ผลของการใช้รูปแบบการพัฒนาเครือข่ายส่งเสริมสุขภาวะผู้สูงวัยรักษ์เข่าโดยชุมชนมีส่วนร่วมเพื่อยกระดับสุขภาวะและการเข้าถึงบริการในพื้นที่ชนบท

Prattana Namee; Phattharaphon Sopha; Suppawit Kaewsap

Authors

Prattana Namee Chaiyaphum Hospital
Phattharaphon Sopha Chaiyaphum Hospital
Suppawit Kaewsap Chaiyaphum Hospital

Keywords:

Osteoarthritis, Elderly, Community Network, Participation, Physical Therapy

Abstract

This study aimed to develop a community-based network to promote knee health and well-being among older adults in Nonsamran Subdistrict, Mueang District, Chaiyaphum Province, where older adults comprise 29.47% of the population and the prevalence of knee osteoarthritis is 50.60%. A participatory action research (PAR) approach was employed, guided by Community-Based Learning (CBL) concepts. A total of 308 participants were involved in the study. The research was conducted in four phases: community situational analysis, development of a health network and knee care clinic, establishment of community volunteers known as “connectors,” and implementation of an adapted knee osteoarthritis exercise program. The findings showed that the community network was able to effectively establish a knee care clinic and a volunteer system linking households, the community, and health service providers. After participating in the 8-week exercise program, older adults demonstrated a significant reduction in pain, with mean scores decreasing from 6.54 ± 1.67 to 3.10 ± 2.18. Muscle strength significantly improved from 15.03 ± 3.59 to 12.49 ± 2.37, and balance performance significantly improved from 13.10 ± 3.05 to 10.79 ± 2.01 (p < .05). In conclusion, this participatory network model effectively promotes well-being among older adults, reduces the severity of knee osteoarthritis, and strengthens a sustainable community health system through integrated collaboration between the community and health sectors.

References

ชวิศ เมธาบุตร. (2565). การพัฒนารูปแบบการจัดการโรคข้อเข่าเสื่อมในผู้สูงอายุ อำเภอชุมพวง จังหวัดนครราชสีมา. วารสารศูนย์อนามัยที่ 9, 16(3), 969-985.

ธานี โชติกคาม. (2566). การพัฒนารูปแบบการปรับเปลี่ยนพฤติกรรมสุขภาพของกลุ่มเสี่ยงโรคไม่ติดต่อเรื้อรังด้วยกระบวนการมีส่วนร่วมในการจัดการความรู้ของชุมชนบ้านวังทอง อำเภอบางมูลนาก จังหวัดพิจิตร. วารสารโรคและภัยสุขภาพ สำนักงานป้องกันควบคุมโรคที่ 3 จังหวัดนครสวรรค์, 17(2), 132-144.

Barbour, K. E., Sagawa, N., Boudreau, R. M., Winger, M. E., Cauley, J. A., Nevitt, M. C., Fujii, T., Patel, K. V., & Strotmeyer, E. S. (2019). Knee osteoarthritis and the risk of medically treated injurious falls among older adults: a community-based US cohort study. Arthritis Care & Research, 71(7), 865-874. https://doi.org/10.1002/acr.23725

Charoenpol, F. N., Pathanasethpong, A., Ouypron, P., Huntula, Y., Maneewan, N., Tamwong, A., & Suphokam, W. (2023). Assessing the minimal clinically important difference and patient-accepted symptom state using visual analog scales and numerical rating scales in postoperative patients: a prospective descriptive study. Thai Journal of Anesthesiology, 49(5), 319-328.

Farrar, J. T., Portenoy, R. K., Berlin, J. A., Kinman, J. L., & Strom, B. L. (2000). Defining the clinically important difference in pain outcome measures. Pain, 88(3), 287-294. https://doi.org/10.1016/S0304-3959(00)00339-0

Gautschi, O. P., Stienen, M. N., Corniola, M. V., Joswig, H., Schaller, K., Hildebrandt, G., & Smoll, N. R. (2017). Assessment of the minimum clinically important difference in the timed up and go test after surgery for lumbar degenerative disc disease. Neurosurgery, 80(3), 380-385. https://doi.org/10.1227/NEU.0000000000001320

Hoglund, L. T., Pontiggia, L., & Kelly IV, J. D. (2018). A 6-week hip muscle strengthening and lumbopelvic-hip core stabilization program to improve pain, function, and quality of life in persons with patellofemoral osteoarthritis: a feasibility pilot study. Pilot and Feasibility Studies, 4(1), 70. https://doi.org/10.1186/s40814-018-0262-z

Kemmis, S., McTaggart, R., & Nixon, R. (2014). The action research planner: Doing critical participatory action research (Vol. 200). Springer. https://doi.org/10.1007/978-981-4560-67-2

Meretta, B. M., Whitney, S. L., Marchetti, G. F., Sparto, P. J., & Muirhead, R. J. (2007). The five times sit to stand test: responsiveness to change and concurrent validity in adults undergoing vestibular rehabilitation. Journal of Vestibular Research, 16(4-5), 233-243. https://doi.org/10.3233/VES-2006-164-510

Yin, L., Sawaya, Y., Sato, R., Shiba, T., Hirose, T., Onoda, K., & Urano, T. (2023). Minimal detectable changes in the five times sit-to-stand test in older Japanese adults with sarcopenia requiring long-term care. Medicina, 59(11), 2019. https://doi.org/10.3390/medicina59112019