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Effects of Self-management on Pain in Patients with Osteoarthritis: A Meta-analysis

자가관리중재가 골관절염 대상자의 통증에 미치는 효과: 메타분석

  • Received : 2019.09.23
  • Accepted : 2019.11.06
  • Published : 2019.12.31

Abstract

Purpose: This study was a meta-analysis of the effects of self-management on pain in patients with osteoarthritis. Methods: Randomized controlled trials were identified by searching PubMed, EMBASE, CINAHL, Ovid-MEDLINE and Korean database using key words, 'self-management', 'osteoarthritis' and 'pain'. Data were analyzed using the R version program. Results: Twenty nine studies met the inclusion criteria with a total of 5,998 participants. There were significant differences in overall effects of self-management (SMD -0.53, 95% CI -0.77~-0.29, p<.001). Conclusion: The results of the study show that self-management was effective in reducing pain in patients with osteoarthritis. As a result, it should be used as basic data when using self-management for patients with osteoarthritis.

Keywords

References

  1. Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. West Sussex: John Wiley & Sons. https://doi.org/10.1002/9780470743386
  2. Broderick, J. E., Keefe, F. J., Bruckenthal, P., Junghaenel, D. U., Schneider, S., Schwartz, J. E., et al. (2014). Nurse practitioners can effectively deliver pain coping skills training to osteoarthritis patients with chronic pain: A randomized, controlled trial. Pain, 155(9), 1743-1754. https://doi.org/10.1016/j.pain.2014.05.024
  3. Cohen, J. (1998). Statistical power analysis for the behavioral sciences (2nd ed). Hillsdale, NJ: Lawrence Erlbaum Associates.
  4. Crotty, M., Prendergast, J., Battersby, M. W., Rowett, D., Graves, S. E., Leach, G., et al. (2009). Self-management and peer support among people with arthritis on a hospital joint replacement waiting list: A randomised controlled trial. Osteoarthritis Cartilage, 17(11), 1428-1433. https://doi.org/10.1016/j.joca.2009.05.010
  5. Du, S., Yuan, C., Xiao, X., Chu, J., Qiu, Y., & Qian, H. (2011). Selfmanagement programs for chronic musculoskeletal pain conditions: A systematic review and meta-analysis. Patient Education & Counseling, 85(3), e299-310. https://doi.org/10.1016/j.pec.2011.02.021
  6. Fernandes, L., Hagen, K. B., Bijlsma, J. W., Andreassen, O., Christensen, P., Conaghan, P. G., et al. (2013). EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Annals of the Rheumatic Diseases, 72(7), 1125-1135. https://doi.org/10.1136/annrheumdis-2012-202745
  7. Higgins, J. P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions, version 5.1.0. The Cochrane Collaboration, Retrieved March 2011, from http://www.cochrane-handbook.org
  8. Jessep, S. A., Walsh, N. E., Ratcliffe, J., & Hurley, M. V. (2009). Long-term clinical benefits and costs of an integrated rehabilitation programme compared with outpatient physiotherapy for chronic knee pain. Physiotherapy, 95(2), 94-102. https://doi.org/10.1016/j.physio.2009.01.005
  9. Jung, K. H., Oh, Y. H., Lee, Y. K., Oh, M. A., Kang, E. N., Kim, K. R., et al. (2018). Elderly survey 2017. Seoul: Korea Institute for Health and Social Affairs.
  10. Kao, M. J., Wu, M. P., Tsai, M. W., Chang, W. W., & Wu, S. F. (2012). The effectiveness of a self-management program on quality of life for knee osteoarthritis (OA) patients. Archives of Gerontology & Geriatrics, 54(2), 317-324. https://doi.org/10.1016/j.archger.2011.05.018
  11. Kim, Y. I. (2016). Development and evaluation of a self-management program for home-living osteoarthritis patients. Unpublished doctoral dissertation, Keimyung University, Daegu.
  12. Kim, Y. I., & Park, J. S. (2015). A meta-analysis of intervention studies on the effects of self-management in knee osteoarthritis. Korea Academy Industrial cooperation Society, 16(3), 1946-1956. https://doi.org/10.5762/KAIS.2015.16.3.1946
  13. Kim, Y. I., & Park, J. S. (2017). Development and evaluation of a joint health self-management program for the elderly with knee osteoarthritis in communities: Applying the IMB model. Journal of Korean Academy of Community Health Nursing, 28(1), 55-68. https://doi.org.proxy.dsmc.or.kr/10.12799/jkachn.2017.28.1.55
  14. Kroon, F. P., van der Burg, L. R., Buchbinder, R., Osborne, R. H., Johnston, R. V., & Pitt, V. (2014). Self-management education programmes for osteoarthritis. Cochrane Database of Systematic Reviews(1), CD008963. https://doi.org/10.1002/14651858.CD008963.pub2
  15. Lee, C. H. (2019). The effect of psychological intervention for pain reduction in osteoarthritis patients a meta-analysis. Journal of the Korea Academia Industrial cooperation Society, 20(5), 109-117. https://doi.org/10.5762/KAIS.2019.20.5.109
  16. Mann, E. G., LeFort, S., & Van Den Kerkhof, E. G. (2013). Self-management interventions for chronic pain. Pain Management, 3(3), 211-222. https://doi.org/10.2217/pmt.13.9
  17. Meender Schafer, A. G., Zalpour, C., Piekartz, H., Hall, T. M., Paelke, V., Schäfer, A. G., et al. (2018). The efficacy of electronic health-supported home exercise interventions for patients with osteoarthritis of the knee: Systematic review. Journal of Medical Internet Research, 20(4), 1-1. https://doi.org/10.2196/jmir.9465
  18. Nolte, S. O., & Osborne, R. H. (2013). A systematic review of outcomes of chronic disease self-management interventions. Quality of Life Research, 22(7), 1805-1816. https://doi.org/10.1007/s11136-012-0302-8
  19. Nunez, M., Nunez, E., Segur, J. M., Macule, F., Quinto, L., Hernandez, M. V., et al. (2006). The effect of an educational program to improve health-related quality of life in patients with osteoarthritis on waiting list for total knee replacement: A randomized study. Osteoarthritis and Cartilage, 14(3), 279-285. https://doi.org/10.1016/j.joca.2005.10.002
  20. Schlenk, E. A., & Xiaojun, S. (2019). Evidence-based practices for osteoarthritis management: Self-management education is the foundation of osteoarthritis care. American Nurse Today, 14(5), 22-28.
  21. Walsh, N., Salmon, V., & Pearson, J. (2016). A systematic identification and assessment of self-management apps for osteoarthritis. Osteoarthritis & Cartilage, 24, S491-S491. https://doi.org/10.1016/j.joca.2016.01.900