Lee Kyung-Hag, Lee Guhyun, Lee Taehyun, Byun Dong-Won, Ha Yong-Chan
Department of Orthopedic Surgery, National Medical Center, Seoul, Korea.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
J Bone Metab. 2024 Feb;31(1):63-74. doi: 10.11005/jbm.2024.31.1.63. Epub 2024 Feb 29.
Patient perception is a key element in improving compliance with medications for osteoporosis. This study evaluated the awareness, perception, sources of information, and knowledge of osteoporosis among Korean women with osteoporosis.
A questionnaire survey was conducted from July 22, 2021 to 13 August 2021. Patients who were followed up in endocrinology (Endo), orthopedic surgery (OS), and gynecology (GY) were recruited (N=40, 40, and 20 in each group). Patients were allocated according to their age, as follows: 15, 15, and 10 patients in their 60s, 70s, and 80s for Endo and OS, and 10 and 10 patients in their 60s and 70s for GY. The questionnaire was composed of the following topics: patient journey to the hospital, drug-related issues, communication with medical doctors, patient knowledge, and sources of information about osteoporosis.
The results of medical check-ups were the most common reason for patient visits to the hospital for an initial diagnosis of osteoporosis (61%). A knowledge gap regarding mortality, refracture, and drug-induced osteoporosis was observed. Doctors were the most preferred and trustful source of information, while health-related TV shows were the second most common source of information. Patients with OS reported lower perceived severity and higher drug discontinuation, along with a higher proportion of fractures, as the initial reasons for hospital visits for osteoporosis.
Variations in perceptions according to the issue and group were identified. These should be considered during patient consultations to improve compliance with osteoporosis treatment.
患者认知是提高骨质疏松症药物依从性的关键因素。本研究评估了韩国骨质疏松症女性对骨质疏松症的认知、看法、信息来源和知识。
于2021年7月22日至2021年8月13日进行问卷调查。招募了在内分泌科(Endo)、骨科手术(OS)和妇科(GY)接受随访的患者(每组分别为40、40和20例)。患者按年龄分配如下:Endo和OS组中,60多岁、70多岁和80多岁的患者分别为15、15和10例,GY组中60多岁和70多岁的患者分别为10例和10例。问卷由以下主题组成:患者就医过程、药物相关问题、与医生的沟通、患者知识以及骨质疏松症的信息来源。
体检结果是患者因骨质疏松症初诊而到医院就诊的最常见原因(61%)。观察到在死亡率、再骨折和药物性骨质疏松症方面存在知识差距。医生是最受青睐和信任的信息来源,而与健康相关的电视节目是第二常见的信息来源。OS组患者报告的感知严重程度较低、药物停药率较高,且骨折比例较高,这些是因骨质疏松症到医院就诊的最初原因。
确定了根据问题和组别不同而存在的认知差异。在患者咨询过程中应考虑这些差异,以提高骨质疏松症治疗的依从性。