Effect of Nursing Care by Using Swedish Massage , Kinesio Tape for Knee Osteoarthritis Patients on Pain, Functional Status and Quality of life

Background: Knee osteoarthritis is one of the most frequent causes of physical disability among adult world wide. Aim of the present study was to evaluate effect of nursing care by using kinesio tape , swedish massage on knee osteoarthritis patients , pain , functional status and quality of life Subjects and method; A quasi-experimental study was conducted at the Physical Medicine, Rehabilitation and rheumatology Department of Tanta University Hospital. A convenience sampling of 100 adults patients was divided into four groups. Each consist of 25patients, group1 control groups and study groups 2, 3,4are the study groups. Tools: Three tools were used for data collection as follow; Tool (I) Structured interview Questionnaire included two parts Part (one) Bio sociodemographic data, Part (two): Physical Health Status Assessment , Tool (II)Pain assessment tool, Tool (III) Tool :Short Form 36 (SF-36) Health Survey Questionnaire. Results; the main results revealed that there was statistical significant improvement in functional status study group4 (swedish massage, kinesio tapimg) than other three groups(1,2,3) throughout the intervention period of the study and There was a high statistical significant improvement in quality of life for study group4 (swedish massage, kinesio taping) than other three groups(1,2,3) throughout the intervention period of the study. Conclusion and recommendations: Swedish massage and kinesiology taping had positive effect on reduction of pain and improving , functional status and quality of life . encouraging for combination of kinesio tape ,Swedish massage with other treatments as core treatment for kneeosteoarhritis patients Key wards; Knee osteoarhritis , Swedish massage , kinesio tape, functional status , quality of life. Introduction: Osteoarthritis (OA) is one of the most common recurrent disabling joint disorders and represents a significant source of discomfort and disability in the Western world . OA is a chronic, progressive, and degenerative disorder that involves the entire joint and presents bone and cartilage impairment that is characterized by variable inflammation and subchondral bone structural changes and damage of the protective articular cartilage. Knee osteoarthritis is a multifactorial degenerative joint disease that is caused by changes In the articular cartilage and the subchondrial bone, osteophyte formation, and synovial tissue inflammation (Zain et al, 2020,Saran et al , 2020). Knee osteoarthritis is one of the most common articular cartilage diseases and it is one of the major causes of physical and socioeconomic disabilities . The disease comprises half of the problems in people aged over 50years and represents the second leading complaint among outpatients and affecting millions of people worldwide( Chin et al, 2019,Stone et al ,2020). Patients with KOA experience appreciable amount of limitations that impact their ability to live independently and deteriorate their quality of life . Globally, 80% of people with KOA has some degree of activity limitation,25% cannot perform instrumental Atta, et al, 2022,IEJNSR, 2(2): DOI: 10.21608/ejnsr.2021. 104451.1114 279 activities of daily living and 11% of the total affected population reporting the need of personal care (Dunn et al, 2019). ccording to WHO world health organization estimated that the Prevalence of OA in the World was 151.4 million, The American 22.3 million, Africa 10.1 million, Eastern Mediterranean 6.0 million, Europe 40.2 million, SouthEast Asia 27.4 million, Western Pacific 45.0 million. Knee osteoarthritis is the most prevalent form of arthritis and in urban settings. It was 55.1% in South Africa and in rural settings. The prevalence of disease in Egypt appears to be as high as 26% of women and 12% of men. However, a review of Tanta Main University Hospital has revealed statistical records that more than 1000 patients had knee osteoarthritis diagnosed in physical , rehabilitation and rheumatology department in 2019( Fitzgerald et al ,2020 ). Management of knee osteoarthritis is conservative and Operative measures. Conservative measures encompass different approach of Non pharmacological and Pharmacological measures. Non pharmacological measures include use of some interventions to decrease pain and stiffness, Improve quality of life such as Swedish massage and kinesiology taping. Pharmacological measures include drug therapy and Operative measures include surgical management . In relation to Swedish massage is a complementary intervention . It is characterized by long strokes applied according to the venous and lymphatic flow. It is a painless, gentle and non forceful technique that is not associated with any serious adverse effect It can provide several benefits to the body such as increased blood flow, reduced muscle tension and neurological excitability and an increased sense of well-being ( Clave et al ,2019) . In relation to kinesio taping Method is designed to facilitate the body’s natural healing process while allowing support and stability to muscles and joints without restricting the body’s range of motion. It is used to successfully relieve a variety of orthopedic, neuromuscular, neurological and medical conditions. Kinesio tape is an elastic thin, cotton, porous fabric with acrylic adhesive ( Atman et al ,2019). Patients with knee osteoarthritis tend to increase their physical limitations, pain and Functional limitation with disease progression. Theses Patients suffer from progressive increased impact on their activities of daily living which leads to losses in General health, leisure, social life, wellbeing and sleeping quality, leading also to decrease in their quality of life (Aman T et al ,2020). Normally, quality of life is According to the World Health Organization, "Health related to quality of life" How the disease or the treatment is affecting the different aspects of life . QoL not only influenced by a disease and its treatment but also by socioeconomic status and living condition. (Chin et al ,2018 ) Role of nurses assist patients by becoming familiar with underlying principles, proper practices and research findings about alternative medicine and related therapeutics. The nurse provides physical and psycho-social support, also encourages patients to become independent. The primary nursing management of knee osteoarhritis is to provide physical care which encompass assessment of pain in addition to associated factors , its effect on activity of daily living (ADL) and optimizing functional ability as well as intervention to relieve pain (Phippsetal,2019). Significance of the study: It is anticipated that KOA is a disease with a high incidence and prevalence, with high economic burdens. The number of affected individuals expected to increase. Nursing care using kinesio taping and Swedish massage lead to reduction of pain and improve Atta, et al, 2022,IEJNSR, 2(2): DOI: 10.21608/ejnsr.2021. 104451.1114 280 functional ability , improve quality of life, prevent disability which is largely attributable to the effects of disability, co-morbid disease and the expense of treatment. Since current management for knee osteoarthritis give only few benefits, so different alternative therapeutic interventions are urgently needed (Heoman et al,2019) Aim of the study: The aim of this study was to evaluate effect of nursing care by using kinesio tape , swedish massage on knee osteoarthritis patients , pain , functional status and quality of life . Research hypothesis: Study groups who receive Swedish massage will be exhibited reduction of pain and improving functional status and quality of life. Study groups who receive kinesio tape will be exhibited reduction of pain and improving functional status and quality of life ,Study groups who receive Swedish massage and kinesio tape will be exhibited more reduction of pain and improving functional status. Subject and method. Research Design: A quasi-experimental research design was used in the present study. The study was used to conduct this study the Physical Medicine, Rehabilitation and rheumatology department at Tanta University Hospital.