On Healthcare management dilemmas in patients with osteoarthritis of the knee

An integrative review

Authors

  • Hong JI Nursing Department, The First Affiliated Hospital of Shandong First Medical University, Jinan, China https://orcid.org/0000-0003-4266-9186
  • Wenzhong Zhang Shandong University of Traditional Chinese Medicine School of Nursing, Jinan. China
  • Simeng You The affiliated hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing, Zhejiang, China
  • Jordan Tovera Salvador Assistant Professor, Nursing Education Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

DOI:

https://doi.org/10.56226/74

Keywords:

Knee Osteoarthritis, Healthcare Management, Dilemma, Nursing

Abstract

Background: Knee Osteoarthritis (KOA) was estimated to affect about 250 million people worldwide, with symptomatic KOA affecting about 10 to 16 percent of people over the age of 60. The epidemiological study of KOA in the Chinese population showed that the prevalence of KOA in China was about 18%, with 11% in men and 19% in women, and the prevalence of KOA in women was significantly higher than that in men.

Methods: Systematic search of PubMed, Web of Science, The Cochrane Library, Embase, and CINAHL for studies on health management dilemmas in KOA patients. The search was conducted from the time the library was constructed until January 2024. 

Results: A total of 496 documents were retrieved, with 441 remaining after deletion of duplicates. After reviewing the titles and abstracts of 441 documents, 390 documents were excluded. The remaining 51 literatures were read in full text and 40 literatures were excluded. 11 literatures were finally included.

Conclusion: Although a few scholars have achieved some success in the exploration of KOA health management, due to the large randomness of their research, lack of systematic and rigour, and the KOA health management model suitable for different regions has not been established. More research is still needed in the future to explore the shortcomings of KOA health management and to establish a complete KOA health management programme and system to promote patients' disease control.

Contribution to Evidence-Based Care: The article helps to make healthcare professionals aware of the current dilemmas in the health management of KOA patients. It helps healthcare professionals to develop a scientific discharge plan and apply it in the clinic to promote health management outcomes for KOA patients.

References

Ackerman, I. N. and J. A. Livingston, et al. (2016). "Personal Perspectives on Enablers and Barriers to Accessing Care for Hip and Knee Osteoarthritis." Physical therapy 96 (1): 26-36.

Axford, J. and C. Heron, et al. (2008). "Management of knee osteoarthritis in primary care: Pain and depression are the major obstacles." JOURNAL OF PSYCHOSOMATIC RESEARCH 64 (5): 461-467.

Chang Jinghui, W. D. S. S. (2020). "Analysis of Joint function and related Influencing factors in middle-aged and elderly patients with KOA in Guangzhou." Chinese Journal of Chronic Disease Prevention and Control: 28(10), 757-761.

Chen, H. and J. Wu, et al. (2021). "Trends and Patterns of Knee Osteoarthritis in China: A Longitudinal Study of 17.7 Million Adults from 2008 to 2017." Int J Environ Res Public Health 18 (16).

Driban, J. B. and M. S. Harkey, et al. (2020). "Risk factors and the natural history of accelerated knee osteoarthritis: a narrative review." BMC Musculoskelet Disord 21 (1): 332.

Fan ZJ, W. G. L. C. (2022). "Interpretation and evaluation of Chinese Guidelines for Diagnosis and Treatment of Osteoarthritis (2021 Edition)." 22(06), 621-627.

Farrokhi, S. and Y. F. Chen, et al. (2016). "The Influence of Knee Pain Location on Symptoms, Functional Status, and Knee-related Quality of Life in Older Adults With Chronic Knee Pain Data From the Osteoarthritis Initiative." CLINICAL JOURNAL OF PAIN 32 (6): 463-470.

Feng Xiaoqing, C. D. Y. X. (2022). "Disease burden of knee osteoarthritis in China based on GBD big data." Modern Preventive Medicine49(10), 1753-1760.

Gao Tao, Y. B. H. J. (2023). "Research progress on the clinical effect of traditional Chinese medicine external treatment of knee osteoarthritis based on the theory of meridian tendons." Chinese rehabilitation medicine.

Liu Zhaohui, M. J. Z. S. (2020). "Current status and research progress of knee osteoarthritis." Chinese Journal of Bone and Joint Surgery13(8), 688-693.

Loew, L. and L. Brosseau, et al. (2016). "Factors influencing adherence among older people with osteoarthritis." CLINICAL RHEUMATOLOGY 35 (9): 2283-2291.

Ma Jun, L. Y. (2022). "Application effect of community comprehensive treatment and management in patients with knee osteoarthritis." Chinese Community Physician38(24), 162-164.

Miller, K. A. and F. Osman, et al. (2020). "Patient and physician perceptions of knee and hip osteoarthritis care: A qualitative study." INTERNATIONAL JOURNAL OF CLINICAL PRACTICE 74 (12).

Nelligan, R. K. and R. S. Hinman, et al. (2020). "Exploring Attitudes and Experiences of People With Knee Osteoarthritis Toward a Self-Directed eHealth Intervention to Support Exercise: Qualitative Study." JMIR Rehabil Assist Technol 7 (2): e18860.

Ondresik, M. and M. F. Azevedo, et al. (2017). "Management of knee osteoarthritis. Current status and future trends." Biotechnol Bioeng 114 (4): 717-739.

Özcan, S. and H. Yurten (2023). "Difficulties Experienced by Patients with Knee Osteoarthritis during the Conservative Treatment Process: A Qualitative Study." JOURNAL OF CLINICAL MEDICINE 12 (20).

Q, W. (2022). "Construction of self-management scheme for knee osteoarthritis patients based on mobile medical treatment." Nanjing University of Chinese Medicine.

Qiu Xi, D. Z. (2021). "The basic situation and development strategy of the in-depth integration of national fitness and national health in the context of "Healthy China 2030"." Journal of Wuhan Institute of Physical Education55 (11), 41-49.

Tang, X. and S. Wang, et al. (2016). "The Prevalence of Symptomatic Knee Osteoarthritis in China: Results From the China Health and Retirement Longitudinal Study." Arthritis Rheumatol 68 (3): 648-53.

Tanimura, C. and M. Morimoto, et al. (2011). "Difficulties in the daily life of patients with osteoarthritis of the knee: scale development and descriptive study." JOURNAL OF CLINICAL NURSING 20 (5-6): 743-753.

Uritani, D. and A. Ikeda, et al. (2021). "Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study." BMC Musculoskeletal Disorders 22 (1).

Uritani, D. and H. Koda, et al. (2021). "Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: a systematic review of randomised controlled trials." BMC Musculoskeletal Disorders 22 (1): 1-10.

Wang Bin, X. D. D. S. (2018). "Systematic review of the epidemiology and disease burden of knee osteoarthritis in China." Chin J evidence-based med18(02), 134-142.

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Published

30-12-2024

How to Cite

JI, H., Zhang, W., You, S., & Salvador, J. T. (2024). On Healthcare management dilemmas in patients with osteoarthritis of the knee: An integrative review. International Healthcare Review (online). https://doi.org/10.56226/74

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