Ishtaya Ghaith A, Anabtawi Yazan M, Zyoud Sa'ed H, Sweileh Waleed M
Division of Human Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
Department of Clinical and Community Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
BMC Musculoskelet Disord. 2018 Feb 7;19(1):43. doi: 10.1186/s12891-018-1961-6.
Osteoporosis is a potential metabolic complication of diabetes mellitus (DM). Therefore, patients with DM should have adequate osteoporosis knowledge and beliefs in order to get engaged in osteoporosis preventive behaviors. The objective of this study was to assess osteoporosis knowledge and beliefs among diabetic patients.
This was a cross sectional study carried out at Al-Makhfiah governmental primary healthcare unit in Nablus, Palestine from September 2016 to December 2016. The tools used to assess knowledge and beliefs were Osteoporosis Health Belief Scale (OHBS) and the Osteoporosis Knowledge Test (OKT) respectively.
Three hundred diabetic patients were interviewed regarding their knowledge and belief about osteoporosis. The study sample included 192 (64.0%) females. Mean ± standard deviation (SD) of the participants was 58.5 ± 9.3 years. Regarding co-morbidities, 229 (76.3%) had at least one co-morbidity other than DM. The majority of participants incorrectly answered 19 out of 32 questions of OKT scale. The mean OKT score was 13.5 ± 4.2 indicating poor osteoporosis - related knowledge. Females had significantly higher nutrition (p = 0.037), exercise (p = 0.043), and OKT score (p = 0.021) than males. Regarding OHBS, female participants had significantly higher belief score of susceptibility (p < 0.01) and seriousness (p < 0.01) of osteoporosis compared to males.
Diabetic patients had poor osteoporosis knowledge and moderate perception of susceptibility and seriousness of osteoporosis. These results require implementation of awareness programs among DM patients to increase their practices regarding preventive measures of osteoporosis such as calcium intake and exercise.
骨质疏松症是糖尿病（DM）潜在的代谢并发症。因此，糖尿病患者应具备足够的骨质疏松症知识和信念，以便采取骨质疏松症预防行为。本研究的目的是评估糖尿病患者的骨质疏松症知识和信念。
这是一项于2016年9月至2016年12月在巴勒斯坦纳布卢斯的Al-Makhfiah政府初级医疗保健单位进行的横断面研究。分别用于评估知识和信念的工具是骨质疏松症健康信念量表（OHBS）和骨质疏松症知识测试（OKT）。
就其对骨质疏松症的知识和信念，对300名糖尿病患者进行了访谈。研究样本包括192名（64.0%）女性。参与者的平均年龄±标准差（SD）为58.5±9.3岁。关于合并症，229名（76.3%）患者除糖尿病外至少有一种合并症。大多数参与者在OKT量表的32个问题中答错了19个。OKT平均得分为13.5±4.2，表明骨质疏松症相关知识较差。女性在营养（p = 0.037）、运动（p = 0.043）和OKT得分（p = 0.021）方面显著高于男性。关于OHBS，与男性相比，女性参与者对骨质疏松症易感性（p < 0.01）和严重性（p < 0.01）的信念得分显著更高。
糖尿病患者骨质疏松症知识较差，对骨质疏松症易感性和严重性的认知中等。这些结果需要在糖尿病患者中开展提高认识项目，以增加他们在骨质疏松症预防措施（如钙摄入和运动）方面的实践。
