The effects of self-management intervention among middle-age adults with knee osteoarthritis

doi:10.1111/jan.12956

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Please use this identifier to cite or link to this item: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/111769

Title:	The effects of self-management intervention among middle-age adults with knee osteoarthritis
Authors:	Mei-Hua Kao;Yun-Fang Tsai;Ting-Kuo Chang;Jong-Shyan Wang;Chie-Pein Chen;Yue-Cune Chang
Keywords:	care need;nursing;osteoarthritis;quality of life;self-management;symptom
Date:	2016-03-31
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
DOI:	10.1111/jan.12956
Appears in Collections:	[Graduate Institute & Department of Business Administration] Journal Article

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