Evaluation of intermediate care for knee and hip osteoarthritis: a mixed-methods study

Arslan, I.; Voorbrood, Vincent M I; Stitzinger, Saskia A G; Kerkhove, M.-P. Van De; Rozendaal, Rianne M; Middelkoop, Marienke van; Bindels, Patrick J E; Bierma-Zeinstra, S.M.; Schiphof, D.

doi:10.1016/j.joca.2021.02.494

Cited by 1 publication

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“…Patients in 3 groups were given comprehensive nursing during treatment [14]. (1) Health education: on the basis of understanding the basic information of patients, the etiology, treatment, and precautions of KOA were made into small videos and health knowledge manuals and distributed to patients in the form of ward television, blackboard newspaper column or poster, and detailed disease-related knowledge was explained to them and questions were answered.…”

Section: Nursing Methodsmentioning

confidence: 99%

Effects of Warm Acupuncture Combined with Meloxicam and Comprehensive Nursing on Pain Improvement and Joint Function in Patients with Knee Osteoarthritis

Sun

Wang

et al. 2022

Journal of Healthcare Engineering

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Objective. To observe the effect of warm acupuncture combined with meloxicam and comprehensive nursing on pain improvement and joint function in patients with knee osteoarthritis. Method. Eighty-one patients with KOA were randomly divided into control group (CG), traditional Chinese medicine group (TCMG), and combined group (JG). The CG was treated with meloxicam. The TCMG received warm acupuncture treatment. The JG was treated with meloxicam combined with warm acupuncture. Three groups were given comprehensive nursing intervention, and the course of treatment was 4 weeks. Knee function was assessed by knee pain, activity, stability, walking ability, and ability to walk up and down stairs. Improvement time of clinical symptoms of patients was assessed from knee pain, swelling, and movement limitation. Pain mediators (prostaglandin E2 (PGE2), substance P (SP), dopamine (DA), 5-hydroxytryptamine (5-HT)) were detected by enzyme-linked immunosorbent assay (ELISA). Oxidative stress indicators (superoxide dismutase (SOD) and malondialdehyde (MDA)) of the enrolled patients were detected by water-soluble tetrazolium-1 (WST-1) and the thiobarbituric acid (TBA) method. The clinical efficacy was assessed by the visual analog scale (VAS) score. Results. After treatment, the pain scores of the three groups decreased, and the scores of mobility, stability, walking ability, and the ability to walk up and down stairs increased. Compared with the CG and the TCMG, the JG had a greater range of changes in pain, mobility, stability, walking ability, and ability to walk up and down stairs after treatment. After 7 d, 14 d, and 28 d treatment, PGE2, SP, DA, 5-HT, and MDA in the three groups were decreased compared with before treatment, and the decrease in the JG was more obvious than that in the CG and the TCMG. SOD levels in the three groups were increased, and the increase in the JG was more obvious than that in the CG and the TCMG. The total effective rate of the JG (96.30%) was significantly different from that of the CG (77.78%) and the TCMG (81.48%). The improvement time of knee pain, swelling, and movement limitation in the JG was shorter than that in the CG and the TCMG, and the difference in the improvement time of movement limitation in the TCMG was statistically significant. Conclusion. Warm acupuncture combined with meloxicam and comprehensive nursing can effectively improve knee swelling and pain in patients with KOA, and the mechanism may be related to reducing the content of inflammatory mediators.

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Section: Nursing Methodsmentioning

confidence: 99%