Patients With Knee Osteoarthritis Health And Social Care Essay

The header rank in this watch all over was to evaluate the quality of sustenance ( QOL ) among the endurings with diagnostic stick genus degenerative arthritis ( OA ) who go toing authorities base health attention clinic. Other than that, this play along in any case would deficiency to happen break through and through the association amidst socio-demographic and medical exam incline of patients with knee OA and their quality of purport.The suss turn out aims should be specific, mensurable, accurate, dependable and seasonableness. In this vista, the aims were mentioned that the QOL is being calculated specific altogethery on patients with a certain(prenominal) type of arthritis. The QOL was measured by utilizing 36SF which had been formalize in old sentiment ( Kosinski, 1999 ) . The survey was able to carry on frominitiatory family 2003 boulder clay thirtieth April 2004. Therefore, this survey aims were suitably defined.3. Theory useThere is no surmisal been mentioned in the survey. In this survey, the writers whitethorn employ the quality of life theory. The theory is ground on development towards felicity. In other words is, it is the true being on the construct of human demands. The theory explains that if worlds handle more(prenominal)(prenominal) duty for their ain life, they work through the good qualities into usage they will go free, happy, powerful and healthy. This is to a fault known as Maslow s construct of self-actualization. It plays an of meaning be in modern medical effectiveness offseticularly in understanding the individualised development holding chronic diseases..4. HypothesisIn this survey, at that place was no mentioning of any surmise. However, the void hypothesis that bath be suggested is that Patient with juncture genus OA go toing authorities primary health attention clinic has good quality of life in both physiological and kind part , whe ars the alternate hypothesis could be written a s Patient with stick genus OA go toing authorities primary health attention clinic has despicable(prenominal) quality of life in both strong-arm and cordial constituent .5. investigate formulateThis correlational project cross-sectional survey which was carried out from the 1st September 2003 boulder clay 30th April 2004. This survey qualifies as correlational because the informations gathitherd provide themselves scarcely to readings round the pattern of QOL to which the variables are related to each other. It would scarcely state us that there is a relationship between the OA conditions with HRQOT.6. Sampling methodThe taste method used was claimed as cosmopolite sampling, in which in all patients with symptoms of spliff genus OA who attend deuce different authorities health clinics in Hulu Langat, Selangor, Malayansia were taken as precedent. In military capability of the little graduated plank survey which alone involved dickens authorities clinics, the entire patient with OA is at any rate little. To make a random essay would non be contri buting in this instance.7. SampleThrough out the eight months of informations aggregation, that 213 patients with OA were been registered. The comprehension standards that was ponderousened out in which all 50 old ages old and in a high place patients that were let the cat out of the bag the outpatient authorities health clinic, would be the participants. However, the exclusions standards was overly laid that those who were illiterate, who were otiose to reply the questionnaire, who needed infirmary admittance, and those who needed or those with unalterability or abnormalcy of the rase limb. With the inclusion and exclusion standards, the survey managed to hold 151 participants last the questionnaire. In this survey, there was no adverting on how the minimal pattern sizing tally was through. However, for the 1s that were unable to gauge that correlational statistics, the inv estigate workers may be able to utilize a simple comparing of the two proportions as a trial for the footing of gauging the have size. Using PASS 2000 package, the computation of sample size is- if the proportions of the 2 groups in this survey were expected to be 0.20 and 0.35 ( ? = .05 &038 A szlig = .20 80 % power ) , the minimal sample size of 275 participants is needed ( Delucchi, 2004 ) .8. Technique of informations aggregationTechniques in data-collection entrust consistently aggregation of information about objects of survey and the scenes which they occur. In this survey, informations on the medical features and socio-demographic of the participants were recorded but did non mentioned where they were recorded. The SF-36 phase Malay linguistic talk version was all self-administered by the participants or being light-emitting diode face-to-face by an interviewer. Any respondents by household members or friends to the SF-36 signifier were non entertained. It particip ants unable to understand the questionnaire, the look for worker would merely re-read the inquiries. The participants would reply the inquiry harmonizing to their apprehension. Administering written questionnaire is a less expensive informations aggregation proficiency and it slew cut down prejudices ascribable to bankrupt voicing inquiry differently by different respondents. It gives namelessness to the respondents and permits more honorable response. However, inquiries may be misunderstood by the respondents and every bit mentioned in the survey merely the literates were chosen as participants.9. Measure/ putzsIn this survey, SF-36 was used to mensurate the HRQOL. It is a 36-item instrument designed to measure prefatory wellness constructs. It is relevant to be used across disease, age and intervention groups. It has been authorise and a dependable generic instrument that has been used comprehensively to mensurate HRQOL. The Malay version of SF-36 had been translated and authorize. It was used in the Malayan National Quality of Life sight 2000. It measured eight orbital cavitys which consisted of physical consummation ( PF ) , role-physical ( RP ) , bodily hurting ( BP ) , general wellness ( GH ) , vitality/energy ( VT ) , societal summons ( SF ) , function emotional ( RE ) and psychical wellness ( MH ) . The tonss on each sphere ranged from 0 ( lower limit ) to light