Family practice nurses supporting self-management in older patients with mild osteoarthritis: a randomized trial
BACKGROUND Supporting self-management intends to improve life-style, which is beneficial for patients with mild osteoarthritis (OA). We evaluated a nurse-based intervention on older OA patients' self-management with the aim to assess its effects on mobility and functioning. METHODS Randomized controlled trial of patients (> or = 65 years) with mild hip or knee OA from nine family practices in the Netherlands. Intervention consisted of supporting patients' self-management of OA symptoms using a practice-based nurse. Outcome measures were patients' mobility, using the Timed Up and Go test (TU... Mehr ...
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Dokumenttyp: | Journal article |
Verlag/Hrsg.: |
BioMed Central
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Schlagwörter: | aged / 80 and over / family / female / humans / male / Netherlands / nursing / relations / osteoarthritis / questionnaires / self care / geriatric / nurse-patient / outcome / knee / practice / research / hip / process assessment / health care |
Sprache: | unknown |
Permalink: | https://search.fid-benelux.de/Record/base-27238933 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | http://hdl.handle.net/1885/95020 |
BACKGROUND Supporting self-management intends to improve life-style, which is beneficial for patients with mild osteoarthritis (OA). We evaluated a nurse-based intervention on older OA patients' self-management with the aim to assess its effects on mobility and functioning. METHODS Randomized controlled trial of patients (> or = 65 years) with mild hip or knee OA from nine family practices in the Netherlands. Intervention consisted of supporting patients' self-management of OA symptoms using a practice-based nurse. Outcome measures were patients' mobility, using the Timed Up and Go test (TUG), and patient reported functioning, using an arthritis specific scale (Dutch AIMS2 SF). RESULTS Fifty-one patients were randomized to the intervention group and 53 to the control group. Patient-reported functioning improved on four scales in the intervention group compared to one scale in the control group. However, this result was not significant. Mobility improved in both groups, without a significant difference between the two groups. There were no differences between the groups regarding consultations with family physicians or physiotherapists, or medication use. CONCLUSION A nurse-based intervention on older OA patients' self-management did not improve self-reported functioning, mobility or patients' use of health care resources. ; The Netherlands Organisation for Health Research and Development funded this study (ZonMW, number 920-03-252).