack of knowledge about basic aspects of hypothyroidism among the patients. In addition, there is a high prevalence of misconceptions and faulty practices. The study highlights the need for comprehensive patient education to improve therapeutic outcomes and compliance among hypothyroid patients.

摘要

引言

甲状腺功能减退症是一种常见的内分泌疾病,报告患病率为4%-10%。先前的研究报告称,甲状腺功能减退症患者对该病的基本知识存在重大差距。还观察到这些患者中存在错误的做法。关于接受治疗的甲状腺功能减退症患者的知识和做法评估的数据很少。

目的

本研究旨在评估接受治疗的甲状腺功能减退症患者的知识、认知和做法。

材料与方法

本横断面研究对244名连续就诊于内分泌门诊的甲状腺功能减退症患者进行。要求患者填写一份关于甲状腺功能减退症各个方面的知识和做法的结构化问卷。

结果

只有三分之二的参与者正确识别出甲状腺是一个腺体,41%的人知道甲状腺功能减退症是由于甲状腺功能减退引起的。归因于甲状腺功能减退症最常见的症状是体重增加(139份回答)。近45%的患者认为可以使用替代医学形式治疗甲状腺功能减退症。42%的患者认为甲状腺功能减退症在家族中具有遗传性,约10%的患者认为它可以传染给他们的配偶。只有33%的患者在左甲状腺素和进食之间留出一小时的间隔。

结论

该研究表明患者对甲状腺功能减退症基本方面的知识缺乏了解。此外,误解和错误做法的患病率很高。该研究强调需要进行全面的患者教育,以改善甲状腺功能减退症患者的治疗效果和依从性。

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引用本文的文献

本文引用的文献

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Various Possible Toxicants Involved in Thyroid Dysfunction: A Review.甲状腺功能障碍中涉及的各种可能的毒物:综述
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Patient empowerment in endocrinology.内分泌学中的患者赋权
Indian J Endocrinol Metab. 2012 Jan;16(1):1-3. doi: 10.4103/2230-8210.91173.
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Delayed intestinal absorption of levothyroxine.左甲状腺素的肠道吸收延迟。
Thyroid. 1995 Aug;5(4):249-53. doi: 10.1089/thy.1995.5.249.

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