Living Experiences of Middle-Aged Adults with Early Knee Osteoarthritis in Prediagnostic Phase

Monday, 30 July 2012

Mei-Hua Kao, MSN, RN
Department of Nursing/Graduate Institute of Clinical Medical Sciences, Mackay Memorial Hospital/Chang Gung University, Tamshui, Taipei Country, Taiwan
Yun-Fang Tsai, PhD, RN
Chang Gung University, School of Nursing, Tao-Yuan, Taiwan

Learning Objective 1: The learner will be able to understand the living experiences of middle-aged adults with early knee osteoarthritis in Taiwan.

Learning Objective 2: The learner will be able to integrate knowledge of osteoarthritis into the health education system to develop appropriate interventions for patients with early knee osteoarthritis.

Purpose: Knee osteoarthritis is one of the most common musculoskeletal diseases in elderly people. The aim of this study was to understand the living experiences of middle-aged adults with early knee osteoarthritis.

 Methods: A qualitative research design was used in this study. Participants (n = 17) were recruited by purposive sampling from orthopedic clinics at two medical centers in northern Taiwan. Data were collected through in-depth interviews from July to December 2010. The data were transcribed verbatim and summarized by content analysis.

 Results: The results indicated that the lived experiences could be grouped into 4 main themes: awareness: surmise of causes; acquisition of strategies; and search for confirmative diagnosis.

 Conclusion: This study found that patients’ knowledge is insufficient for recognition of the presence of osteoarthritis. There is a need for clinical practitioners to integrate knowledge of osteoarthritis into the health education system and to develop interventions for early knee osteoarthritic patients. Patients' disease cognition must be promoted so that their ability to process symptoms of this disease will increase.