Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America.
Department of Gastroenterology Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America.
PLoS One. 2020 Jan 15;15(1):e0227765. doi: 10.1371/journal.pone.0227765. eCollection 2020.
Patients with low bone density or osteoporosis need information for effective prevention or disease management, respectively. However, patients may not be getting enough information from their primary care providers or other sources. Inadequate disease information leaves patients ill-informed and creates misconceptions and unnecessary concerns about the disease.
We systematically reviewed and synthesized the available literature to determine patient knowledge, beliefs, and concerns about osteoporosis and identify potential gaps in knowledge.
A systematic search was conducted for full-text qualitative studies addressing understanding, literacy, and/or perceptions about osteoporosis and its management, using Medline, EMBASE, Web of Science, Cochrane Library, CINAHL, ERIC, PsychINFO, Psyc Behav Sci Collec, and PubMed, from inception through September 2016. Studies were selected by two reviewers, assessed for quality, and themes extracted using the Joanna Briggs Institute data extraction tool. Thematic analysis was used to identify themes and subthemes.
Twenty-five studies with a total of 757 participants (including 105 men) were selected for analysis out of 1031 unique citations. Selected studies were from Australia, Canada, Denmark, Norway, the United Kingdom, and the United States. Four main themes emerged: inadequate knowledge, beliefs and misconceptions, concerns about osteoporosis, and lack of information from health care providers. Participants had inadequate knowledge about osteoporosis and were particularly uninformed about risk factors, causes, treatment, and prevention. Areas of concern for participants included diagnosis, medication side effects, and inadequate information from primary care providers.
Although there was general awareness of osteoporosis, many misconceptions and concerns were evident. Education on bone health needs to reinforce areas of knowledge and address deficits, misconceptions, and concerns.
患有低骨密度或骨质疏松症的患者分别需要有效的预防或疾病管理信息。然而，患者可能无法从他们的初级保健提供者或其他来源获得足够的信息。疾病信息不足会使患者缺乏信息，产生误解，并对疾病产生不必要的担忧。
我们系统地回顾和综合了现有的文献，以确定患者对骨质疏松症的知识、信念和关注点，并确定知识上的潜在差距。
系统地搜索了全文定性研究，这些研究涉及对骨质疏松症及其管理的理解、读写能力和/或认知，使用了 Medline、EMBASE、Web of Science、Cochrane Library、CINAHL、ERIC、PsychINFO、Psyc Behav Sci Collec 和 PubMed，从成立到 2016 年 9 月。由两名评审员选择研究，评估其质量，并使用 Joanna Briggs 研究所数据提取工具提取主题。使用主题分析确定主题和子主题。
从 1031 篇独特的引文中共选择了 25 项研究，共 757 名参与者（包括 105 名男性）进行分析。选定的研究来自澳大利亚、加拿大、丹麦、挪威、英国和美国。有四个主要主题：知识不足、信念和误解、对骨质疏松症的担忧以及缺乏来自医疗保健提供者的信息。参与者对骨质疏松症的知识不足，特别是对危险因素、病因、治疗和预防缺乏了解。参与者关注的领域包括诊断、药物副作用和初级保健提供者提供的信息不足。
尽管人们普遍了解骨质疏松症，但仍存在许多误解和担忧。关于骨骼健康的教育需要加强知识领域，并解决知识、误解和担忧方面的不足。
