ประสิทธิผลของโปรแกรมการสนับสนุนการจัดการตนเองด้านกิจกรรมทางกายและการออกกำลังกายแบบก้าวตามตารางในสตรีสูงอายุกลุ่มเสี่ยงโรคข้อเข่าเสื่อม

Rada  Suthawas; Nongpimol  Nimit-arnun; Sasitorn  Roojanavech

Authors

Rada Suthawas Faculty of Nursing, Christian University, Nakhon Pathom
Nongpimol Nimit-arnun Faculty of Nursing, Christian University, Nakhon Pathom
Sasitorn Roojanavech Faculty of Nursing, Christian University, Nakhon Pathom

Keywords:

older women, knee osteoarthritis, self-management support, physical activities, square stepping exercise

Abstract

The purpose of this quasi-experimental research was to examine the effects of a self-management-supporting program using physical activities and square-stepping exercise. The sample was 40 older women with a risk of knee osteoarthritis. They were divided into 2 groups: 20 people in the experimental group and 20 people in the comparison group by simple random sampling with matching age and body mass index. The experimental group received a self-management skill training program focusing on cooperative learning groups, physical activity, and square stepping exercise training for 6 weeks. The data were collected through the severity of disease assessment scale, time up and go test, self-management behaviors, and physical activities. The reliability of the questionnaire evaluated by Cronbach's alpha coefficient was .76. The data were then analyzed by using descriptive statistics, independent t-test, chi-square, and repeated measures ANOVA.

The study results revealed as follows: After received self-management skill training program, the experimental group had better mean scores on self-management behaviors (M_experiment= 81.75, SD_experiment = 4.35; M_comparison = 53.15, SD_comparison= 8.81; t = 13.01, p = .000) and balancing ability than the comparison group (M_experiment = 9.00, SD_experiment = 1.37; M_comparison = 10.97 , SD_comparison = 1.35; t = - 4.56, p = .000). The experimental group also had decreasing mean scores on disease severity than the comparison group (M_experiment = 10.55, SD_experiment = 6.48; M_comparison = 77.65 , SD_comparison = 28.55; t = - 10.24, p = .000). The physical activity level between the experimental group and the comparison group was statistically and significantly different after participating in the program (χ² = .001, p = .000). According to the research results, nurses should implement this program for older adult care to prevent knee osteoarthritis and decrease disease severity.

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