Self-management of osteoarthritis while waiting for total knee arthroplasty during the COVID-19 pandemic among older Malaysians

作     者：Ahmad Nabil Khairi Mahdzir Sumaiyah Mat Shi Rui Seow Rizal Abdul Rani Muhammad Kamil Che Hasan Nor Hamdan Mohamad Yahaya 

作者机构：Physiotherapy ProgrammeFaculty of Health SciencesUniversiti Kebangsaan MalaysiaKuala Lumpur 50300Kuala LumpurMalaysia Center for Healthy Ageing and WellnessFaculty of Health SciencesUniversiti Kebangsaan MalaysiaKuala Lumpur 50300Kuala LumpurMalaysia Department of Orthopedic&TraumatologyFaculty of MedicineUniversiti Kebangsaan MalaysiaKuala Lumpur 56000Kuala LumpurMalaysia Department of Medical Surgical NursingKulliyyah of NursingInternational Islamic University MalaysiaKuantan 25200PahangMalaysia 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2023年第11卷第29期

页      面：7043-7052页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by Fundamental Research Grant Scheme grant from the Malaysia’s Minister of Higher Education,FRGS/1/2021/SKK0/UKM/02/15 Ethical approval for this study was obtained from the UKM ethics committee(reference number:JEP-2022-105) 

主　　题：Osteoarthritis Total knee arthroplasty Aged COVID-19 Pain Functional performance 

摘      要：BACKGROUND The study sought to understand the self-management strategies used by patients during the postponement of their total knee arthroplasty(TKA)procedure,as well as the associations between the length of waiting time,pain,and physical frailty and *** study focused on individuals aged 50 years and above,as they are known to be more vulnerable to the negative impacts of delayed elective surgery and *** study hypothesizes that delayed TKR due to coronavirus disease 2019(COVID-19)will bear negative effect in self-management,pain,and physical frailty and function in older *** To investigate the effects of COVID-19 pandemic on self-management,pain,and physical function in older adults awaiting TKA in *** This cross-sectional study has the data of participants,who matched the criteria and scheduled for TKA for the first time,extracted from the TKA registry in the Department of Orthopaedics and Traumatology,Hospital Canselor Tuanku *** on pain status,and self-management,physical frailty,and instrumental activities daily living were also *** linear regression analysis with a significant level of 0.05 was used to identify the association between waiting time and pain on physical frailty and functional *** Out of 180 had deferred TKA,50%of them aged 50 years old and above,80%were women with ethnic distribution Malay(66%),Chinese(22%),Indian(10%),and others(2%)***-two percent of the participants took medication to manage their pain during the waiting time,while 10%used herbs and traditional supplements,and 68%did exercises as part of their osteoarthritis(OA)***-six participants were found to have physical frailty(strength,assistance with walking,rising from a chair,climbing stairs,and falls questionnaire score4)which accounted for 72%.Increased pain was associated with physical frailty with odds ratio,odds ratio(95%confidence interval):1.46(1.04-2.05).