Assess the knowledge regarding Osteoarthritis among the Osteoarthritis client in middle adulthood in Orthopedic OPD in Rohilkhand Medical College and Hospital, Bareilly U.P, with self-developed Instructional module

 

Mrs. Mamta1, Ms. Nikita Chand2, Ms. Pooja Sharma2, Ms. Pooja Yadav2

1Assistant Professor, Medical Surgical Nursing Department, Rohilkhand College of Nursing, Bareilly, UP

2B.Sc. Nursing Fourth Year Students, Medical Surgical Nursing Department, Rohilkhand College of Nursing, Bareilly, UP.

*Corresponding Author Email: mamta31rawat@gmail.com

 

ABSTRACT:

A descriptive study to assess the knowledge regarding osteoarthritis among the osteoarthritis client in middle adulthood (34-60) in orthopedic OPD in Rohilkhand medical college and hospital, Bareilly with self-developed. Objective of the Study: 1. To assess the knowledge regarding prevention of osteoarthritis among middle adulthood Clients in RMCH, Bareilly. 2. To find out the association between knowledge and selected demographical variables among prevention of osteoarthritis. Method: Study was conducted in Orthopedic O.P.D of Rohilkhand Medical College and Hospital Bareilly, the convenient sampling technique were used and the sample was 40 who were diagnosed with Osteoarthritis middle adult-hood client, structured questionnaire tools, with the help of interview method used in this study. The data was collected to assess the level of knowledge regarding Osteoarthritis among osteoarthritis clients. The data collected were analyzed and interpreted by using descriptive and inferential statistics. Result: The result shows that there are 32.5% participants have adequate knowledge, 65% have moderate knowledge, only 2.5% inadequate knowledge regarding osteoarthritis and its prevention. There was no relationship between the levels of related to Osteoarthritis among osteoarthritis client with demographic data.

 

KEYWORDS: Assess, Knowledge, Prevention, Osteoarthritis, Client, Middle adulthood.

 

 

INTRODUCTION:

Osteoarthritis is a long-term chronic disease characterized by the deterioration of cartilage in joints, which results in bones rubbing together and creating stiffness, pain, and impaired movement.1

 

WORLD HEALTH ORGANIZATION:

Osteoarthritis (OA), the most common type of arthritis, is a joint failure in which all structures of the joint undergo pathologic changes, often in concert.2

 

It affects almost all joints, but the most commonly affected joints are the knee and hip joints. In the world, it is estimated that 10%–15% of all adults aged over 60 have some degree of OA, with prevalence higher among women than men3.

 

Osteoarthritis is the second most common rheumatological problem and is most frequent join disease with prevalence of 22% to 39% in India in 2017. This is the most common cause of locomotors disability in the elderly. In 2015 prevalence of knee osteoarthritis among women aged 40 yrs and above was 5% out of 66 Women who had osteoarthritis 68.2% were currently on treatment we also find 65.2% (43) women were having difficulty in doing daily routine activity.4

Osteoarthritis of the knees is often associated with excess upper body weight, with obesity, or a history of repeated injury and/or joint surgery. Progressive cartilage degeneration of the knee joints can lead to deformity and outward curvature of the knees, which is referred to as being “bowlegged”. People with osteoarthritis of the weight-bearing joints (such as the knees) can develop a limp. The limping during load bearing can worsen as more cartilage degenerates. In some clients, the pain, limping, and joint dysfunction may not respond to medication or other conservation measures. Therefore, severe osteoarthritis of the knees is one of the most common reasons for total knee replacement medical procedure in united states.5

 

Osteoarthritis of the cervical spine or lumbar spine causes pain in the neck or low back. Bony spurs, called osteophytes, that form along the arthritic spine can irritate spinal nerves, causing severe pain that can radiate from the spine as well as numbness and tingling of the affected parts of the body.6

 

MATERIALS AND METHOD:

In this study quantitative research approach used with descriptive survey design, sample consisted of 40 with the age between 34-60year old. Convienent sample technique used in orthopedic OPD in Rohilkhand medical college and Hospital, Bareilly. Data collecting instrument consist of two sections: demographic data and self structure questionare and data collected by structure interview method.

