Jo Won Seok, Cho Eun Hee, Kang Beon Jung, Kwon Gi Du, Ha Yong-Chan, Jang Sunmee, Kim Ha Young
Department of Internal Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea.
Department of Internal Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea.
J Bone Metab. 2018 May;25(2):115-121. doi: 10.11005/jbm.2018.25.2.115. Epub 2018 May 31.
The purpose of this study was to determine the impact of an educational intervention that includes information sharing about absolute fracture risk on the knowledge of osteoporosis and modifiable risk factors among Korean patients with osteoporosis.
Adults aged >50 years who visited the outpatient clinic for osteoporosis were recruited. Subjects with trauma-related fractures or pathological fractures were excluded. The anthropometric data and clinical risk factors for fracture were collected at baseline. The participants completed the survey questionnaire that measured their knowledge regarding osteoporosis at baseline and then received information about the risk of fracture and individual education. Fracture risk was classified into five groups according to degree. The post-survey was conducted 3 months later. The pretest results were compared with the posttest results.
In this study, 179 subjects (15 men and 164 women) were enrolled. After the educational intervention, the mean osteoporosis knowledge score significantly increased from 10.6±5.7 at pre-education (baseline) to 11.7±6.3 at post-education (<0.001). When comparing the pre- and post-education Korean fracture risk scores, a negligible difference was found between the "very low risk" and "low risk" groups. However, the scores in the "very high risk" and "high risk" groups decreased from 77.6% to 76.0%. We found a difference over time only in physical activity.
Simple educational intervention is effective in increasing osteoporosis knowledge among Korean patients with osteoporosis. It may confer some benefit by providing information about osteoporotic fracture risks to improve knowledge and awareness regarding osteoporosis.
本研究的目的是确定一项教育干预措施的影响,该措施包括分享关于绝对骨折风险的信息,对韩国骨质疏松症患者的骨质疏松症知识和可改变风险因素的影响。
招募年龄大于50岁到门诊就诊的骨质疏松症患者。排除有创伤相关骨折或病理性骨折的受试者。在基线时收集人体测量数据和骨折的临床风险因素。参与者在基线时完成测量其骨质疏松症知识的调查问卷,然后接受骨折风险信息和个性化教育。骨折风险根据程度分为五组。3个月后进行调查后测试。将测试前结果与测试后结果进行比较。
本研究共纳入179名受试者(15名男性和164名女性)。教育干预后,骨质疏松症知识平均得分从教育前(基线)的10.6±5.7显著提高到教育后的11.7±6.3(<0.001)。比较教育前后的韩国骨折风险评分时,发现“极低风险”和“低风险”组之间差异可忽略不计。然而,“极高风险”和“高风险”组的评分从77.6%降至76.0%。我们发现仅在体育活动方面随时间有差异。
简单的教育干预对增加韩国骨质疏松症患者的骨质疏松症知识有效。通过提供骨质疏松性骨折风险信息以提高对骨质疏松症的认识,可能会带来一些益处。