Background An effective and long-term treatment of osteoporosis is not possible without the active, regular participation of the patient in the process, which requires educational programs.
Objectives To evaluate the effectiveness of educational activities (schools) for patients with osteoporosis (OP).
Methods 48 patients with OP from primary group were trained in the schools (5 sessions per year), 40 patients with OP were in control group, which only visited rheumatologist 4-5 times a year. The groups were matched by sex, age, structure (primary and secondary) and the severity of OP, the presence of fractures, received therapy. At baseline and after 6 months pain intensity on VAS back pain, adherence to treatment were determined. At baseline and after 12 months determination of bone mineral density (BMD) was measured by dual energy X-ray absorptiometry
Results After 6 months of training intensity of back pain was significantly (p <0.01) decreased by 2.5 times in the primary group and by 1.5 times fold in control, 52% of patients from the primary group, and 37.5% - in the control wore an orthopedic corset. 95.8% of patients who visited schools and 90% of patients in the control group were continuously taking calcium and vitamin D during 6 months, after 12 months - 93.7% and 85% respectively. Pathogenetic therapy was applied to all patients, initially these drugs began to take 97.9% of the study group and 92.5% of the control group patients, after 6 months of continuous administration of drugs 89.5% from group trained patients and 67.5% - the control group continued treatment, after 12 months commitment to therapy was 87.5% and 42.5% in the test and control groups, respectively. Densitometry results in dynamics after 12 months showed that the increase in BMD was significantly (p <0.05) higher in the group that has been schooled for the patients and was 5,6 ± 6,2% at the spine, 4,2 ± 4,5% at the femoral neck in the main group, 3,1 ± 4,8% and 1,9 ± 3,2% respectively in the control group.
Conclusions Educational programs improve functional status and quality of patients life, remain high compliance of therapy, increase commitment to treatment.
Disclosure of Interest None Declared