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提高巴基斯坦老年女性骨关节炎护理意识的迫切需求:一项横断面研究

The Pressing Need to Raise Awareness about Osteoarthritis Care among Elderly Females in Pakistan: A Cross-sectional Study.

作者信息

Saeed Fatima, Humayun Amal, Fatima Syeda M, Junaid Vashma, Imtiaz Hooria, Zehra Maheen, Zahid Amna, Channa Ayesha, Meherally Anjiya I, Shah Zunaira Z, Hoosseny Amreen, Khurshid Aiman, Tariq Salman, Mahmood Samar, Fatima Kaneez

机构信息

Medicine, United Medical and Dental College, Karachi, PAK.

Internal Medicine, Ziauddin Medical University, Karachi, PAK.

出版信息

Cureus. 2019 Aug 1;11(8):e5302. doi: 10.7759/cureus.5302.

Abstract

Introduction Osteoarthritis (OA) is the single-most common cause of physical disability among adults. In view of its promising management modalities, an analysis of the level of awareness among the suspected individuals and their attitudes is crucial to assess the level of their implementation. This study aimed to do that among the female population in Karachi, Pakistan. Methods This cross-sectional study was conducted among 316 elderly females (≥60 years) in Karachi in 2018. Data were collected via a structured questionnaire, which included sections titled: demographics, knowledge, attitudes, and practices. Data were analyzed using the Statistical Package for Social Sciences (version 20.20, IBM, Armonk, New York, US), and chi-square tests were used to assess the connection between OA care and socioeconomic statuses. Mean and standard deviation were calculated for quantitative variables. Results A considerable portion (48%, n = 152) of the participants were from a lower socioeconomic background, and 51% of them had a history of joint pain. Significantly, 63% of the participants (n = 199) attributed their joint pain to age, while nearly half attributed it to their diet and exercise habits. A major segment (73%, n = 230) of the participants, irrespective of their socioeconomic backgrounds, had visited a doctor for their joint complaints. Around 65% of the participants said they would never undergo a knee-joint replacement, regardless of how worse their symptoms might get. Additionally, 36% of the participants were unsatisfied with their current treatment, while more than half of the participants said that medication would improve their condition. Conclusions Our results demonstrate a connection between the lack of awareness about OA and the factors negatively affecting its management. They also point towards areas that require focused efforts for better awareness.

摘要

引言

骨关节炎(OA)是成年人身体残疾的最常见单一原因。鉴于其有前景的管理模式,分析疑似患者的认知水平及其态度对于评估这些模式的实施程度至关重要。本研究旨在对巴基斯坦卡拉奇的女性人群进行此项分析。

方法

2018年,在卡拉奇对316名老年女性(≥60岁)进行了这项横断面研究。通过一份结构化问卷收集数据,问卷包括以下部分:人口统计学、知识、态度和实践。使用社会科学统计软件包(版本20.20,IBM,美国纽约州阿蒙克)对数据进行分析,并使用卡方检验评估OA护理与社会经济地位之间的关联。对定量变量计算均值和标准差。

结果

相当一部分(48%,n = 152)参与者来自社会经济背景较低的群体,其中51%有关节疼痛史。值得注意的是,63%的参与者(n = 199)将关节疼痛归因于年龄,而近一半的参与者将其归因于饮食和运动习惯。大部分(73%,n = 230)参与者,无论其社会经济背景如何,都因关节问题看过医生。约65%的参与者表示,无论症状变得多严重,他们都不会接受膝关节置换。此外,36%的参与者对当前治疗不满意,而超过一半的参与者表示药物会改善他们的状况。

结论

我们的结果表明,对OA缺乏认知与对其管理产生负面影响的因素之间存在关联。这些结果还指出了需要集中努力以提高认知的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c33d/6768615/df4047ece1db/cureus-0011-00000005302-i01.jpg

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