J Korean Acad Nurs.  2012 Dec;42(7):965-973. 10.4040/jkan.2012.42.7.965.

Evaluation of a Community Health Practitioner Self-care Program for Rural Korean Patients with Osteoarthritis

Affiliations
  • 1College of Nursing, Institute of Health Services Research, Yonsei University, Seoul, Korea.
  • 2College of Nursing, Eulji University, Seongnam, Korea. c7y6h@eulji.ac.kr

Abstract

PURPOSE
The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea.
METHODS
The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables.
RESULTS
The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group.
CONCLUSION
Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.

Keyword

Osteoarthritis; Self care; Program evaluation; Propensity score

MeSH Terms

Aged
*Aged, 80 and over
Asian Continental Ancestry Group
Community Health Services
Female
Health Personnel/*utilization
Humans
Interviews as Topic
Male
Middle Aged
Osteoarthritis/*prevention & control
Pain Management
Program Evaluation
Propensity Score
Questionnaires
Republic of Korea
Rural Population
*Self Care

Reference

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