C11. Effect of a pain management Combined with Mahajak oil medicine program in elderly with osteoarthritis: A Case study of Thay Nam Health Promoting Hospital, Pho Thale District, Phichit Province

Main Article Content

Thanach Kanokthet
Theerawit Klaharn

Abstract

Introduction: Osteoarthritis (OA) is a chronic, degenerative, musculoskeletal disease with global prevalence of 20% of women and 10% of men over 60 years of age. Most patients with OA of the knee will develop progressive functional limitation and physical disability with age. The prevalence of symptomatic OA of the knee among elderly Thai   people was reported as 10.40% (women) and 4.20% (men). The disabling symptoms of knee OA in older patients, such as chronic pain and joint stiffness potential to cause psychological changes in patients, leading to the quality of life of older


Objective: were to study results of pain management Combined with Mahajak oil medicine program and compare knowledge, attitude, Levels of knee pain and Degree of passive knee flexion on Elderly  


Methods: quasi-experimental research with three-groups and repeated-measures design. The sample group was selected with purposive sampling. The 90 cases of elderly were patients with the severity of the disease osteoarthritis Mild to Severe (39-20 points). They were separated into three groups into 3 groups, each group of 30 cases. The experimental group received pain management program Combined with Mahajak oil medicine. The control group received the program together with warm water and the control group without any treatment. One-way repeated measures ANOVA was employed for comparing knowledge scores, attitudes, Levels of knee pain and Degree of passive knee flexion among the experimental group and two control groups.


Results: The findings indicated that the experimental group with Mahajak oil medicine usage has average score of knowledge, attitude, and Levels of knee pain higher than pretest and attitude and Levels of knee pain higher than the results of control groups with statistical significance (p-value<0.05). Besides, the results of experimental group with Mahajak oil medicine usage proved that the   average range of Degree of passive knee flexion were better than before the program after the fourth week and twelfth week. The results of the fourth week and twelfth week were statistically significant difference with the first week (p-value<0.05). For pair comparison, it was found that there were two different pairs: the group with Mahajak oil medicine usage and the control group. Meanwhile, no statistically significant difference was found between the group with warm water and the control group (p-value<0.05).


Conclusion: pain management program Combined with Mahajak oil to provide effective health services

Article Details

How to Cite
Kanokthet, T. ., & Klaharn, T. (2022). C11. Effect of a pain management Combined with Mahajak oil medicine program in elderly with osteoarthritis: A Case study of Thay Nam Health Promoting Hospital, Pho Thale District, Phichit Province. Journal of Health Science and Alternative Medicine. Retrieved from https://he01.tci-thaijo.org/index.php/jhealthscialternmed/article/view/257770
Section
Original Article

References

Mohsen, M., Sabola, N., El-khayat, N., & Abd El-Salam, E. (2021). The Effect of Nursing Intervention on Knowledge and Practice among Elderly with Knee Osteoarthritis. International Journal of Novel Research in Healthcare and Nursing, 8(1), 716-726.

Watchareeudomkarn W,1 Suputtitada A,1,2 Tanavalee A (2014). Knee Functional ability in patients with severe knee steoarthritis. ASEAN Journal of Rehabilitation Medicine, 24(1), 20-27.

Sutinun Wijit Sakimah Samalae, Chuanchom Khuniad, Witchada Simla1,Tum Boonrood1and Sirirat Sriraksa.(2022) The Effectiveness of Luangphusukwatpakkhlongmakhamthao poultice for pain relief and range of motion in patients with knee osteoarthritis. Journal of Traditional Thai Medical Research Vol.8 No.1 (January - June 2022)

Phichit Provincial Health office. (2021) AnnuaL report 2021.

Booker, S., Herr, K., & Tripp-Reimer, T. (2019). Patterns and perceptions of self-management for osteoarthritis pain in African American older adults. Pain Medicine, 20(8), 1489-1499.

McCartney, C. J., & Nelligan, K. (2014). Postoperative pain management after total knee arthroplasty in elderly patients: treatment options. Drugs & aging, 31(2), 83-91.

