Effect of Acupressure on Physical and Psychological Health Status of Elderly with Knee Joint Osteoarthritis
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Background: Acupressure is a type of complementary and alternative medicine that is currently recommended in osteoarthritis management. Acupressure can improve the mobility, self-care practices and quality of life of the elderly with knee osteoarthritis, reduce the elderly patient's dependence on conventional therapy and reduce the burden on society. Aim: Determine the effect of acupressure on physical and psychological health status of elderly with knee joint osteoarthritis. Design: Quasi-experimental research design was used in this study. Setting: The outpatient clinic of Rheumatology in Mansoura University Hospital. Subjects: This study was carried out on 104 elderly diagnosed with knee osteoarthritis and divided into two groups (study and control), fifty-two (52) subjects for each. Tools: Five tools were used in this study; structured interview schedule, western ontario and McMaster universities osteoarthritis scale, hospital anxiety and depression scale, older adult's knowledge related knee osteoarthritis and acupressure structured interview schedule, and acupressure training observational checklist. Results: The majority of the two groups were young old with the mean of age 64.46±4.10 and 65.85±4.54 years for the study and control groups respectively. The total mean score of physical health status (WOMAC score) and psychological health status (Anxiety and Depression) was improved significantly in the study group at post 1 and 2 of evaluation (p=0.000). A statistically significant difference was found between study and control groups regarding the physical and psychological health status of the elderly after the implementation of acupressure intervention program (p=0.000). Conclusion: The developed acupressure intervention program proved to be effective in improving knowledge and practices of the elderly with knee osteoarthritis. A significant improvement in the physical and psychological health status of the study group was found after the implementation of the acupressure intervention program. Recommendations: The developed illustrated acupressure intervention booklet to be distributed to elderly patients in Mansoura university hospitals rheumatology outpatient clinics through the responsible personal to raise their knowledge and practices.
Authors and Affiliations
Heba Ahmed El Fadawy, Soad Hassan Abd Elhameed, Amira Ahmed Hassnaen
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