Effects of self-care education on the health status of inner-city patients with osteoarthritis of the knee.
To evaluate a concise program of self-care education delivered by an arthritis nurse specialist as an adjunct to primary care for inner-city patients with knee osteoarthritis (OA).
An attention-controlled clinical trial ; 211 inner-city patients with knee OA were assigned arbitrarily to education (E) or attention-control (AC) conditions.
Group E received an individualized 30-60-minute educational intervention that emphasized non-pharmacologic management of joint pain, preservation of function by problem-solving, and practice of principles of joint protection.
Brief telephone contacts 1 week and 4 weeks later monitored and reinforced new self-care activities.
Group AC viewed a 20-minute standardized public education presentation on arthritis and received followup telephone calls (only to encourage continued participation in the study).
Outcomes included the Health Assessment Questionnaire (HAQ) Disability and Discomfort Scales, 10-cm visual analog scales measuring knee pain at rest and while walking, and the Quality of Well-Being (QWB) scale.
Assessments were made at baseline and at 4-month intervals for 1 year.
A total of 165 subjects (78%) completed all assessments.
After control for baseline status, group E had significantly lower scores for disability and resting knee pain throughout the year of postintervention followup (P<0.05 for both).
Effects were somewhat discordant. (...)
Mots-clés Pascal : Arthrose, Genou, Homme, Epidémiologie, Etude impact, Programme sanitaire, Infirmier, Autoévaluation, Questionnaire, Qualité vie, Etat sanitaire, Pronostic, Système ostéoarticulaire pathologie, Arthropathie, Maladie dégénérative
Mots-clés Pascal anglais : Osteoarthritis, Knee, Human, Epidemiology, Impact study, Sanitary program, Nurse, Self evaluation, Questionnaire, Quality of life, Health status, Prognosis, Diseases of the osteoarticular system, Arthropathy, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0443870
Code Inist : 002B30A03B. Création : 03/02/1998.