Faculty of Health Sciences, Midwifery Department, Cumhuriyet University, 58140, Sivas, Turkey.
J Clin Nurs. 2010 Apr;19(7-8):1113-20. doi: 10.1111/j.1365-2702.2009.03070.x.
AIMS AND OBJECTIVES: The aim in this study was to evaluate the effect of local heat application on pain, stiffness, physical function and quality of life in patients with knee osteoarthritis. BACKGROUND: Local heat application is used as a non-pharmacological practice for the treatment of knee osteoarthritis. On the other hand, literature reveals limited information on the effects of heat application. DESIGN: The study was a comparative study. METHODS: The patients with knee osteoarthritis were divided into two groups (23 patients in each) as intervention and control groups, and patients in the control group were applied with the routine medication of the physician. The intervention group received 20-minute heat application every other day for four weeks in addition to the routine medication. The data were collected using data collection form, Western Ontario and McMaster Universities Index and SF-36. RESULTS: The Western Ontario and McMaster Universities pain and Western Ontario and McMaster Universities disability scores of the patients with knee osteoarthritis in control and intervention groups before and after the intervention were compared, and the differences for both scores in the change were found to be statistically significant (p < 0.05). Moreover, statistically significant differences were found between the control and intervention group patients in terms of changes in the scores for physical function, pain and general health perception (p < 0.05). CONCLUSIONS: It was found that heat application every other day decreased pain and disability of the patients with knee osteoarthritis. Also, heat application was found to improve the subdimensions of quality of life scores of physical function, pain and general health perception of patients. RELEVANCE TO CLINICAL PRACTICE: The data obtained in this study on the efficiency of heat application on pain, stiffness, physical function and general health perception of patients with knee osteoarthritis may offer an insight into decision-making process for appropriate intervention.
目的：本研究旨在评估局部热疗对膝骨关节炎患者疼痛、僵硬、身体功能和生活质量的影响。
背景：局部热疗是一种非药物治疗膝骨关节炎的方法。另一方面，文献中关于热疗效果的信息有限。
设计：本研究为比较研究。
方法：将膝骨关节炎患者分为两组（每组 23 例），即干预组和对照组，对照组患者接受医生常规药物治疗。干预组除常规药物治疗外，还接受 20 分钟/次、隔日 1 次的热疗，共 4 周。使用数据收集表、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）和 SF-36 收集数据。
结果：比较了对照组和干预组患者膝骨关节炎患者干预前后的 WOMAC 疼痛和 WOMAC 残疾评分，发现两组评分的变化均具有统计学意义（p<0.05）。此外，对照组和干预组患者在身体功能、疼痛和总体健康感知方面的评分变化也存在统计学差异（p<0.05）。
结论：每天一次的热疗可以减轻膝骨关节炎患者的疼痛和残疾。此外，热疗还可以改善患者身体功能、疼痛和总体健康感知等生活质量评分的子维度。
临床意义：本研究中获得的关于热疗对膝骨关节炎患者疼痛、僵硬、身体功能和总体健康感知的疗效数据，可能为适当干预措施的决策过程提供参考。
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