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    Title: The effects of self-management intervention among middle-age adults with knee osteoarthritis
    Authors: Kao, Mei-Hua;Tsai, Yun-Fang;Chang, Ting-Kuo;Wang, Jong-Shyan;Chen, Chie-Pein;Chang, Yue-Cune
    Keywords: care need;nursing;osteoarthritis;quality of life;self-management;symptom
    Date: 2016-08-01
    Issue Date: 2017-10-03 02:10:35 (UTC+8)
    Abstract: Aim

    The aim of this study was to explore the effects of a self-management intervention for middle-aged adults with knee osteoarthritis.
    Background

    Knee osteoarthritis is a common cause of lower limb disability in middle-aged and older adults. Use of self-management interventions that apply the self-regulation theory have not been reported for patients with knee osteoarthritis.
    Design

    A quasi-experimental design was applied.
    Methods

    Knee osteoarthritis patients were recruited from two medical centres in northern Taiwan by convenience sampling between July 2013–May 2014. We developed a self-management intervention programme for knee osteoarthritis; participants began an individualized programme 4 weeks after recruitment. Effectiveness of the intervention was evaluated using the Knee Injury and Osteoarthritis Outcome Score, Health Care Questionnaire and the Short-Form Health Survey. A generalized estimating equation compared assessment scores for 105 participants after the intervention (10 and 18 weeks) with scores at 4 weeks.
    Results

    Knee symptoms and physical function scores significantly improved and quality-of-life scores significantly increased while body mass index, unplanned medical consultations and doses of pain medication significantly decreased at 10 and 18 weeks compared with 4 weeks. After adjusting for the effect of time- and significant-related factors, knee symptoms and physical function, body mass index and quality of life significantly improved at 10 and 18 weeks compared with 4 weeks.
    Conclusions

    The self-management intervention based on self-regulation theory, improved participants’ symptoms and functions of knee osteoarthritis, overall health and quality of life. Offering self-management interventions in clinical practice can be beneficial for patients with knee osteoarthritis.
    Relation: Journal of Advanced Nursing 72(8), p.1825-1837
    Appears in Collections:[數學學系暨研究所] 期刊論文

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