Correlation between Physical Factors, Comorbid Diseases, and Psychic Factors on Quality of Life of the Elderly with Osteoarthritis
DOI:
https://doi.org/10.36408/mhjcm.v8i2.534Keywords:
knee OA, Quality of Life, ElderlyAbstract
ABSTRACT
BACKGROUND: Osteoarthritis were the fourth cause of disability in the world in 2020. Limitation of physical activity that occurred in elderly with osteoarthritis can affect the socio-economic aspects of the elderly, causing a decrease in health-related quality of life (HRQoL). In addition to osteoarthritis, recent studies have shown an association between history of hypertension, diabetes, and family support on quality of life in the elderly.
OBJECTIVE: To analyze the relationship between physical factors, comorbid diseases, and psychological factors on the quality of life of the elderly with knee osteoarthritis.
METHOD: This study was an observational analytic study with a cross-sectional design. The samples were patients with knee OA who underwent therapy at the William Booth Hospital Semarang and the Diponegoro National Hospital that met the inclusion criteria. The research subjects were 61 respondents selected through consecutive sampling. The analysis test performed using the Chi-square method and logistic regression with p-value considered significant if p <0.05. The instrument used in this study was a demographic characteristic questionnaire, VAS, family APGAR, and OPQOL-35.
RESULTS: There was a significant relationship in the assessment of the level of pain and family function on the quality of life of the elderly with knee OA (p = 0.003 and p = 0.042). Assessment of other physical factors consisting of gender (p = 0.637), duration of illness (p = 0.2), and degree of radiology (p = 0.532), as well as comorbid factors consisting of hypertension (p = 0.37) and diabetes (p = 0.663), showed an insignificant relationship to the quality of life of the elderly with knee OA. The dominant factor that affected the quality of life of the elderly with knee OA is the level of pain (p = 0.022) with OR value 14.1.
CONCLUSION: Factors that affected the quality of life of the elderly with knee OA were the level of pain and family function.
Key: knee OA, Quality of Life, Elderly
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References
Kementrian Kesehatan RI. Situasi Lanjut Usia (LANSIA) di Indonesia. InfoDATIN. 2016;10(16):63–4.
Nagai T, Tsurusaki M, Horaguchi T, Uei H. Veri fi cation of phycological factors related to health-related quality of life in elderly knee osteoarthritis?: A prospective cohort study. J Orthop Sci. 2020;1–13.
Kiadaliri AA, Lamm CJ, Verdier MG De, Engström G, Turkiewicz A, Lohmander LS, et al. Association of knee pain and different definitions of knee osteoarthritis with health-related quality of life?: a population- based cohort study in southern Sweden. Health Qual Life Outcomes. 2016;1–7.
Abbott JH, Usiskin IM, Wilson R, Hansen P, Losina E. The quality-of-life burden of knee osteoarthritis in New Zealand adults: A model-based evaluation. PLoS One. 2017;12(10):1–12.
Spitaels D, Mamouris P, Vaes B, Smeets M, Luyten F, Hermens R, et al. Epidemiology of knee osteoarthritis in general practice: a registry-based study. BMJ Open. 2020;10(1):e031734.
A?k?n A, Özkan A, Tosun A, Demirdal ÜS, ?snaç F. Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain. Kaohsiung J Med Sci. 2017;33(3):152–8.
Guo M, Niu JY, Li SR, Ye XW, Fang H, Zhao YP, et al. Gender differences in the association between hyperuricemia and diabetic kidney disease in community elderly patients. J Diabetes Complications [Internet]. 2015;29(8):1042–9. Available from: http://dx.doi.org/10.1016/j.jdiacomp.2015.08.016
Törmälehto S, Mononen ME, Aarnio E, Arokoski JPA, Korhonen RK. Health-related quality of life in relation to symptomatic and radiographic definitions of knee osteoarthritis?: data from Osteoarthritis Initiative ( OAI ) 4-year follow- up study. 2018;1–12.
