ผลของโปรแกรมการดูแลตนเองเพื่อลดอาการปวดข้อเข่าของผู้สูงอายุที่มีภาวะข้อเข่าเสื่อม ตำบลไชยสถาน อำเภอเมืองน่าน จังหวัดน่าน Effects of a Self-Care to Reduce Knee Pain Program Among Elderly with Knee Osteoarthritis, Chaisatan Subdistrict, Muangnan District, Nan Province.

Abstract

Osteoarthritis of knee (OA knee) is a very common disease in older people. The pain, swelling and inflammation of OA knee affects the daily living of the elderly. The objective of this quasi-experimental research was to study effects of a self-care to reduce knee pain program among elderly with knee osteoarthritis.The sample comprised of 42 elderly, aged 60-75 years old with mild primary knee osteoarthritis. They were selected by the purposive sampling technique according to criteria and divided into two group: an experimental group (21) and a comparative group (21). The tools of this research were 1) the self-care to reduce knee pain program among elderly with knee osteoarthritis,   developed by applying Bandura's self-efficacy theory  and House social support theory, and 2) a questionnaire which included six sections: general information, assessment form of the severity of knee pain and three perceptions parts  of self-efficacy,  expectation of the results of self-care, and self-care behaviors to prevent and reduce pain from osteoarthritis. The reliability of part 4, 5 and 6 were 0.84, 0.94, and 0.81 respectively. Data were analyzed by descriptive statistics, Paired t-test and Independent t-test, Wilcoxon signed rank test, and Mann Whitney U test statistics.

       The results of this study were as follows. 1) After using the program, perception of self-efficacy, expectations, and self-care behaviors were significantly higher than before and higher than the comparative group            (p < .05). 2) After using the program, the severity of knee pain, frequency and quantity of using pain relieved drug were significantly lower than before and lower than the comparative group (p <.05). Recommendations from this research. Long-term studies and follow-up should be sought to see continuity and outcome of self-care behaviors.