Abstract
Objective: To describe the current adherence to osteoporosis treatment of patients at Ninh Binh Provincial General Hospital.
Method: A cross-sectional descriptive study was conducted to assess the adherence to osteoporosis treatment including compliance with medications, physical exercise, and calcium rich diet of 251 osteoporosis patients at Ninh Binh Provincial General Hospital from April to June 2024. The study used Phan Thi Thuy’s toolkit and was re-tested with a Cronbach’s alpha index of 0.775.
Results: The overall bandscore of osteoporosis patients’ adherence to treatment was 10.21 ± 3.96 out of a total of 21 points on the scale, the lowest was 1 point and the highest was 20 points. The percentage of patients with the adherence scores of ≥ 50% of the scale was 48,6%. There were reasons make it difficult for patients to comply with treatmen such as Difficult to remember or easy to forget how to use medications; did not know how to exercise; and did not know what were calci rich foods.
Conclusion: the adherence to treatment of research osteoporosis patients was limited and these results suggest that improving adherence to treatment for osteoporosis patients is necessary and it should be noted patients’ difficulties those can be solved through counseling and health education.
Keywords
References
Sack F. Fighting the fracture cascade: evaluation and management of osteoporotic fractures. Postgrad Med. Nov 2008;120(4):51-7. doi:10.3810/pgm.2008.11.1938.
Riaz MS, Kanwal N, Rasool RG. To assess the knowledge of nurses regarding prevention of osteoporosis among nurses of Jinnah Hospital and General Hospital Lahore Pakistan. International Journal of Social Sciences and Management. 2017;4(3):202-209. DOI:10.3126/ijssm.v4i3.17803.
Reginster JY, Burlet N. Osteoporosis: a still increasing prevalence. Bone. Feb 2006;38(2 Suppl 1):S4-9. doi:10.1016/j.bone.2005.11.024.
Odén A, McCloskey EV, Kanis JA, Harvey NC, Johansson H. Burden of high fracture probability worldwide: secular increases 2010-2040. Osteoporos Int. Sep 2015;26(9):2243-8. doi:10.1007/s00198-015-3154-6.
Pisani P, Renna MD, Conversano F, et al. Major osteoporotic fragility fractures: Risk factor updates and societal impact. World J Orthop. Mar 18 2016;7(3):171-81. doi:10.5312/wjo.v7.i3.171.
Almaddah M, Alzahrani F, Gaowgzeh R, Alqarni A, Othman R, Gmmash A. Knowledge and Awareness of Osteoporosis: A Survey of Physical Therapy Providers in Saudi Arabia. Int J Clin Pract. 2024;2024:2797382. doi:10.1155/2024/2797382.
International Osteoporosis Foundation. Osteoporosis: Treatment, Adherence to treatment, available at: https://www.osteoporosis.foundation/health-professionals/treatment; date accessed 10 February 2024.
Đỗ Minh Sinh. Thực trạng loãng xương và một số yếu tố liên quan ở người cao tuổi xã Tam Thanh, Vụ Bản, Nam Định [Luận văn thạc sỹ Y tế Công cộng]. Trường Đại học Y tế công cộng. 2012.
Dương Thị Hải Ngọc. Kiến thức, thái độ, thực hành về bệnh loãng xương và một số yếu tố liên quan ở phụ nữ 40 - 65 tuổi, Quận Hoàn Kiếm, Hà Nội năm 2009. Trường Đại học Y tế công cộng; 2009.
Phan Thị Thùy. Thực trạng kiến thức và tuân thủ điều trị của người bệnh loãng xương tại Khoa Nội Xương Khớp bệnh viện Hữu Nghị Đa khoa tỉnh Nghệ An năm 2017 [Luận văn thạc sỹ]. Trường Đại học Điều dưỡng Nam Định; 2017.
Zhang Q, Cai W, Wang G, Shen X. Prevalence and contributing factors of osteoporosis in the elderly over 70 years old: an epidemiological study of several community health centers in Shanghai. Ann Palliat Med. Mar 2020;9(2):231-238. doi:10.21037/apm.2020.02.09.
World Health Organization. Technical Report Series (843); Geneva 1994, p.5.
N. Sagalla, R. Lee, R. Sloane, K. Lyles, and C. Colón-Emeric, “Factors Associated With Adherence to Osteoporosis Medications Among Male Veterans,” JBMR Plus, Vol.5, No.8, Aug. 2021, doi: 10.1002/jbm4.10498.
Paola Castrogiovanni, Francesca Maria Trovato, Marta Anna Szychlinska, Houda Nsir, Rosa Imbesi and Gluseppe Musumeci. The importance of physical activity in osteoporosis. From the molecular pathways to the clinical evidence. Histo Histopathol. 2016, 31: 1183-1194. doi: 10.14670/HH-11-793.
Khalid ElTohami, Waqas Sami, Ahmed AL Eidan, Muaath AL Mubarak, Fawaz Alotaibi. Study of Knowledge, Attitude and Practice of Osteoporpsis among Adult Women in Majmaah City, Saudi Arabia. International Journal of Health and Rehabilitation Sciences, Volume 4, Issue 3. 2015, doi: 10.5455/ijhrs.000000087.
Bộ Y tế. Hướng dẫn chẩn đoán và điều trị các bệnh cơ xương khớp. Ban hành kèm theo QĐ361/QĐ-BYT ngày 25/01/2014 Hà Nội: Nhà xuất bản Y học, 2016. Bệnh loãng xương, tr.169-174.
Etemadifar MR, Nourian SM, Fereidan-Esfahani M, Shemshaki H, Nourbakhsh M, Zarezadeh A. Relationship of knowledge about osteoporosis with education level and life habits. World J Orthop. Jul 18 2013;4(3):139-43. doi:10.5312/wjo.v4.i3.139.
Chen PH, Lin MS, Huang TJ, Chen MY. Prevalence of and factors associated with adopting bone health promoting behaviours among people with osteoporosis in Taiwan: a cross-sectional study. BMJ Open. Sep 25 2017;7(9):e015980. doi:10.1136/bmjopen-2017-015980.
Cheraghi P, Cheraghi Z, Bozorgmehr S. The Prevalence and risk factors of osteoporosis among the elderly in Hamadan province: A cross sectional study. Med J Islam Repub Iran. 2018;32:111. doi:10.14196/mjiri.32.111.
Zhang Q, Cai W, Wang G, Shen X. Prevalence and contributing factors of osteoporosis in the elderly over 70 years old: an epidemiological study of several community health centers in Shanghai. Ann Palliat Med. Mar 2020;9(2):231-238. doi:10.21037/apm.2020.02.09.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2025 Journal of Nursing Science