 

RESULTS:

Table 1 shows the results on Frequency and percentage distribution of level of knowledge scoring regarding osteoarthritis among osteoarthritis client.                                                          N-40

Level of knowledge

Knowledge Score

Score

N

%

Adequate

(19-26)

13

33%

Moderate

(10-18)

26

65%

Inadequate

(0-9)

1

2.5%

Minimum Score -0

Maximum Score-26

 

Table 1: Shows that frequency and percentage% of Osteoarthritis client according to level of knowledge score related to Osteoarthritis among Osteoarthritis clients.

 

In this 32.5% of Osteoarthritis client had adequate score (19-26) 33% of Osteoarthritis client had moderate knowledge score (10-18) is 65% of Osteoarthritis client had inadequate knowledge score (0-9) is 2.5%.

 

Table 2: Major findings According to sample characterstics.

Majority of the osteoarthritis client were 27.5% in age group of both 34-40 years and 48-54 years. 62.5% osteoarthritis clients were female. Highest percentage of marital status 82.5% were married.67.5% osteoarthritis client education qualification was high school.

 

Majority of samples are be longs to both rural (50%) and urban (50%). Majority of samples beliefs in Hindu religion (70%).

 

Table 2: Frequency and Percentage of Osteoarthritis Client According to Demographic Variables                                                     N =40

S. No

Demographic variables

Total frequency

Percentage (%)

1

Age

a)  34-40

b)  41-47

c)  48-54

d)  55-60

 

11

8

11

10

 

27.5%

20%

27.5%

25%

2

Gender

a)  Male

b)  Female

 

15

25

 

37.5%

62.5%

3

Marital status

a)  Married

b)  Unmarried/single

c)  Divorced/separate

d)  Widow/widower

 

33

1

1

5

 

82.5%

2.5%

2.5%

12.5%

4

Educational status

a)  High school

b)  Intermediate

c)  Graduate

d)  Post-graduate

 

27

9

2

2

 

67.5%

22.5%

5%

5%

5

Area of residence

a)  Rural

b)  Urban

 

22

22

 

50%

50%

6

Religion

a)    Hindu

b)   Muslim

c)    Christian

d)   Other

 

28

11

1

0

 

70%

27.5%

2.5%

0%

 

 

Table 3: Association between knowledge score of Osteoarthritis clients regarding Osteoarthritis with their demographical variables.

Demographic Variables

Adequate

Moderate

Inadequate

Degree of freedom (df)

Calculated value (x2)

Tabulated

Value

Level of significant

F

%

F

%

F

%

Age

a)     30-40

b)     41-47

c)     48-54

d)     54-60

 

0

0

1

0

 

0%

0%

2.5%

0%

 

7

7

4

8

 

17.5%

17.5%

10%

20%

 

4

2

5

2

 

10%

5%

12.5%

5%

 

 

6

 

 

8.312

 

 

12.59

 

 

#

Gender

a)     Male

b)     Female

 

0

9

 

0%

2.5%

 

9

17

 

22.5%

42.5%

 

6

7

 

15%

17.5%

 

2

 

1.06

 

 

5.99

 

#

Marital status

a)     Unmarried/single

b)     Married

c)     Divorced/separated)   Widow/widowed

 

0

1

0

0

 

0%

2.5%

0%

0%

 

1

21

1

3

 

2.5%

52.5%

2.5%

7.5%

 

0

9

0

4

 

0%

22.5%

0%

10%

 

 

6

 

 

40.53

 

 

12.59

 

 

 

#

Educational status

a)     High school

b)     Intermediate

c)     Graduated

d)     Post-graduated

 

0

1

0

0

 

0%

2.5%

0%

0%

 

16

7

2

1

 

40%

17.5%

5%

2.5%

 

11

1

0

1

 

27.5%

2.5%

0%

2.5%

 