speed ( upper limit ) . The higher the tonss, indicates the wellness constituents to be cave in. Since this instruments has been validate and been used in assorted surveies, it is conquer to utilize it in this survey.10. FindingssThe survey denominateed that taken as a whole mean tonss were supra 50.00 in all facets of QOL. There was comparatively lower immortalize in the spheres related to the physical wellness position as compared to the psychic wellness position.The seek workers besides foot race other synopsis with the available informations and set thata. a beta ne gative correlativity between PF and ageb. the males had better checker in bulk of the QOL facets, peculiarly in the PFc. patients with no formal instruction scored better in mental wellness constituent particularly in VT and RE.d. patients with co-morbidities shown to hit less than those without co-morbidity in most of the QOL domains particularly in SF.e. The continuance of roast genus hurting is negatively fit with all the QOL facets except RE, and it besides showed to be importantly negative correlated with the RP sphere.f. patients with higher BMI scored lower QOL in SF.g. PF tonss was significantly association with age and gender.h. VT and RE tonss were important association with instruction degrees.Basically, the research workers would wish to reply to the aims that to mensurate the QOL among the patients with diagnostic articulatio genuss OA who go toing authorities primary wellness attention clinic and it showed that the average mark of all the facets of QOL that being st udied was above 50.00. Research workers besides had find out slightly dealingss between the patients with articulatio genus OA , their socio-demographic and medical position and their quality of life. However, the associations were non portrayed in a table signifier so that the referee would hold a better perceptual experience on the vicarship analysis findings.11. DecisionThe decision in this survey answered the aim of the survey indirectly. It should province that the average mark of all the sphere in QOL was above 50.00 and may advert that the patients had comparatively hapless quality of life in the physical wellness constituents but less on the mental wellness. The research workers mentioned two of import forecasters of hapless PF in patient with articulatio genus OA which is female gender and older age, but did non demo how the forecasters were established. The research workers besides claimed that higher BMI patients suffered more hurting which merely show relationship.12 . InterpretationThe reading of informations was non clearly showed in this survey. The statistical analysis method mentioned was appropriate harmonizing to the variables and the aims. However, it is hard to construe the information when the overall bivariate analysis findings were non shown in the literature. The research workers merely mentioned the important findings.13. RestrictionThis survey was carried out to the patient with articulatio genus OA who attended the authorities wellness clinic. Therefore, it can non be inferred to the general population. This is besides suggested by the research workers that a vauntingly graduated table community base survey should be conducted to understand more QOL factors impacting OA patients.The questionnaire was in Malay linguistic converse merely. This is bias towards other patient in different ethnicity. There should be validated multiple linguistic communications questionnaires to be used in this survey. By utilizing questionnaire as i nstrument of the survey, it had limited the participants to the literates. It would be appropriate to used mix technique to tuck more diverse informations.14. Ethical considerationIn this survey, there is no mentioning of take to taken from the patients every verbal or written consent. The research workers of this survey may hold asked for consent but non mentioned here. Harmonizing to a codification of respectable rules by the American Psychological Association, for research workers who deals with human topics hold back to guarantee that research workers obtain informed consent from all topics, guarantee that topics are protected from dishonor and uncomfortableness, guarantee that all experimental informations are treated confidentially and eventually, the research workers have to explicate the experiment together with the consequences of the survey to the topics.15. Strengths of the Study15.1 correlational designThe major advantage of this design is that it is typically easy to carry on. This is because it gives associations between studied variables and may propose the initiative of cause. If the two variables are causally related, they must be correlated. So by demoing correlativity, it can be a utile showtime measure toward showing causing.15.2 Instrument usedThe SF-36 signifier which was used in this survey had been validated and dependable to mensurate HRQOL in diverse groups. Malaysia with 15 other states had participated in construe and accommodating SF-36 signifier to analyze HRQOL through the International Quality of Life judicial decision Project. Therefore, the findings in the survey can be used to mensurate and compare with surveies done in other states.15.3 The innovator surveyThis is the prototypal published HRQOL survey in patients with diagnostic articulatio genuss OA who attended the authorities wellness clinics done in Malaysia. It can be used as the base of further surveies spread outing in depth the QOL in patients with chron ic diseases.16. Failing of the Study16.1 Correlational designThe major disadvantage of this design is that it does non give clear input on the brisk ground for the associations. It has less control over the variables and the environments and this caused trouble to give alternate accounts. It can non govern out immaterial variables as the causative factors of what is being observed. In this design, when two things are correlated, it does non give chance to great deduce causing.16.2 Instrument usedAlthough the SF-36 signifier is validated, it is merely in Malay linguistic communication signifier. It had limited the patients that able to take part in this survey.16.3 Unable to deduce findings to the population.The sample size in this survey is poor for it to be inferred to the population.