Prevention and Postponement of the Early Elderly from Osteoarthritis Knee in Nakhon Pathom Province - การป้องกันและชะลอภาวะข้อเข่าเสือมในผู้สูงอายุวัยต้นในจังหวัดนครปฐม

Abstract

              Osteoarthritis (OA) knee is the common problem in global population especially in elderly, and the incidence are increasing in Thailand, because of Thailand is going to aging society. According to the surgery operation statistics of Nakhon Pathom Hospital, total knee replacement is the first top elective surgery in Orthopedic Department for 3 consecutive years, 2013, 2014, 2015, found 213 patients, 207 patients, and 229 patients respectively. Therefore, it results in the effort to prevent and postpone osteoar-thritis in the elderly, which explain the mechanism of the symptom, treatment, and suggestion of self-care to the elderly in the elderly club of Nakhon Pathom Hospital so they can take care of themselves. The retrospective study, in the elderly club of Nakhon Pathom Hospital including 192 samples, from 1 October 2015 – 30 March 2016, collected data by general information evaluation and factors caused Osteoarthri-tis evaluation including the evaluation of Osteoarthritis. The data collection was applied with Oxford Knee Score storing as data 0, 3, 6 months, statistically analyzed with SPSS version 21, with statistical signifi-cance at p<0.05. The 192 participants have learn and behavior modification, proper intake and exercise, after the program and according to the analysis of month 3, and month 6, weight, BMI and waist circum-ference of the participants do not reduce while Oxford Knee Score is better, 35.4, 36.1 and 37.9 from the start, month 3 and month 6 with statistical significance. Comparing the elderly between early elderly group and late elderly group, the early elderly group can reduce weight and waste circumference better while their Oxford Knee Score also increases more than another period with statistical significance. Therefore, they should enter the program to prevent Osteoarthritis and the other human behavior diseases.

Key words:osteoarthritis knee, total knee replacement, appropriate exercise, early elderly group, late elderly group