الفهرس 
Osteoarthritis Overview
Congenital/developmental conditionsOnly 14 pages are availabe for public view
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Abstract
Osteoarthritis is one of the most prevalent and disabling
chronic conditions affecting multiple aspects of older
adults life. The prevalence of osteoarthritis increase with age
and by the age of 65, approximately 80% of the elderly
population are affected. Arthritis is divided into
inflammatory (rheumatoid arthritis) and non-inflammatory
disease (osteoarthritis).
The impairments secondary to osteoarthritis occur more
frequently in older adults, more over pain and limitation of
movement restrict the independence by impairing their
performance of ADLs leading to impaired well being and QOL.
Therapeutic regimen of osteoarthritis is complex with long
duration and requires many behavioral changes and compliance
to different treatment methods as medication, physical exercises,
use of compress, assistive devices, activity modification and follow
up and he effect of osteoarthritis on the QOL.
The aim of the study was to evaluate the quality of life
among older adult with osteoarthritis To fulfill the aim of the
study three research questions were used to collect data.
1-Is there relation between older adult’s characteristics and
their (QOL)?2-Is there relation between health status and their quality of
life (QOL)?
3- What are the factors affecting pain intensity?
Settings:
The present study was conducted in non governmental
associations. After obtaining the list of available geriatric
homes. The setting of the study was conducted in four geriatric
homes were (Dar Elhoda El Eslamy ”Samaan El Sheikh,
Gamayet El Sayeda El Al Karma El Coptiea in Shubra.
Sample:
Convenient sample was selected from the prementioned
settings, total number 107 older adults.
Tools of data collection:
I- Interviewing Questionnaire for older adults with
osteoarthritis: was developed by the investigator the
questionnaire is consisted of.
A- Socio-demographic variables of the study subjects as
gender, age, marital status and education.
B- The arthritis impact measurement scale (AIMS2)
(Robert, 1991).2 – Second tools WHO Quality of life (WHOQOL) Tool:
The WHO is developing an instrument to measure the
quality of life of the elderly. This quality of life assessment
questionnaire was used for the study. The tool constitutes
100 questions! Over six main domains about the quality of
life; physical, social, psychological, level of dependence,
environmental and spiritual domains.
3- Third tool; Environmental Home Safety (Janice and
Phyllis, 2003). Which was modified to assess safety and
security related geriatric home.
4-Arthritis impact measurement scale.
Results
Mean age of the elderly clients was 72.4 +11.8 more
than half of the study sample 61% were widowed, the rest
31% completed their university education, less than one
quarter of them 20% were secondary education. Less than
half of study sample their pervious occupation in
government 48%, while 26% were house wife.
In relation to associated medical diagnosis, the majority
of them (75%) had history of hypertension disease, and near to
half of them (43.8%) had diabetes mellitus, only 13% had
gastrointestinal disease and liver disease (Hepatitis
virus).The duration of disease of osteoarthritis the majority of
the older adult (80%) suffered from osteoarthritis for 5 to l0
years ago, More than three quarter of the elderly client (77%)
had affection in two to four joints mostly knee.Pain was stated by all elderly clients (100%), morning
stiffness (88%), crepitating sound (69%), and (96%) their
movement affected by disease.
About characteristic of pain; throbbing pain was reported
(84%) followed by aching pain was reported (63%), for more
than half of the sample (60%) the pain was intermittent.
Regarding dependency, most of them (94%) need some help
during ADL. The majority of elderly clients (88%) were
complying with treatment by medication and only (12%) were
noncompliance.
Concerning QOL domain, the study showed that 96%
of the older adult client with osteoarthritis had moderate
QOL in relation to physical domain, and (26%) had poor
QOL in relation to psychological domain, the arthritic elderly
client (68%) had moderate QOL in relation to social domain,
63% were had moderate QOL in relation to level of
independence domain, the majority of the study sample (97%)
had moderate QOL in relation to environmental domain and
less than half of them (47%) had moderate QOL in relation to
spiritual domain. The majority of the study sample was
sometimes satisfied with their general quality of life. This
study illustrated that no statistical significant correlation
between previous occupation, periodic follow up in relation
to total QOL.