ผลของการใช้รูปแบบการดูแลแบบผสมผสานในการจัดการอาการปวดและความสามารถในการปฏิบัติกิจวัตรประจำวันของผู้ป่วยโรคข้อเข่าเสื่อมในชุมชนเมืองปอน  อำเภอขุนยวม จังหวัดแม่ฮ่องสอน

Pornchai Onsod

Authors

Pornchai Onsod Registered Nurse, Ban Maungpon Subdistrict Health Promoting Hospital.

Abstract

Osteoarthritis is a common disease in the elderly. causing difficulty in movement as a result, the quality of life of the elderly decreases. A lot of time and treatment costs were lost. The purpose of this quasi-experimental research was to study the effects of using an integrated care model for pain management. and ability to perform daily activities in patients with osteoarthritis in the Maungpon community So that patients with osteoarthritis can manage their pain appropriately. and able to carry out normal daily life The integrated care model includes knee massage, foot soak, and herbal knee wrap. Together with soaking in hot springs at a temperature of 38 - 42 degrees Celsius, a simple random sampling of 89 people was selected. The tool used to follow up and evaluate the results is pain assessment form Daily routine assessment form and a form recording the number of painkillers taken Content validity was checked by 3 experts. Data were analyzed using Paired Samples T-Test statistics.

Results found that integrated care can reduce pain levels. The mean pain score before receiving the combined service was 7.12 (SD=1.78), the mean pain score after receiving the combined service was 5.27 (SD=1.88), reducing the use of painkillers in one month. Significant at p < .01 by the average number of painkillers used per month. Before receiving integrated services, it was 26.16 (SD= 34.36), after receiving integrated services it was 16.86 (SD=24.93), and integrated care can increase walking ability. and increase your ability to squat more Significant at p < .01 and p < .05, respectively. Therefore, patients with osteoarthritis who have limitations in using painkillers Can provide combined care to reduce pain. and the ability to perform daily activities increases.

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