Effect of Self-Management Program on Pain and Disability Index in Elderly Men with Osteoarthritis

Masoud Hatefi; Reza Parvizi; Milad Borji; Asma Tarjoman

doi:10.5812/aapm.92672

Effect of Self-Management Program on Pain and Disability Index in Elderly Men with Osteoarthritis

Anesth Pain Med. 2019 Aug 7;9(4):e92672. doi: 10.5812/aapm.92672. eCollection 2019 Aug.

Authors

Masoud Hatefi¹, Reza Parvizi², Milad Borji³, Asma Tarjoman²

Affiliations

¹ School of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
² Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
³ Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract

Background: Osteoarthritis (OA) is a progressive disease of the joints, leading to decreased function and disability.

Objectives: The study aimed to investigate the effect of self-management (SM) program on disability index and pain in aging men with knee OA.

Methods: The study included an SM group and a control group. Given the sample size of the previous studies, 83 patients were recruited. The study tools included a demographic profile questionnaire, visual analogue scale (VAS), and HAQ 8-item DI. The intervention included 10 SM sessions for patients in the SM group (8 sessions of in-person intervention and 2 sessions of telephone intervention). Patients were placed in groups of 7, and the sessions were held weekly each for a period of 45 to 60 minutes. Data were analyzed using descriptive and analytical tests by SPSS V. 16 software.

Results: The two groups(SM and control group) were homogeneous in terms of demographic characteristics (P > 0.05). The mean (SD) disability score was 19.12 (1.92) in the SM group before the intervention, which reduced to 14.70 (1.63) after the intervention (P = 0.000, T = 10.02). The mean (SD) pain score, was 9.19 (0.71) in the SM group before the intervention, which reduced to 6.48 (0.84) after the intervention (P = 0.000, T = 18.15).

Conclusions: Training can help patients perform SM measures and improve their health status by enhancing the information needed for the disease.

Keywords: Aging; Disability; Knee Osteoarthritis; Pain.