EFFECTS OF EMPOWERMENT PROGRAM ON THE PERCEPTION OF EMPOWERMENT AND SELF CARE BEHAVIORS AMONG PATIENTS WITH OSTEOARTHRITIS OF THE KNEES

Yıl 2010, Cilt: 13 Sayı: 2, 46 - 52, 28.06.2010

Chanjar Suntayakorn Chommanard Wannapornsiri

Öz

The purpose of this quasi-experimental study was to examine the effects of empowerment program on the perception of empowerment and self care behavior among patients with osteoarthritis of the knees. To examine the effects of the empowerment program data were collected from 40 patients in a primary care unit in Phitsanulok Province, who met the criteria of osteoarthritis from October to December, 2007. The samples were matched into experimental group and control group with 20 patients in each group. The experimental group received the empowerment program. The control group received a routine services program. The instruments used to collect data consisted of a screening instrument, a daily activity record, a perceived empowerment questionnaire and an experimental instrument, Participants were also provided with a handbook regarding osteoarthritis of the knees. Data were analyzed by using descriptive statistics, percentage, standard deviation, paired sample t-test, independent t-test, and ANOVA. The results revealed that; the osteoarthritis patients who were in the experimental group had significantly higher scores of the perceived empowerment and the self care behavior than those before the intervention (p<.05). The osteoarthritis patients who were in the experimental group had significantly higher scores of the perceived empowerment and the self care behavior than the patients who were in the control group (p<.05). This study shows that the empowerment program increase the patients’ perception of the empowerment and the self care behavior among patients with osteoarthritis of the knees. The results suggest that the program could be used effectively to promote health among other osteoarthritis patients

Anahtar Kelimeler

Empowerment, perception, self care behaviors, osteoarthritis of the knees

Kaynakça

• Boon-IM A (2002). Physical Therapist Practices in Enhancing Self-Efficacy among Knee Osteoarthritis Patients M. A. (Medical and Health Social Sciences). Mahidol University.
• Brandt KD, Mankin HJ (1998). Pathogenesis of Osteoarthritis In Kelley, et al. (Eds), Textbook of Rheumatology. 3rd ed. Philadelphia, WB: Saunders.
• Carol LB (2001). First-line Treatment for Osteoarthritis. Part 1: Pathophysiology, Assessment, and Pharmacologic Interventions. Orthopedics Nursing 20(5): 17-24.
• Centers for Disease Control and Prevention (2004). Osteoarthritis. http:// www.nwpa-asa.org/PSE Retrieved from January 12, 2004.
• Felson DT, Lawrence R, Dieppe P (2000). Osteoarthritis: new sights, part1 the disease and its risk factors. Annals Internal Medcine 133: 635-43.
• Gibson CH (1991). A Concept Analysis of Empowerment. Journal of Advance Nursing 16: 354361.
• Gibson CH (1995). The process of empowerment in mothers of chronically ill children. Journal of Advanced Nursing 21: 1201-1210.
• Jansoontraporn P (2005). The study of Knee Pain Management in Patients with Osteoarthritis of Knee M.N.S (Adult Nursing), Mahidol University. 77-83.
• Jinks C, Jordan K, Croft P (2002). Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain 100(1-2): 5564.
• Oream D (2001). Nursing: Concepts of Practice. (6th ed). St. Louis Mosby.
• Paton DF (1992). Fractures and Orthopedics. 2nd ed. London: Churchill Livingstone.
• Paul D, Kenneth DB (2003). What is important in treating osteoarthritis? Whom should we treat and how should we treat them? Rheumatic Disease Clinics of North American 29: 687-716.
• Rodwell CM (1996). Analysis of the concept of empowerment. Journal of Advance Nursing 23: 305313.
• Stenmark J (1995). Changing role for physiotherapy in arthritis management. In K.M. Refshauge (Ed.), Musculoskeletal Physiotherapy: Clinical Science and Practice. Great Britain: Butterworth-Heinemann, 217225.
• Taweechai W (2000). Self-Care Behaviors and Severity of Knee Osteoarthritis among the Elderly M.N.S (Gerontological Nursing). Chaing Mai University, 5-6.
• Waewaram S (2005). The Development of a Clinical Nursing Practice Guideline for Teaching Self-Care to the Elderly with Osteoarthritis of Knees M.N.S. (Family Nurse Practitioner). Mahidol University, 4243.
• Wallersteom N (1992). Powerless, Empowerment and health: Implications for Health Promotion Program. American Journal Health Promotion 6: 197205.
• Wattana S (2002). Effects of Empowerment Program on Caring Behavior and Perceived Empowerment among Caregivers of Patients with Chronic Obstructive Pulmonary Disease. Master’s thesis of Science (Nursing), Faculty of Graduate Studies, Burapha University.
• Wiboonponprasert S (2007). Thai Public Health 2005-2007. Nonthaburi, Ministry of Public Health