Sekeon SA., Kalesaran AFC, Kandou GD. The association between hypertension and quality of life among elderly?: A population based comparison study with general population in Tomohon , Indonesia. Glob J Med Public Heal. 2017;6(6):2277.
Nguyen HTT, Moir MPI, Nguyen TX, Vu AP, Luong LH, Nguyen TN, et al. Health-related quality of life in elderly diabetic outpatients in Vietnam. Patient Prefer Adherence. 2018;12:1347–54.
Fang W, Huang G, Chang H, Chen C, Kang C, Wang C, et al. Gender differences between WOMAC index scores , health-related quality of life and physical performance in an elderly Taiwanese population with knee osteoarthritis. BMJ Open. 2015;5:1–8.
Agung AP, Priambodo A, Julianti HP. Perbedaan Jenis Total Knee Athroplasty Terhadap Derajat Fungsional Lutut dan Kualitas Hidup Pasien Osteoatritis Lutut. J Kedokt Diponegoro. 2017;6(1):1–11.
Soeryadi A, Gessal J, Sengkey LS. Gambaran Faktor Risiko Penderita Osteoartritis Lutut di Instalasi Rehabilitasi Medik RSUP Prof . Dr . R . D . Kandou Manado. 2017;23.
Tarigan GJ, Rante SDT, Pakan PD. Hubungan Intensitas Nyeri Dengan Kualitas Hidup Pasien Osteoartritis Lutut. Cendana Med Journa. 2019;17(3):267–72.
Afina SN, Yuniarti L, Masria S, Rathomi HS, Dharmmika S. Hubungan Derajat Nyeri dan Klasifikasi Radiologik dengan Kualitas Hidup Pasien Osteoartritis Lutut Radiographic Classification with Quality of Life in Knee Osteoarthritis Patient. J Integr Kesehat Sains. 2019;1(2):91–6.
Özden F, Karaman ÖN, Tu?ay N, Kilinç CY, Kilinç RM, Tu?ay BU. The relationship of radiographic findings with pain, function, and quality of life in patients with knee osteoarthritis. J Clin Orthop Trauma. 2020;11:S512–7.
Hayulita S, Bahasa A, Sari AN. Faktor Dominan Yang Berhubungan Dengan Kualitas Hidup Lansia. Afiyah. 2018;5(2):42–6.
Hernández-Vaquero D, Fernández-Carreira JM. Relationship between radiological grading and clinical status in knee osteoarthritis. a multicentric study. BMC Musculoskelet Disord. 2012;13.
Ismaningsih, Iit S. Penatalaksanaan Fisioterapi pada Kasus Osteoarthritis Genue Bilateraldengan Intervensi Neuromuskuler Taping dan Strengthening Exercise untuk Meningkatkan Kapasitas Fungsional. J Ilm Fisioter. 2018;1:38–46.
Hajian-Tilaki K, Heidari B, Hajian-Tilaki A. Solitary and combined negative influences of diabetes, obesity and hypertension on health-related quality of life of elderly individuals: A population-based cross-sectional study. Diabetes Metab Syndr Clin Res Rev. 2016;10(2):S37–42.
Makdessi M, Barton C, Goro P, Dundules K, Francis M, Crossley KM, et al. Do comorbidities impact on quality of life and pain in patients with knee osteoarthritis? Osteoarthr Cartil. 2020;28(2020):S356.
Verges J, Vitaloni M, Bibas M, Sciortino R, Quintero M, Monfort J, et al. Global oa management begins with quality of life assessment in knee oa patients: a systematic review. Osteoarthr Cartil. 2019;27(2019):S229–30.
Indrayani I, Sudarto R. Faktor-Faktor Yang Berhubungan Dengan Kualitas Hidup Lansia Di Desa Cipasung Kabupaten Kuningan. J Kesehat Reproduksi. 2018;9(1):69–78.
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