Need to Adopt a Patient Centered Approach for Obtaining Favourable Results of NonPharmacological Interventions among Knee Osteoarthritis Patients in Out Patient Department Settings
Journal Title: International Journal of Healthcare Education & Medical Informatics - Year 2018, Vol 5, Issue 2
Abstract
Knee osteoarthritis (KOA) is one of the common causes of disability. Long-term effects of early to moderate KOA can be managed through non-surgical interventions. But due to overcrowding in Orthopaedic OPDs, doctors don’t have enough time for explaining non pharmacological interventions (NPIs) in detail to KOA patients. Hence, desired impact of NPIs is not evident among KOA patients. This study elaborates the degree of patient centered approach adopted during doctor patient interactions in the Orthopedics OPD of a tertiary care hospital of India. The study was conducted in 2012-2015. Eligible KOA patients (N=123) were divided into two groups for the RCT. The patients aged 40-65 years of either gender without significant deformity or co-morbidities needing surgery (e.g. meniscus tears etc) were enrolled. An intervention room was established in Physical and Rehabilitation Medicine (PRM) department of the hospital. Doctors of Orthopaedics and PRM departments were requested to send grade 1, 2, 3 KOA patients as per Kellgren Lawrence scale to intervention room after initial work up. A referral system was established for this. Interviews of the diagnosed patients (N=31) suffering from mild and moderate KOA were conducted. Textual analysis was done for qualitative data. Patients are unable to comprehend ‘capsule form’ of advice provided in OPDs. This results in non-adherence. For better outcomes physicians must talk to patients. They need to understand the patient’s underlying concerns, against their cultural background, and life history. Hence, patient centred approach is needed for obtaining the desired impact of NPIs in KOA patients reporting to Orthopaedics OPD in Indian hospitals.
Authors and Affiliations
Meenakshi Sharma,
Keywords
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- EP ID EP457882
- DOI 10.24321/2455.9199.201809
- Views 79
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