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对骨质疏松症患者的解释性描述,并将骨质疏松症管理建议融入其生活方式中。

An interpretive descriptive approach of patients with osteoporosis and integrating osteoporosis management advice into their lifestyle.

机构信息

Department of Rehabilitation Sciences, Faculty of Health Science, Western University, London, Ontario, Canada.

Physical Therapy and Surgery, Western University, London, Ontario, Canada.

出版信息

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2070976. doi: 10.1080/17482631.2022.2070976.

Abstract

INTRODUCTION

Although osteoporosis-exercise recommendations have been established, implementation of the information remains a challenge for people with osteoporosis. This study aimed to understand how participants integrate osteoporosis management advice into their lifestyle and the challenges they might face.

METHODS

Integrative descriptive methods were used for this qualitative study. In-depth interviews were conducted with 13 Canadian participants (age range 51-90) that knew they had osteoporosis. Participants were asked to participate in one-on-one interviews; discussing exercise, nutrition and falls prevention for people with osteoporosis.

RESULTS

The following themes emerged from this study: understanding fragility fractures and fall risk, knowledge acquisition through personal and vicarious experience over the lifespan, awareness of environmental risks and opportunities, understanding the effect of exercise on the bones and in life, challenges managing exercise expectations, attitude towards non-pharmacological management.

CONCLUSION

Participants recognized the benefit of non-pharmacological management for managing osteoporosis, but sometimes found it difficult to integrate into their daily activities due to lack of time or knowledge. Participants weren't always clear on which component of their osteoporosis management should be prioritized.

摘要

简介

尽管已经制定了骨质疏松症-运动建议,但对于骨质疏松症患者来说,将这些信息付诸实践仍然具有挑战性。本研究旨在了解参与者如何将骨质疏松症管理建议融入他们的生活方式,以及他们可能面临的挑战。

方法

本研究采用综合描述性方法。对 13 名加拿大参与者(年龄 51-90 岁)进行了深入访谈,这些参与者知道自己患有骨质疏松症。参与者被要求参加一对一的访谈,讨论骨质疏松症患者的运动、营养和防跌倒问题。

结果

本研究出现了以下主题:了解脆性骨折和跌倒风险、通过个人和终生的间接经验获得知识、对环境风险和机会的认识、了解运动对骨骼和生活的影响、管理运动期望的挑战、对非药物治疗的态度。

结论

参与者认识到非药物治疗对管理骨质疏松症的好处,但由于缺乏时间或知识,有时难以将其融入日常生活。参与者并不总是清楚他们的骨质疏松症管理的哪个部分应该优先考虑。

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A broader strategy for osteoporosis interventions.骨质疏松症干预的更广泛策略。
Nat Rev Endocrinol. 2020 Jun;16(6):333-339. doi: 10.1038/s41574-020-0339-7. Epub 2020 Mar 17.
2
Exercise for improving outcomes after osteoporotic vertebral fracture.改善骨质疏松性椎体骨折后预后的运动
Cochrane Database Syst Rev. 2019 Jul 5;7(7):CD008618. doi: 10.1002/14651858.CD008618.pub3.
5
Application of ICF conceptual framework in Osteoporosis.ICF 概念框架在骨质疏松症中的应用。
Physiother Theory Pract. 2020 Oct;36(10):1077-1087. doi: 10.1080/09593985.2018.1563932. Epub 2019 Jan 10.

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