Quality of Life of Knee Osteoarthritis Patients in Nopparat Rajathanee Hospital

Main Article Content

บุษรา วาจาจำเริญ
ณัฏฐิญา ค้าผล
สุรสิทธิ์ ล้อจิตรอำนวย

Abstract

Objective: To determine the quality of life of osteoarthritis patients with different severity in Nopparat Rajathanee Hospital using the modified Thai WOMAC questionnaire. Methods: This study enrolled 194 eligible osteoarthritis patients at Nopparat Rajathanee Hospital. The patients were interviewed with the modified Thai WOMAC questionnaire. Results: Most of osteoarthritis patients in the study were women (81.6%) with the mean age of 65.05±10.17 years, mean body mass index of 26.31 ±3.78 kg/ m2, and pain score at 5.55±2.65 (full score = 10). There were 34.5% and 27.8% of subjects with the severity level 4 and 3, respectively, according to the Kellgren-Lawrence grading system. The measurement of quality of life with pain subscale showed that the patients reported the highest pain score on climbing up and down the stairs and the lowest score on sitting or lying down. For stiffness, patients perceived it as a minor problem. The assessment of physical function revealed that the most difficult activity was climbing up the stairs and the least difficult activity was getting in and out of bathroom. There were no differences of quality of life in pain and stiffness among patients with different severity levels. However, patients with KL = 4 reported a significantly lower level of quality of life in physical functioning than those with KL = 2 did. Conclusions: Osteoarthritis affected patients’ quality of life in pain and physical function. Although, there was no difference of overall quality of life among patients with different severity levels, health practitioners should consider relieving of patients’ pain to improve patients’ quality of life.

Article Details

Section
Research Articles

References

1. National Institute for Health & Clinical Excellence. NICE clinical guideline 59 Osteoarthritis: the care and management of osteoarthritis in adults [online] . 2008 [Cited April 10, 2013]. Available from www. nice.org.uk/cg59.

2. Woolf AD, Pfleger B. Burden of major musculo- skeletal conditions. Bull World Health Organ 2003 ; 81: 646-56.

3. Chaiamnuay P, Darmawan J, Muirden KD, Assawa -tanabodee P. Epidemiology of rheumatic disease in rural Thailand: a WHO-ILAR COPCORD study:. Community Oriented Programme for the Control of Rheumatic Disease. J Rheumatol 1998; 25: 1382-7.

4. Kuptniratsaikul V, Nilganuwong S, Tosayanonda O, Thamalikitkul V. The epidemiology of osteoarthritis of the knee in elderly patients living an urban area of Bangkok. J Med Assoc Thai 2002; 85: 154-61.

5. Prasatkul P, Wapattanawong P. Changes in Population structure [online]. 2012[ Cited May 5, 2013]. Available from www.hiso.or.th/hiso/picture/ report Health/ThaiHealth2012/thai2012_2.pdf.

6. Muraki S. Akune T, Oka H, En-yo Y, Yoshida M, Saika A,et al. Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population-based cohort study in Japan: the ROAD study. Osteoarthritis Cartilage 2010; 18:1227-34.

7. Salaffi F, Carotti M, Stancati A, Grassi W. Health-related quality of life in older adults with symptom- matic hip and knee osteoarthritis: a comparison with matched healthy controls. Aging Clin Exp Res 2005; 17: 255-63.

8. The Royal College of Orthopaedic Surgeons of Thailand. Clinical practice guideline of knee osteo- arthritis: Bangkok; 2011.

9. Cochran WG. Sampling techniques. 3rd ed. New York: John Wiley & Sons; 1977.

10. Kuptniratsaikul V, Rattanachaiyanont M. Validation of a modified Thai version of the Western Ontario and McMaster (WOMAC) osteoarthritis index for knee osteoarthritis. Clin Rheumatol. 2007; 26: 1641-5.

11. Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health 1994; 84: 351-8.

12. Ditsuwan P. Knee osteoarthritis. [online] 2013 [Cited April 11, 2016]. Available from www.rcost.or .th/web/index.php?option=com_content&view=article&id=8:2010-01-28-07-13-35&catid=19&Itemid= 109.

13. Van GM, Veenhof C, Spreeuwenberg P, Coene N, Burger BJ, Schaardenburg D, et al. Prognosis of limitations in activities in osteoarthritis of the hip or knee: a 3-year cohort study. Arch Phys Med Rehabil 2010; 91: 58-66.

14. Martin L, Magro C, Valenza C, Castellote Y, Caracuel JC, Fajardo M, Valenza G, et al. Clinical tools association in knee osteoarthritis patients: objective measures vs subjective measures. Ann Rheu Dis 2012; 71 (suppl3): 752.

15. Aksaranugraha S. Modified WOMAC Scale for Knee Pain. J Thai Rehabil 2000; 9: 82-5.