Volume 28, Issue 98 (February 2016)                   IJN 2016, 28(98): 10-20 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mirzaee N, Mohammadi-Shahbolaghi F, Nowroozi K, Biglarian A, Rangin H. The Effect of Self- Management Training on Performance of Elderly Patients with Knee Osteoarthritis. IJN. 2016; 28 (98) :10-20
URL: http://ijn.iums.ac.ir/article-1-2250-en.html
Master of Nursing, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. (*Corresponding author) Tel: 09169552529 Email:niloofarmary91@yahoo.com
Abstract:   (1739 Views)

Abstract

Background & Aims: Osteoarthritis is a common disease, and one of the most important causes of disability in the elderly, with impaired performance as a prominent symptom. This study was conducted to assess the effect of self-management on performance of elderly patients with knee osteoarthritis attending an orthopedic clinic.

Material & Methods: In this quasi experimental study, 88 patients with osteoarthritis of the knee were selected by convenient sampling, and consisted to intervention (44 patients) and control (44 patients) groups. Initially, performance of patients was measured using WOMAC inventory. Then, the intervention group received one 70-minute session of training program per week over 4 weeks. Next, they were given the opportunity to practice the program at home for 4 more weeks. Afterwards, performance of both groups was assessed and compared. Data collected were analyzed in SPSS-18 using Chi-square and independent t-test.

Results: No significant difference was found between the two groups in mean performance before intervention (P>0/05) but after intervention, mean performance in the intervention group was significantly higher compared to the control group (P<0.05). Moreover, results showed a significant improvement in mean performance of patients in the intervention group before and after intervention (P<0.05). However, no significant difference was observed in the mean performance before and after intervention in the control group (P>0.05).

Conclusion: Results obtained showed improved performance in patients with osteoarthritis of the knee due to self-management training program. By using appropriate diet and pain relief methods, along with exercise, patients will be able to better tolerate exercise movements, and thus improve their performance.

Full-Text [PDF 734 kb]   (688 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/11/9 | Accepted: 2016/02/9 | Published: 2016/02/9

References
1. Coleman S, Briffa NK, Carroll G, Inderjeeth C, Cook N, McQuade J. A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health care professionals. Arthritis Res Ther. 2012;14(1):1.
2. Keshtkaran Z, Ghodsbin F, Solouki S, Razeghi M, Zare N. [The Impact of Self Care Education on Quality of Life of Those Clients Suffering from Osteoarthritis in Rehabilitation Centers of Shiraz University of Medical Science (Iran)]. JBUMS. 2010; 12 (1):65-70. Persian.
3. Puia D, McDonald DD. Older black adult osteoarthritis pain communication. Pain Manag Nurs. 2014;15(1):229-35.
4. Kao M-J, Wu M-P, Tsai M-W, Chang W-W, Wu S-F. The effectiveness of a self-management program on quality of life for knee osteoarthritis (OA) patients. Arch Gerontol Geriatr. 2012;54(2):317-24.1
5. Ng NTM, Heesch KC, Brown WJ. Strategies for managing osteoarthritis. Int J Behav Med. 2012;19(3):298-307.
6. Coleman S, McQuade J, Rose J, Inderjeeth C, Carroll G, Briffa NK. Self-management for osteoarthritis of the knee: Does mode of delivery influence outcome? BMC Musculoskelet Disord. 2010;11(1):1-6
7. Abdoli B, Modaberi S. [Effectiveness of physical activity on quality of life of elderly patients with osteoarthritis]. Journal of Shahrekord University of Medical Sciences. 2012;14(5):92-101. Persian.
8. McKnight PE, Kasle S, Going S, Villanueva I, Cornett M, Farr J, et al. A comparison of strength training, self‐management, and the combination for early osteoarthritis of the knee. Arthritis Care Res. 2010;62(1):45-53.
9. Schlenk EA, Lias JL, Sereika SM, Dunbar‐Jacob J, Kwoh CK. Improving physical activity and function in overweight and obese older adults with osteoarthritis of the knee: a feasibility study. Rehabil Nurs. 2011;36(1):32-42.
10. Salehi K, Hamidizadeh S, Mohamadi E, Torkaman G, Hosseini M. [The Effect of Trans-Cutaneous Electrical Nerve Stimulation (Tens) on Range of Motion and Morning Stiffness of Knee Joint on Patient with Knee Osteoarthritis]. Shahrekord university of medical science journal. 2007; 9(2): 62-7. Persian.
11. Razi M, Turkaman A. Knee injuries, prevention and treatment, Tehran, Karin, 2010. pp 22-30
12. Nelson. Orthopedic diseases and sports medicine; translation by: Barati AH, 19th edition, Tehran, Artin Medicine, 2012, pp14
13. Tal A, Shojaiezadeh D, Eslami A, Alhani F, Mohajeri MR, Sharifirad GH. [The analysis of some factors related to the prediction of self-management in Diabetic people type2]. Journal of Health System Research. 2011; 10 (3): 829-837. Persian.
14. Smith C, Kumar S, Pelling N. The effectiveness of self‐management educational interventions for osteoarthritis of the knee. JBI Database of Systematic Reviews and Implementation Reports. 2009;6(12):1091-118.
15. Siu AM, Chan CC, Poon PK, Chui DY, Chan SC. Evaluation of the chronic disease self-management program in a Chinese population. Patient Educ Couns. 2007;65(1):42-50.
16. Yip Y, Sit JW, Fung KK, Wong D, Chong SY, Chung L, et al. Effects of a self‐management arthritis programme with an added exercise component for osteoarthritic knee: randomized controlled trial. J Adv Nurs. 2007;59(1):20-8.
17. Hansson EE, Jönsson-Lundgren M, Ronnheden A-M, Sörensson E, Bjärnung Å, Dahlberg LE. Effect of an education programme for patients with osteoarthritis in primary care-a randomized controlled trial. BMC Musculoskelet Disord. 2010;11(1):244
18. Mirsaeidi Z, Eftekhar-Ardabili H, Nouri K. [Effect of a self-care program on quality of life of the elderly clients covered by health centers of Southern of Tehran]. Scientific Journal of School of Public Health and Institute of Public Health Research. 2012;10(4):17-32. Persian.
19. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. The Journal of rheumatology. 1988;15(12):1833-40.
20. Ebrahimzadeh MH, Makhmalbaf H, Birjandinejad A, Hoseini HA, Mazloumi SM. [The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in persian speaking patients with knee osteoarthritis]. The Archives of Bone and Joint Surgery. 2014;2(1):57-62. Persian
21. Kao M-J, Wu M-P, Tsai M-W, Chang W-W, Wu S-F. The effectiveness of a self-management program on quality of life for knee osteoarthritis (OA) patients. Arch Gerontol Geriatr. 2012;54(2):317-24.
22. Babaei GR, Salehi H. [Study of the Relationship Between Low Back Pain and Foot Disorders]. Journal of Sabzevar University of Medical Sciences. 2004; 10(4): 45-53. Persian.
23. Potter PA, Perry AG, Stockert P, Hall A. Fundamentals of nursing: Elsevier Health Sciences. 13th ed. Philadelphia, PA: F. A. Davis Company.2013

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb