The Effects of a Self-Management Program to Prevent Osteoarthritis in Pre-Aging Group
Keywords:
pre-geriatric group, program, self-management behavior, leg muscle strength, severity of osteoarthritisAbstract
The purpose of this quasi-experimental research was to study the effects of a self-management program for prevention of osteoarthritis in pre-elderly people. The sample group was 60 pre-elderly people who were randomly selected, then distributed in either experimental or group (30 people per group). The research instrument was an 8-Week self-management program to promote knowledge and self-management of osteoarthritis. It consisted of 6 steps that focused on adjusting knee behavior, exercising leg muscles, so to reducing the severity of pain from osteoarthritis. The data collection instrument was divided in 4 parts: a) general information, b) behaviors to prevent osteoarthritis and assess leg muscle strength, c) assessment of osteoarthritis severity, and d) quality control of the instrument. Using the Cronbach's alpha coefficient formula, the reliability of the behavior questionnaire was at the .65 level, while the osteoarthritis severity assessment yielded the .92 level. Data were analyzed using descriptive statistics and independent and paired t-tests. Results were as follows.
1. After using the program, the experimental group had significantly better osteoarthritis prevention behavior than before using the program (p-value < .05), and significantly better than the control group (p-value < .05).
2. After using the program, the experimental group had significantly better leg muscle strength than before (p-value < .05), and significantly better than the control group (p-value < .05).
3. After using the program, the experimental group had a mean score of osteoarthritis severity that was equal from before using the program, and was not different from the comparison group (p-value < .05).
Therefore, this self-management program to prevent osteoarthritis in the pre-elderly segment of population can be applied.
References
Chakrothai, S. (2017). Self-management with Physical Activity in Elderly Patients with Osteoarthritis. Retrieved March 4, 2024 from http://cmuir.cmu.ac.th/jspui/handle/6653943832/30492.
Creer, L. T. (2000). Self-management of Chronic Lllness. Handbook of Self-regulation. California: Academic. 601-629. Department of Health, Ministry of Public Health. (2016). Annual Report on Health and Health. Retrieved March 10, 2024 from https://www.chiangmaihealth.go.th/cmpho_web/document/160105145198009251.doc
George, D., & Mallery, P. (2024). IBM SPSS Statistics 29 Step by Step: A Simple Guide and Reference. Routledge.
Kalaphakdee, U., Amnatsatsue, K., Kerdmongkol, P., & Rawiwarakul, T. (2020). The Effects of a Self- Management Program on Elderly Patients with Osteoarthritis in Ang Thong Province [Master of Science Thesis]. Public Health, Mahidol University.
Kankayan, C., Charoennukul, A., & Vayo, W. (2020). Delaying the onset of osteoarthritis before entering old age. Rama Nurse Journal, 26(1), 5-17. (in Thai)
Khiewkham, J. (2018). The application of clinical nursing practice guideline on reducing severity of knee osteoarthritis in the elderly at Cha-um district in Petchaburi province. Christian University Journal, 16(2), 1-13.
Khotwong, V., & Singhasalasang, A. (2023). Effects of knee joint exercises with Thai hermit exercise Program on primary knee osteoarthritis delay among overweight middle-aged women. Journal of Narathiwat Rajanagarindra University, 15(1), 15-29. (in Thai)
Meechana, P., Khansakon, N., Silawan, T., Rawiwarakul, T., & Pichaisanit, P. (2017). Preparing the pre- elderly population for a quality aging society Nong Ya Sai subdistrict, Nong Ya Sai district, Suphan Buri province. Eastern Asia University Academic Journal, 11(1), 45-56. (in Thai)
Narin, R., Tueanrat, W., & Boonchieng, W. (2015). Development of a care program for the elderly with osteoarthritis of the knee through community participation. Nursing Journal, 42(3), 170-181. (in Thai)
Nutchasin, R., & Chongtham S. (2022). Results of a program to care for the elderly with osteoarthritis by community participation, with traditional Thai massage combined with herbal wraps and self-care, to the level of knee joint severity dementia of the elderly. Journal of Nursing and Health Sciences, 45(2), 93–110. (in Thai)
Pho-un, C. (2019). Study of the effects of a self-management program to slow the severity of osteoarthritis in the elderly. [Master of Nursing Science Thesis] Nursing Community Practice, Faculty of Nursing, Huachiew Chalermprakiet University. (in Thai)
Polit, D. F., & Beck, C. T. (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health, 29(5), 489-497
Praiwan, P. (2017). The Effects of a Self-Efficacy Promotion Program on Weight Control on Self-Efficacy, Weight Control Behavior, and Body Weight in Overweight Patients with Osteoarthritis. [Master of Nursing Science Thesis] Community Nursing Practice Program. Naresuan University. (in Thai)
Simantha, D., Tudpor, K., & Prasomrak, P. (2018). Results of the rubber exercise program, stretching combined with promoting healthy behaviors to delay osteoarthritis in the elderly, Kut Hae Subdistrict, Loeng Nok Tha District, Yasothon Province. Journal of Nursing and Care Health, 36(2), 41–48. (in Thai)
Sports Scientist, Department of Physical Education, Ministry of Tourism and Sports. (2019). Physical Fitness Tests and Standards for Adults Aged 19–59 Years. Retrieved March 12, 2024 from https://digital_collect.lib.buu.ac.th/ebook/b00332984.pdf
Surin, D., & Saitha, S. (2023). Effectiveness of a self-management program with exercise and heat therapy for the muscles around the knee joint in elderly patients with osteoarthritis. Network Primary Care Services, Hang Chat Hospital, Lampang Province. Journal of Physical Therapy, 45(2), 97-111. (in Thai)
Teeprakphanithit, K. (2018). Perception of osteoarthritis among working-age adults and daily living behaviors among working-age people in Songkhla Province. Journal of Health Education, Faculty of Public Health, Nakhon Ratchasima Rajabhat University, 9(4), 69-85. (in Thai)
World Health Organization. (2020) Relationships between osteoporosis knowledge, risk of falls and fall prevention behavior in older Thai females at risk of osteoporosis. Thai Journal of Public Health, 50(3), 1-16. (in Thai)
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