Effects of Educative Supportive Nursing Program on Disease Severity, Physical Fitness and Selfcare Behavior among Older Adults with Osteoarthritis in A Community in Mahasarakham Province
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Abstract
The quasi-experimental pre – post test research was conducted to examine the effects of educative supportive nursing program on disease severity, physical fitness and self-care behavior among older adults with osteoarthritis in a community. The samples were randomly selected from Banku and Yangsrisurach sub districts Mahasarakham Province as an experimental group (n=25) and comparison group (n=25), respectively. The research instruments were Oxford Knee Score -Thai, self-care behavior of the older adult with osteoarthritis, Western Ontario and McMaster Universities (WOMAC) – Thai, the physical fitness assessment. Their reliabilities, using Cronbach' s alpha coefficient, were 0.89, 0.81, 0.97, 0.97 respectively. The experimental group received an 8-week educative supportive nursing program, consisting of health education and skill training, 2 follow-up calls, 1 home visit, 1 Knee health contest, using self-care manual for OA, and behaviour record form. The comparison group received regular services. Data were collected during April – June in 2018. The data were analysed by using descriptive statistic, Chi-Square test and t-test.
The results showed that after experiment, experimental group reported a significantly higher mean score of self-care behavior than the control group (p-value < .001). The mean score for disease severity was less than the comparison group (p-value < .001). In addition, the mean score of physical fitness, only range of motion was higher than the comparison group with a statistical significance (p-value > 0.05). However, there was no statistically significant difference in thigh muscle strength between the comparison and the experimental group (p-value > 0.05). A community nurse practitioner should implement this program to promote self-care among older adults with osteoarthritis in other communities. Long-term effects, such as retention of behaviour, disease severity, and muscle strength should be followed-up in the future study.
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