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Lee and Ji: Effect of an Integral Care System: a Combination of Oriental and Western Care for Older Adults with Degenerative Arthritis
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2011; 41(1): 18-25.

Published online: 28 February 2011

DOI: https://doi.org/10.4040/jkan.2011.41.1.18

Effect of an Integral Care System: a Combination of Oriental and Western Care for Older Adults with Degenerative Arthritis

Jia Lee1, Eun Sun Ji2

1Assistant Professor, College of Nursing Science, Kyung Hee University, Seoul, Korea.

2Post Doctoral Fellow, School of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.

Address reprint requests to: Ji, Eun Sun. College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA. Tel: +1-443-468-5128, Fax: +1-443-468-5430, jes2345@gmail.com

Received 14 April 2010       Accepted 25 February 2011

© 2011 Korean Society of Nursing Science

Abstract

Purpose

This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis.

Methods

A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks.

Results

Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035).

Conclusion

The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

Keywords: Integrated health care systems, Arthritis, Older adults

Figures and Tables

Table 1
Composition of the Integrated Care Service
jkan-41-18-i001

Contents and frequencies varied by patients' conditions.

Table 2
Homogeneity Test for Demographic Characteristics, Physical Function and Pain Intensity (N=85)
jkan-41-18-i002
Table 3
Mean Differences of Physical Function and Pain Intensity (N=85)
jkan-41-18-i003
Table 4
Comparison of Two Groups for Service Satisfaction and Medical Cost Spending (N=85)
jkan-41-18-i004

Notes

This study was funded by a Medical New Faculty Research Grant by Kyung Hee University (No. 20071498).

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