<p>Patient demographics of the survey respondents.</p>

Introduction Although cortisone injections are commonly used, patient understanding of cortisone is variable and often affected by misconceptions. This study explores patient perspectives, identifies misconceptions, and emphasizes the importance of improved patient education to enhance patient-centered care. Methods A cross-sectional survey study was conducted from April to August 2024 among patients aged 18 and older presenting to an orthopedic physicians’ office. Patients completed a novel anonymous questionnaire designed to assess their knowledge and perceptions of cortisone injections. A total of 246 patients participated, with responses collected electronically via SurveyMonkey. Results Among 246 respondents, individuals with history of prior cortisone infections were significantly more likely to correctly identify its anti-inflammatory role (p < 0.05). Overall, 96% of respondents reported awareness of cortisone injections. However, many learned from personal connections rather than healthcare professionals as their primary source of information Most respondents (87%) reported receiving satisfactory explanations from their physicians, while 13% reported inadequate communication. A majority indicated willingness to receive cortisone injections if clinically indicated (84%). Despite this,concerns regarding safety persist, with 37% associating safety with dosage and injection frequency, and 15% reporting uncertainty about potential risks. Conclusion Misconceptions regarding cortisone injections remain prevalent, highlighting gaps in patient understanding. Although most patients recognize the anti-inflammatory effects of cortisone, knowledge deficits persist regarding safe dosing parameters and potential risks. Improved communication between healthcare providers and patients about cortisone’s mechanism of action and safety profile may support more informed clinical decision-making and outcomes.引言 尽管可的松注射（cortisone injections）在临床实践中应用广泛，但患者对可的松的认知程度参差不齐，且常受错误观念的干扰。本研究旨在探讨患者的认知视角，明确其存在的认知误区，并强调加强患者教育对提升以患者为中心的医疗服务的重要性。 方法 本研究于2024年4月至8月开展横断面调查研究，研究对象为18岁及以上就诊于骨科门诊的患者。研究者设计了一款全新的匿名调查问卷，用于评估患者对可的松注射的认知与态度。本次调查共纳入246名患者，通过SurveyMonkey平台以电子方式收集问卷反馈。 结果 在246名受访者中，既往有可的松感染史的患者能够正确识别其抗炎作用的比例显著更高（p<0.05）。总体而言，96%的受访者表示知晓可的松注射。但多数患者的主要信息来源并非医疗专业人员，而是来自个人社交关系。大多数受访者（87%）表示从主治医生处获得了满意的相关解释，仅13%的受访者认为沟通不够充分。多数患者（84%）表示若临床有指征，愿意接受可的松注射。尽管如此，患者仍存在安全顾虑：37%的患者将安全问题与注射剂量及频次相关联，另有15%的患者表示对潜在风险存在认知模糊。 结论 目前患者对可的松注射仍存在普遍的认知误区，反映出患者健康教育存在缺口。尽管多数患者能够认识到可的松的抗炎作用，但在安全剂量参数及潜在风险方面仍存在知识盲区。加强医疗服务提供者与患者之间关于可的松作用机制及安全特性的沟通，将有助于患者做出更明智的临床决策，改善诊疗结局。