Jia Lee; Eun Sun Ji

doi:10.4040/jkan.2011.41.1.18

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Original Article
Effect of an Integral Care System: a Combination of Oriental and Western Care for Older Adults with Degenerative Arthritis: Jia Lee, Eun Sun Ji; Journal of Korean Academy of Nursing 2011;41(1):18-25.
DOI: https://doi.org/10.4040/jkan.2011.41.1.18
Published online: February 28, 2011

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: April 14, 2010 • Accepted: February 25, 2011

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Abstract
NOTES
REFERENCES

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

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

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Table 1

Composition of the Integrated Care Service

Contents and frequencies varied by patients' conditions.

Table 2

Homogeneity Test for Demographic Characteristics, Physical Function and Pain Intensity (N=85)

Table 3

Mean Differences of Physical Function and Pain Intensity (N=85)

Table 4

Comparison of Two Groups for Service Satisfaction and Medical Cost Spending (N=85)

Figure & Data

REFERENCES

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

J Korean Acad Nurs. 2011;41(1):18-25. Published online February 28, 2011

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

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

Table 1

Composition of the Integrated Care Service

Contents and frequencies varied by patients' conditions.

Table 2

Homogeneity Test for Demographic Characteristics, Physical Function and Pain Intensity (N=85)

Table 3

Mean Differences of Physical Function and Pain Intensity (N=85)

Table 4

Comparison of Two Groups for Service Satisfaction and Medical Cost Spending (N=85)

Table 1 Composition of the Integrated Care Service

Contents and frequencies varied by patients' conditions.

Table 2 Homogeneity Test for Demographic Characteristics, Physical Function and Pain Intensity (N=85)

Table 3 Mean Differences of Physical Function and Pain Intensity (N=85)

Table 4 Comparison of Two Groups for Service Satisfaction and Medical Cost Spending (N=85)