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The effect of self-management training on pain intensity in patients with knee osteoarthritis referring to orthopedic clinic of Imam Hossein Hospital in Malayer

Afsar Omidi, Mostafa Jamshidi Zanganeh, Masoud Khodaveisi, Younes Mohammadi.




Abstract
Cited by 3 Articles

Background: Knee esthetic anesthesia is one of the most common diseases of old age. Pain, which limits the activity of patients, is the most common symptom of the disease. Self-management is one of the best approaches for reducing the symptoms of osteoarthritis.

Aims and Objectives: The present study aimed to determine the effect of self-management training on pain intensity in patients with knee osteoarthritis.

Materials and Methods: The present quasi-experimental study was conducted on 100 patients with knee osteoarthritis who referred to Imam Hossein Malayer Hospital; subjects were selected by convenience sampling method and randomly divided into two groups of test and control. Required data were collected using a questionnaire including demographic information and pain intensity questionnaire, which was measured by visual analog scale. Questionnaires were completed before and 2 months after the intervention by both groups. Then, pain intensity was evaluated and compared in two groups. Data were analyzed using SPSS version 22, Chi-square, independent t-test, and paired t-test.

Results: The results showed that the mean score of pain severity was not significantly different between the two groups before and after the intervention (P < 0.05). There was a statistically significant decrease between the mean scores of pain intensity before (3.97 ± 0.91) and after intervention (2.77 ± 1.03) (P < 0.05). Furthermore, there was a statistically significant difference between the mean pain scores in the intervention and control groups after intervention (P < 0.05). However, in the control group, there was no statistically significant difference between the mean scores of pain severity before the intervention (3.96 ± 1.12) and after intervention (3.64 ±0.8) (P < 0.05).

Conclusion: The results of this study showed that considering proper diet and using non-medical pain relief methods such as exercise and stretching exercises and water treatment during self-management can reduce the severity of pain in knee osteoarthritis patients. Therefore, the implementation of self-management program by patients can be effective in reducing the incapacity and improves their range of motion.

Key words: Knee Osteoarthritis; Self-management Training; Pain Intensity






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