Development of a Model for Caring for Osteoarthritis in the Community by Nurse Practitioners, Thai Traditional Medicine Practitioners, and Thai Community Masseuses
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Abstract
Purpose: To develop and study the effects of a model for caring for osteoarthritis in the community involving nurse practitioners, Thai traditional medicine practitioners, and Thai community masseuses.
Design: Research & Development
Methods: The research surveyed the proportion and severity of osteoarthritis. The sample group was divided into: 1) 136 individuals aged 50 years and over to study problems and needs for care, 2) Practical nurses, Thai traditional medicine practitioners, and community Thai masseuses (18 people in total) to develop a care model, and 3) Forty individuals with knee osteoarthritis who were purposively selected to implement and evaluate the osteoarthritis care model in the community. Tools used included: 1) An osteoarthritis screening assessment form, 2) An osteoarthritis severity assessment form, and 3) An evaluation form for osteoarthritis care in the community, with content validity indices of 0.85, 0.87, and 0.81, respectively. Interrater reliability coefficients were 0.82, 0.84, and 0.79, respectively. Data were analyzed using content analysis and the t-test.
Results: The self-management behavior of individuals with knee osteoarthritis significantly improved (p < 0.05). Pain levels and severity of osteoarthritis significantly decreased (p < 0.05).
Conclusion: The results of this study demonstrate that a care model for osteoarthritis in the community, collaboratively developed by practical nurses, Thai traditional medicine practitioners, and community Thai masseuses through a health partnership process, can lead to improved self-management behavior and reduced pain levels and osteoarthritis severity.
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ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
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