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Post Reprod Health. 2018 Mar;24(1):26-33. doi: 10.1177/2053369118755189. Epub 2018 Feb 2.

Left in limbo - Experiences and needs among postmenopausal women newly diagnosed with osteoporosis without preceding osteoporotic fractures: A qualitative study.

Author information

1
1 Centre for Innovative Medical Technology, 11286 Odense University Hospital , Odense, Denmark.
2
2 Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
3
3 Department of Endocrinology, 11286 Odense University Hospital , Odense, Denmark.
4
4 Institute of Public Health, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.
5
5 Health Informatics and Technology, The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, Odense, Denmark.
6
6 Centre for the Integration of Medicine and Innovative Technology, Boston, MA, USA.
7
7 Division of General Medicine, 2348 Massachusetts General Hospital , Boston, MA, USA.
8
8 HC Andersen Children's Hospital, 11286 Odense University Hospital , Odense, Denmark.

Abstract

Introduction Despite the fact that the first osteoporotic fracture is preventable, osteoporosis is still a major health challenge. The disease is highly prevalent among postmenopausal women. However little is known about how to meet and support women, when they are diagnosed with osteoporosis without preceding fractures. Therefore this study aims at gaining a deeper understanding of how women experience being diagnosed. Furthermore to describe and identify their needs, which should be met in future healthcare services. Methods We conducted a phenomenological qualitative study. We included 17 women aged 52-65 and collected data through semi-structured interviews. We analysed data following Giorgi's methodology. Findings Needs among the women were classified into three main themes: (1) needs of targeted and tailored information about osteoporosis, (2) needs of being prepared for GP visit to participate in treatment decision-making and (3) needs of being able to take care of bone health. Conclusion and implications In general the women experienced as been left 'in limbo', and they requested targeted and tailored information about osteoporosis. In particular, they want information about dual-energy X-ray absorptiometry (DXA) scan results and treatment options in advance of the GP visit. This will help them in being prepared and able to participate in treatment decisions. They ask for support in self-management of the disease with less focus on disease and risk of fracture. Instead, they demand more attention on the benefits of detecting early stage osteoporosis. The study highlights the call for new approaches to postmenopausal women newly diagnosed with osteoporosis without preceding fractures.

KEYWORDS:

Experiences; needs; osteoporosis; postmenopause; qualitative study

PMID:
29392982
DOI:
10.1177/2053369118755189
[Indexed for MEDLINE]

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