Effect of Educational Program in Improving Sleep Quality and Daily Living for Elderly Patients Diagnosed with Knee Osteoarthritis

Background: Knee osteoarthritis is common degenerative orthopedic disorder in elderly people, and causes pain, loss of physical functioning, and disability. Elderly patients with knee osteoarthritis have relatively poor sleep quality, manifested mainly by pain. Aim of this study was to evaluate the effect of health educational Program to improve awareness regarding personal hygiene. Design: A quasi-study design was used. Setting: The study was conducted in the Orthopedic Outpatient Clinic of El-Fayoum General Hospital at El Fayoum City. Sample: A purposive sample was used, 144 elderly patients (72 control & 72 study group). Tool: Two tools were used to gather the data. Tool I: A self-administered questionnaire or structured interview for assessing socio-demographic data of patients, past & present medical history and knowledge. Second tool consists of 3parts (Pittsburgh Sleep Quality Index, Visual Analog Pain Scale, Knee Injury and Osteoarthritis Outcome Score. Results: The presenting study showed that, study group markedly have enough knowledge post education program and greater improvement from 36.3% to 68.1%, decrease in median pain severity scores from 6 (2-8) to 3 (1-5), swelling, joint noises (grinding or clicking), and knee catching or hanging significantly decreased from 27.8% to 11.1%, 22.2% to 8.3% and 19.4% to 8.3% respectively and highly significant correlation between knowledge, sleep quality pain and KOOS. Conclusion: The current study concluded that there was statistically significant improvement in the knowledge, sleep quality, their ability in performing daily living activities in study group rather than control group. Recommendation: Applying continuous health education program.in large sample and other settings for generalization.