Laburpena
Background: Patients with knee osteoarthritis experience pain and functional impairment, which impacts upon activities of daily living ultimately leading to a loss of functional independence and low quality-of-life. This study therefore aimed at evaluating the functional health status of patients with knee osteoarthritis in the Family Medicine clinic, University College Hospital, Ibadan, Nigeria.
Methods: A cross-sectional study was conducted on 270 eligible respondents between January and March 2011. The Ibadan Knee/Hip Osteoarthritis Measure (IKHOAM) was administered after screening with the knee pain screening tool (KNEST). Respondents’ Socio-demographic characteristics and knee pain intensity ratings were also recorded.
Results: The age range of respondents in the study was from 28 years to 85 years with a female: male ratio 5:1. Out of the 270 respondents studied, 146 (54.1%) reported restriction in performing duties at work. One hundred and twenty seven respondents (47.0%) needed some assistance in walking outside the house for 15 to 20 minutes, whilst 195 (72.2%) required some assistance in climbing stairs. Thirty four (12.6%) of Muslims and 77 (28.5%) of Christians could not kneel to pray. Males are twice more likely to have a better functional health than females (OR= 2.1, 95% CI=1.0-4.6, p=0.046).
Conclusion: Knee osteoarthritis significantly impairs activities of daily living, especially some socio-cultural and religious practices of respondents. Therefore in addition to treating the knee symptoms, removing environmental barriers may reduce immobility within and outside the home thereby improving functionality.
Keywords: Functional health, knee osteoarthritis, pain, disability.
Résumé
Contexte: Les patients avecl'ostéo-arthrose du genou expérience la douleur deet la déficience fonctionnelle, ce qui impacte sur les activités de vie quotidienne conduisant finalement à une perte d'autonomie fonctionnelle et une faible qualité de life.Cette étude visait donc à évaluer l'état de santé fonctionnel des patients avec ostéoarthrose du genou dans la clinique de Médecine Familiale, Collège Hospitalier Universitaire, Ibadan, Nigeria.
Méthodes: Une étude transversale a été menée sur 270 répondants admissibles entre Janvier et Mars 2011. L'Ibadan Mesure Genou / Hanched'Ostéo-Arthrose (IKHOAM) a été administré après criblage avec l'outil de dépistage de la douleur du genou (KNEST). Les caractéristiques sociodémographiques des répondants et l'intensité de la douleur du genou ont également été enregistrées.
Résultats: La tranche d'âge des personnes interrogées dans l'étude était de 28 ans à 85 ans avec unrapport homme : femme de 5: 1.Dès 270 répondants étudiés, 146 (54,1%) ont déclaré la restriction dans l'exercice des fonctions au travail.Cent vingt-sept répondants (47,0%) avaient besoin d'aide pour marcher à l'extérieur de la maison pendant 15 à 20 minutes, tandis que 195 (72,2%) nécessitaient une aide pour monter les escaliers. Trente-quatre (12,6%) des musulmans et 77 (28,5%) des chrétiens ne pouvaient pas se mettre à genoux pour prier. Les hommes sont deux fois plus susceptibles d'avoir une meilleure santé fonctionnelle que les femmes (OR = 2,1, IC à 95% = 1,0-4,6, p = 0,046).
Conclusion: L'ostéo-arthrose du genou entrave sérieusement les activités de la vie quotidienne, en particulier certaines pratiques socioculturelles et religieuses des répondants. Par conséquent, en plus de traiter les symptômes du genou, l'élimination des obstacles environnementaux peut réduire l'immobilité à l'intérieur et l'extérieur de la maison ainsi améliorant la fonctionnalité.
Mots-clés: Santé fonctionnelle, Ostéo-arthrose du genou, douleur, Handicap.
Correspondence: Dr. Temitope Ilori, Department of Community Medicine, College of Medicine, University of Ibadan, Nigeria. E-mail: boatop@yahoo.com.
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