Effects of a Self-Management Knee Pain Relief Program on Elderly Patients with Osteoarthritis in the Service Area of Bang Krabue 2 Subdistrict Health Promoting Hospital, Mueang District, Sing Buri Province
Keywords:
Knee Osteoarthritis, Self-Management, ElderlyAbstract
Osteoarthritis significantly impacts the quality of life of the elderly globally, particularly in rural areas with limited access to healthcare. Self-managing knee pain is a suitable approach for this demographic in many resource-constrained settings. This quasi-experimental research aimed to compare knee pain in older adults with osteoarthritis after participating in a 4-week self-management knee pain relief program. The study involved a single group of 40 participants from village no. 4 and 7, Bang Krabue Sub-district, Mueang District, Sing Buri Province, in February 2025. Data were collected using a questionnaire witha pain rating scale (1-10 points), and the Ministry of Public Health’s clinical knee osteoarthritis screening form. Data analysis employed descriptive statistics and repeated measures ANOVA.
The results showed that the majority of the samples were female (92.5%), and their initial knee pain level was moderate (mean= 6.6, SD = 1.90). After they participated in the program, their knee pain tended to decrease to a mean of 2.8 (SD = 1.19) at the end of the 4th week, and the difference in the experimental results (before-after) at each time point across the weeks was statistically significant (F-test = 4.18, p = 0.007). However, a slight increase in knee pain was observed at the beginning of each subsequent week. For example, after the first week of intervention, the pain level was 4.7, and at the start of the second week, the pain level was 5.2. This pattern was observed in every cycle of the experiment.
The self-management knee pain relief program has been shown to be effective in the short term. To enhance long-term outcomes, improvements could include the extension of the program’s continuity and duration, controlling factors and incorporating additional outcome measures.
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