穴位按壓對中老年骨性膝關節病人之身體症狀和心理社會功能成效

The Effect of Acupressure on Outcomes of Physical Symptoms and Psychosocial Functions for Middle-Aged and Older Patient with Knee Osteoarthritis

張妙如(Miao-Ju Chang) ； 黃慈心(Tzu-Hsin Huang) ； 謝素英(Suh-Ing Hsieh) ； 李采芬(Tsae-Fen Lee) ； 盧朱滿(Chu-Man Lu)

《長庚護理》 23卷4期 (2012/12) Pp. 419-430

https://doi.org/10.6386/CGN.201212_23(4).0001

摘要

Background: Western medicine has its limitation in solving knee pain and mobility disorder of patients with knee osteoarthritis. Thus, patients often seek traditional Chinese medicine to improve symptoms. This study was to explore the effect of acupressure on outcomes of physical symptoms and psychosocial functions for patient s with knee osteoarthritis.Methods: This was an unequal quasi-experimental study design with a pre-test and two post-tests. The convenience sample was from an orthopedic clinic at a hospital in northern Taiwan. Patients, who aged over 50 years with pain and diagnosed with the second and third degree knee osteoarthritis by X-ray, were recruited. The experimental group received the acupressure and quadriceps training program (n =20), while the control group (n = 18) received the quadriceps-training program. The Outcome Measurement Instrument for Medical Care of Knee Osteoarthritis and the Visual Analogue Scale of pain were used.Results: The total score and subscores of the Outcome Measurement Instrument for Medical Care and Visual Analogue Scale of pain significantly decreased over time (p＜ .001). Subscores of pain, activities of daily living and symptoms, mobility function, emotional function, and social participation function and pain scores of Visual Analogue Scale did not differ between groups.Conclusion: The acupressure program did not have effects but the quadriceps-training program had significant effects on outcomes. Future studies might use an experimental study with a priori power analysis and monitor the actual implementation status of the intervention for validating the effect of acupressure for patient s with knee osteoarthritis.

關鍵字

穴位按壓 ； 骨性膝關節炎 ； 疼痛 ； 醫療照護成效

並列摘要

Background: Western medicine has its limitation in solving knee pain and mobility disorder of patients with knee osteoarthritis. Thus, patients often seek traditional Chinese medicine to improve symptoms. This study was to explore the effect of acupressure on outcomes of physical symptoms and psychosocial functions for patient s with knee osteoarthritis.Methods: This was an unequal quasi-experimental study design with a pre-test and two post-tests. The convenience sample was from an orthopedic clinic at a hospital in northern Taiwan. Patients, who aged over 50 years with pain and diagnosed with the second and third degree knee osteoarthritis by X-ray, were recruited. The experimental group received the acupressure and quadriceps training program (n =20), while the control group (n = 18) received the quadriceps-training program. The Outcome Measurement Instrument for Medical Care of Knee Osteoarthritis and the Visual Analogue Scale of pain were used.Results: The total score and subscores of the Outcome Measurement Instrument for Medical Care and Visual Analogue Scale of pain significantly decreased over time (p＜ .001). Subscores of pain, activities of daily living and symptoms, mobility function, emotional function, and social participation function and pain scores of Visual Analogue Scale did not differ between groups.Conclusion: The acupressure program did not have effects but the quadriceps-training program had significant effects on outcomes. Future studies might use an experimental study with a priori power analysis and monitor the actual implementation status of the intervention for validating the effect of acupressure for patient s with knee osteoarthritis.

並列關鍵字

acupressure ； knee osteoarthritis ； pain ； medical care outcomes