The Effect of Self-Management Educational Program on Pain Intensity in Elderly Patients with Knee Osteoarthritis: A Randomized Clinical Trial

Reza Ganji; Azadeh Pakniat; Mohammad Reza Armat; Mahbubeh Tabatabaeichehr; Hamed Mortazavi

doi:10.3889/oamjms.2018.225

Authors

Reza Ganji Department of Orthopedic Surgery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd
Azadeh Pakniat Student Research Committee, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Geriatric Care Research Center, Bojnurd
Mohammad Reza Armat Geriatric Care Research Center, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd
Mahbubeh Tabatabaeichehr Geriatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd
Hamed Mortazavi Geriatric Care Research Center, Department of Geriatric Nursing, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd

DOI:

https://doi.org/10.3889/oamjms.2018.225

Keywords:

Self-management, Pain, Osteoarthritis, Knee, Elderly, Aged

Abstract

BACKGROUND: Osteoarthritis is one of the chronic diseases that greatly affect the health and life quality of individuals.

AIM: This study aimed to determine the effect of self-management educational program on the pain intensity of the elderly patients with knee osteoarthritis.

METHODS: In a randomised clinical trial, a total of 82 elderly patients with knee osteoarthritis were randomly divided into intervention and control groups. The intervention group received six sessions of self-management group education, while the control group received only the routine care during this period. In both groups, patientsâ€™ pain intensity, with a visual analogue scale (VAS), were assessed before, immediately after and eight weeks after the start of the study.

RESULTS: The mean pain intensity scores of the intervention and control groups were not significantly different before the intervention (P = 0.9), but after the intervention, the mean pain intensity score in the intervention group (3.61 Â± 2.36) was significantly lower than that of the control group (4.93 Â± 2.00), (P < 0.0001).

CONCLUSION: Implementation of a self-management program for the patients with knee osteoarthritis is useful in reducing their pain intensity and can be used as one of the effective methods for their empowerment.

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