| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 103 === This research aims to use active research method to describe an age-friendly knee health care(abbreviated as AFKHC) model process developed in a bone-care clinic in Taipei, and to assess its positive effect on the caring quality and improvement in life for the elders with knee OA . There are two phases to this research. Phase one, adopting the active research method, focused on the medical team of the bone-care clinic with the guild defined by Health Promotion Administration, Taiwan, ROC. on elder-friendly health caring and knee OA defined by American Academy of Orthopaedic Surgeons (AAOS) to review and develop the AFKHC model. The medical team together with the researcher went through a focus group interview, two individual interviews and one leader meeting in the circulation of evaluation, planning, action, reflection, and assessment to modify the AFKHC model.
Phase two, adopting Qusai-Experimental Design, conveniently sampled 58 elder patients with knee OA who took medical treatment at the bone-care clinic. The experimental group took AFKHC while the control group took standard caring. Both groups went through pre-test with questionnaire(including Western Ontario and McMaster Universities Osteoarthritis Index ,WOMAC、EQ-5D and physical function assessment. The post-test was carried out after the involvement of the project for 8 weeks, and Statistical analysis: Data were analyzed with SPSS20.0. The data collected from the pretest and the posttest of the 8-week AFKHC were analyzed by independent t-test and Analysis of covariance(ANCOVA) to meet the aims of this study.
The result indicates: the AFKHC model developed in phase one is focused the grass-root medical team and connected to the community resources to provide elder-centered caring continuously and comprehensively. The caring emphasizes on compassion, solicitude and the showing of respectful attitude in the communication between medical personnel and patient; and on medication safety, home fall prevention, knee OA daily health protection, home exercise prescription, and participation of aerobic activities in water and so forth in the service procedure to elevate the self-caring and health-improving health education and caring activity for the elders. After the involvement of AFKHC model, the post-test results of the experimental group on WOMAC lower limb function, static balance, satisfactory level to bone-care clinic service and EQ-5D life quality are superior to those in the control group and reach the significant difference definition statistically(p<0.05); whereas the post-test results of the experimental group on dynamic balance and lower muscle power are also superior to those in the control group but not reach the significant difference definition statistically(p>0.05).
This research is focused on the grass-root medical team and connected to the community resources to provide an elder-centered caring continuously and comprehensively aiming to elevate their self-caring ability so that to improve their lower limb function and life quality. Sincerely hope that the result of this research can act as a reference for relevant units/organizations/parties on providing caring service for the elders.
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