Jokar Zeinab, Hosseinabadi Zahra, Rustaee Sanaz, Bijani Mostafa
Department of Operating Room, School of Paramedical, Bushehr University of Medical Sciences, Bushehr, Iran.
School of Paramedical, Bushehr University of Medical Sciences, Bushehr, Iran.
SAGE Open Nurs. 2024 Jul 25;10:23779608241260822. doi: 10.1177/23779608241260822. eCollection 2024 Jan-Dec.
Knee osteoarthritis (KOA) is one of the most common and prevalent debilitating chronic diseases across the world with various adverse effects such as pain and movement limitations which impact the health status and quality of life of the patients in the long run.
This study aimed to investigate the effects of self-care education on pain, quality of life, and consequences of disease in patients with KOA in Southern Iran.
This is a randomized controlled clinical trial using a pretest-posttest design. Eighty patients with KOA were enrolled in this study and randomly allocated to a control and an intervention group. The data collection instruments included VAS: Visual Analog Scale, the SF-36 quality of life scale, and the Knee Injury and Osteoarthritis Outcome Score. The collected data were analyzed through SPSS v. 22, using descriptive tests, paired -tests, independent -tests, Chi-square, and ANOVA. A level of <.05 was considered as the significant level.
Before the self-care educational intervention, no statistically significant difference was found between the control and intervention groups in pain intensity, quality of life, and consequences of osteoarthritis. After the self-care educational intervention, the findings revealed a significant difference between the intervention group's mean ± standard deviation for pain intensity (41.25 ± 21.74), quality of life (49.87 ± 14.74), and consequences of KOA (39.06 ± 12.15), respectively ( < .05). However, in the control group, there was no significant difference.
Based on the results of this study, the positive effect of self-care education on patients with osteoarthritis was shown as to their pain intensity, quality of their lives, and reduction of the disease consequences. Thus, healthcare managers are recommended to apply this type of intervention for patients with osteoarthritis.
膝关节骨关节炎（KOA）是全球最常见且普遍存在的使人衰弱的慢性疾病之一，具有多种不良影响，如疼痛和活动受限，从长远来看会影响患者的健康状况和生活质量。
本研究旨在调查自我护理教育对伊朗南部KOA患者的疼痛、生活质量和疾病后果的影响。
这是一项采用前测-后测设计的随机对照临床试验。80名KOA患者参与本研究，并随机分为对照组和干预组。数据收集工具包括视觉模拟量表（VAS）、SF-36生活质量量表以及膝关节损伤和骨关节炎结局评分。收集的数据通过SPSS v. 22进行分析，使用描述性检验、配对检验、独立检验、卡方检验和方差分析。显著性水平设定为<.05。
在自我护理教育干预前，对照组和干预组在疼痛强度、生活质量和骨关节炎后果方面未发现统计学上的显著差异。自我护理教育干预后，结果显示干预组在疼痛强度（41.25±21.74）、生活质量（49.87±14.74）和KOA后果（39.06±12.15）方面的均值±标准差分别有显著差异（<.05）。然而，对照组没有显著差异。
基于本研究结果，自我护理教育对骨关节炎患者的疼痛强度、生活质量以及疾病后果的减轻具有积极作用。因此，建议医疗管理者对骨关节炎患者应用此类干预措施。