Malec, M., & Shega, J. W. (2015). Pain management in the elderly. Medical Clinics, 99(2), 337-350.

Ganji, R., Pakniat, A., Armat, M. R., Tabatabaeichehr, M., & Mortazavi, H. (2018). The effect of self-management educational program on pain intensity in elderly patients with knee osteoarthritis: a randomized clinical trial. Open access Macedonian journal of medical sciences, 6(6), 1062.

Gwam, C. U., Mohamed, N., Mistry, J. B., Thomas, M., Chughtai, M., Khan, S., ... & Delanois, R. E. (2017). Pain management with adductor canal blockade or multimodal periarticular analgesia in elderly total knee arthroplasty patients. Surgical technology international, 30, 352-358.

Mordarski, S. (2014). Pain management in the elderly: Transdermal fentanyl for the treatment of pain caused by osteoarthritis of the knee and hip. BioMed research international, 2014.

Junlatat, J. (2022). Antioxidative and anti-inflammatory effects of Thai traditional topical herbal recipe for osteoarthritis of knee. Naresuan Phayao Journal, 15(1).

Pinsornsak, P., Kanokkangsadal, P., & Itharat, A. (2015). The clinical efficacy and safety of the sahastara remedy versus diclofenac in the treatment of osteoarthritis of the knee: a double-blind, randomized, and controlled trial. Evidence-Based Complementary and Alternative Medicine, 2015.

Sansila, P., Eungpinichpong, W., Buakate, L., & Ruangrungsi, N. (2014). The efficacy of court-type Thai traditional massage on knee pain relief in osteoarthritis patients. Journal of Health Research, 28(2), 121-126.

Pornphol, W., & Tangyuenyongwatana, P. (2020). Development of Mahajak Oil as Microemulsion based Preparation.

Saenmuang, P., Panthong, S., & Itharat, A. (2020). Antibacterial Activity of Mahajak Remedy and Plant Ingredients. Science & Technology Asia, 78-86.

Sansila, P., Eungpinichpong, W., Buakate, L., & Ruangrungsi, N. (2014). The efficacy of court-type Thai traditional massage on knee pain relief in osteoarthritis patients. Journal of Health Research, 28(2), 121-126.

Subcharoen, P. (2001). Thai traditional medicine as a holistic medicine. Traditional Medicine in Asia, 301.

Cavalieri, T. A. (2002). Pain management in the elderly. Journal of Osteopathic Medicine, 102(9), 481-485.

Youngcharoen, P., Hershberger, P. E., & Aree-Ue, S. (2017). Pain in elderly patients with knee osteoarthritis: an integrative review of psychosocial factors. International Journal of Orthopaedic and Trauma Nursing, 25, 19-28.

Halaszynski, T. M. (2009). Pain management in the elderly and cognitively impaired patient: the role of regional anesthesia and analgesia. Current Opinion in Anesthesiology, 22(5), 594-599.

Kuptniratsaikul, V., Thanakhumtorn, S., Chinswangwatanakul, P., Wattanamongkonsil, L., & Thamlikitkul, V. (2009). Efficacy and safety of Curcuma domestica extracts in patients with knee osteoarthritis. The journal of alternative and complementary medicine, 15(8), 891-897.

Chiranthanut, N., Hanprasertpong, N., & Teekachunhatean, S. (2014). Thai massage, and Thai herbal compress versus oral ibuprofen in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial. BioMed research international, 2014.

Bruckenthal, P. (2008). Assessment of pain in the elderly adult. Clinics in geriatric medicine, 24(2), 213-236.

Lybæk, R. (2005). Guideline for implementing co-generation based on biomass waste from Thai industries.

Pinsornsak, P., & Niempoog, S. (2012). The efficacy of Curcuma Longa L. extract as an adjuvant therapy in primary knee osteoarthritis: a randomized control trial. J Med Assoc Thai, 95(Suppl 1), S51-S58.