Development and Effects of an Online Pain Self-management Program for Knee Osteoarthritis.

IF 2.5 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2026-07-06 DOI:10.1016/j.pmn.2026.06.007

Eun Kyung Kim, Heeok Park

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引用次数: 0

Abstract

Purpose: This study aimed to develop an online pain self-management program (OPaSeMP) and evaluate its effects on home-dwelling patients with knee osteoarthritis.

Design: This study was designed with a non-equivalent control group pretest-posttest.

Methods: The program was implemented from October 21, 2024, to December 2, 2024. Participants from two senior welfare centers in D city participated in this study. Data were analyzed using SPSS/WIN 27.0. Hypotheses were tested using the independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U test. OPaSeMP was implemented over a 6-week period for the experimental group, with weekly themes tailored to pain management. Based on Bandura's social cognitive theory (1986), the OPaSeMP incorporates personal, behavioral, and environmental factors.

Results: There were significant differences in the severity of knee pain within a week (U = 101.50, p = .004), Knee Injury Osteoarthritis Outcome Score: symptoms (t = 2.35, p = .024), pain (t = 2.31, p = .026), function in daily living (U = 61.50, p < .001), function in sport and recreation (U = 307.00, p = .003), lower extremity muscle strength (t = 2.19, p = .035), and quality of life (t = 2.72, p = .010) between the two groups.

Conclusions: Based on these findings, the OPaSeMP was validated as an effective intervention for pain management in patients with knee osteoarthritis.

Clinical implication: Future replication studies should be conducted to standardize the OPaSeMP and facilitate its implementation in various clinical settings.

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膝骨关节炎在线疼痛自我管理程序的发展和效果。

目的：本研究旨在开发一个在线疼痛自我管理程序（OPaSeMP），并评估其对膝骨关节炎居家患者的影响。设计：本研究采用前测后测非等效对照组。方法：该方案于2024年10月21日至2024年12月2日实施。研究对象来自D市两所老年福利中心。数据分析采用SPSS/WIN 27.0软件。采用独立t检验、Wilcoxon符号秩检验和Mann-Whitney U检验对假设进行检验。实验组实施了为期6周的OPaSeMP，每周都有针对疼痛管理的主题。基于Bandura的社会认知理论（1986），OPaSeMP包含了个人、行为和环境因素。结果：两组患者一周内膝关节疼痛严重程度差异有统计学意义（U = 101.50,p = ）。004)，膝关节损伤性骨关节炎结局评分：症状(t = 2.35,p = 。024)，疼痛(t = 2.31,p = 。026)，日常生活功能（U = 61.50,p < .001），运动和娱乐功能（U = 307.00,p = ）。003)，下肢肌力(t = 2.19,p = 。035)，生活质量(t = 2.72,p = 。[10]在两组之间。结论：基于这些发现，OPaSeMP被证实是膝关节骨关节炎患者疼痛管理的有效干预措施。临床意义：未来应进行重复性研究，以使OPaSeMP标准化，并促进其在各种临床环境中的实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.