6

 

5.824

 

12.59

 

#

Area of residence

a)     Rural

b)     urban

 

0

1

 

0%

2.5%

 

17

4

 

42.5%

10%

 

9

9

 

22.5%

22.5%

 

2

 

5.95

 

5.99

 

#

Religion

a)     Hindu

b)     Muslim

c)     Christian

d)     Others

 

0

1

0

0

 

0%

2.5%

0%

0%

 

17

8

1

0

 

42.5%

20%

2.5%

0%

 

11

2

0

0

 

27.5%

5%

0%

0%

 

 

6

 

 

10.17

 

 

12.59

 

 

#

*Significant at p<0.05 level

# Not significant at p>0.05 level

 

Hence, it is concluded that there was no association of level of knowledge of Osteoarthritis among Osteoarthritis client according to their age, gender, marital status, educational status, area of residence and religion.

 

DISCUSSION:

The findings regarding characteristics:

The percentage study shows of that out of 40 sample according to age of Osteoarthritis clients’ highest percentage or sample was in age group of both 34-40 and 48-54 years (27.5%), 41-47 years (20%), and 55-60 year (25%).

 

Study Supported by Bedson. J (2010) conducted a study to determine the prevalence of osteoarthritis diagnosed in primary care center. In these 146 cases and controls were revived by a using X-ray at the time of first diagnoses. Among this 49% cases and 15% of controls had a previous diagnoses of knee osteoarthritis. This study reveals that estimated prevalence of diagnosed knee osteoarthritis is much higher ≥ 45 years of 12.5%

 

The study supported by Prince Pappy (2016) conducted  Knowledge Regarding Osteoarthritis and its Risk Factors Among Lucknow Population, majority of participants have insufficient awareness of Osteoarthritis with a percentage of 63,8% .The adequate Osteoarthritis awareness (score>9) was low and similar in both genders (35.8% of women vs 37.6% of man) compared to a comparable high inadequate awareness about Osteoarthritis (score ≤ 17) in 6.2% of women and 64.4% of man so there was no significant difference between awareness and gender.

 

CONCLUSION:

Thus, the study concluded that knowledge regarding osteoarthritis among osteoarthritis client were less so the Researcher develops an information guide sheet in order to increase their knowledge.

 

REFERENCE:

1.      Litwic A, Edwards MH, Dennison EM, Copper C. Epidemiology and Burden of Osteoarthritis. Br Med Bull. 2013; page no: 185-199.

2.      Symmons D, Mathers C, Pfleger B. Global Burden of Osteoarthritis in Year 2000: Global Burden of Disease 2000 Study. Version 2. World Health Report; 2002. p. 5. Available from: http://www.who.int/ healthinfo/statistics/bod_osteoarthritis.pdf. [Last accessed on 2015 Jan 10]

3.      World Health Organization. Department of Chronic Diseases and Health Promotion. Available from: http://www.who.int/chp/ topics/rheumatic/en/.[Last accessed on 2017 Aug 10]. 

4.      B.C. Narasimha, K.S. Ravish and T.S. Rangnathan, International Journal of Community Medicine and Public Health, June 2016, vol 3, issue 6, page1554-1558, DOI: http//dx.doi.org/10.18203/2394-600.ijcmph20161627.

5.      Prince Pappy, Knowledge Regarding Osteoarthritis and its Risk Factors Among Lucknow Population, International Journal of Research in Engineering, Science and Management Volume-2, Issue-7, July-2019 www.ijresm.com | ISSN (Online): 2581-5792.

6.      Barlow JH, Turner AP, Wright CC. Comparison of clinical and self-reported diagnoses for participants on a community-based arthritis self-management programmed. British Journal of Rheumatology. 1998; 37(9):985-987.

 

 

 

Received on 02.10.2020         Modified on 14.12.2020

Accepted on 02.03.2021      ©A&V Publications All right reserved

Asian J. Nursing Education and Research. 2021; 11(3):326-328.

DOI: 10.52711/2349-2996.2021.00078