Modification of cognitive behavior therapy to improve the skill of elderly with osteoarthritis

https://doi.org/10.22146/jcoemph.64312

Rizkiyani Istifada(1*), Etty Rekawati(2), Widyatuti Widyatuti(3)

(1) Department of Nursing, Faculty of Health, Universitas Muhammadiyah Tangerang, Tangerang, Indonesia
(2) Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
(3) Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
(*) Corresponding Author

Abstract


One of the characteristics of physical changes in the elderly involves a decrease in the musculoskeletal system, such as the depletion of the synovial joint fluid which has an impact on the pain felt in joints. This condition can cause a disruption of the quality of life for the elderly and results in increases in the family burden. The purpose of cognitive-behavioral therapy in nurse care planning is to provide an overview of the implementation of family care nursing, community care health nursing, and management of health services by community health nurses to the elderly with osteoarthritis. The innovation and development of this senior citizen community program, initially named Lansia SMART (SMART Elderly), consists of six sessions, including psychoeducation sessions, cognitive restructuring sessions, pain management sessions with progressive muscle relaxation, activity scheduling sessions, problem-solving sessions, and tutorial sessions for the Lansia SMART (SMART Elderly) group with the Android application. The final maintaining challenging stage of these services involved 59 elderly participants. Data analysis used paired T-tests. The results of this innovation showed significant differences in the behavior of the elderly participants after the implementation of the SMART Elderly program (p < 0.05). The SMART Elderly program was effective to improve the elderly participants’ behavior. Nurses can use cognitive behavioral therapy to improve the process of self-management of osteoarthritis among their clients.

Keywords


cognitive behavioral therapy; community health nurse; elderly; osteoarthritis; self-management

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References

  1. Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (RISKESDAS) 2013. Lap Nas 2013. 2013;1–384.
  2. Miller CA. Nursing Wellness in Older Adults. 6th edition, editor. Philadelphia: Lippincott Williams & Wilkins; 2012.
  3. Allender JA, Rector C, Kristine D. Warner. Community & Public Health Nursing: Essentials of Nursing Research, 8th Ed. Handbook Promoting the Public’s Health. Lippincott Williams & Wilkins; 2015.
  4. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization. 2003.
  5. Allender JA, Rector C, Warner K. Community Health Nursing: Promoting & Protecting the Public’s Health. Vol. 136, Journal of Experimental Psychology: General. Philadelphia: Lippincott Williams & Wilkins; 2010. 23–42 p.
  6. Kementerian Kesehatan RI. Hasil Utama Riskesdas Tahun 2018. 2018.
  7. Dinas Kesehatan Kota Depok. Profil Kesehatan Kota Depok Tahun 2017. Depok; 2018.
  8. Dinkes Kota Depok. Dinas Kesehatan Kota Depok. Profil Dinas Kesehat Kota Depok Tahun 2016 [Internet]. 2016;187:164. Available from: http://dinkes.depok.go.id/
  9. Ferreira RL de AM, Duarte JA, Gonçalves RS. Non-pharmacological and non-surgical interventions to manage patients with knee osteoarthritis: An umbrella review. Acta Reumatol Port. 2018;2018(3):182–200.
  10. Törmälehto S, Aarnio E, Mononen ME, Arokoski JPA, Korhonen RK, Martikainen JA. Eight-year trajectories of changes in health-related quality of life in knee osteoarthritis: Data from the Osteoarthritis Initiative (OAI). PLoS One. 2019;14(7):1–17.
  11. Mahir L, Belhaj K, Zahi S, Azanmasso H, Lmidmani F, El Fatimi A. Impact of knee osteoarthritis on the quality of life. Ann Phys Rehabil Med [Internet]. 2016;59(2016):e159. Available from: http://dx.doi.org/10.1016/j.rehab.2016.07.355.
  12. Lorig KR, Holman HR. Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine. 2003 Aug;26(1):1-7.
  13. Cakrangadinata. Penerapan Terapi dengan Pendekatan Cognitive- Behavioral dalam Penanganan Nyeri pada Pasien Nyeri Kronik. J Pemikir Penelit Psikol. 2016;11(1):1–10.
  14. Hanum L. Manajemen nyeri untuk meningkatkan penerimaan nyeri kronis pada lansia dengan intervensi multi-komponen kelompok cognitive behavior therapy (CBT). 2012. Tesis Fakultas Psikologi. Universitas Indonesia. Jakarta.
  15. Keefe FJ, Porter L, Somers T, Shelby R, Wren A V. Psychosocial interventions for managing pain in older adults: Outcomes and clinical implications. Br J Anaesth. 2013;111(1):89–94.
  16. Pu L, Moyle W, Jones C, Todorovic M. Psychosocial interventions for pain management in older adults with dementia: A systematic review of randomized controlled trials. J Adv Nurs. 2019;75:1608–20.
  17. Vitiello M V, McCurry SM, Shortreed SM, Balderson BH, Baker LD, Keefe FJ, et al. Cognitive-behavioral treatment for comorbid insomnia and osteoarthritis pain in primary care: The lifestyles randomized controlled trial. J Am Geriatr Soc. 2013;61(6):947–56.
  18. Soininen J V, Paavolainen PO, Gronblad MA, Kaapa EH. Validation study of a Finnish version of the Western Ontario and McMasters University osteoarthritis index. HIP Int. 2008;18(2):108–11.
  19. Yuliharni S. Implementation of community nursing intervention coaching diet and exercise to decrease pain level of joint desease in elderly aggregate in Srengseng Sawah. Tesis. Universitas Indonesia; 2016.
  20. Bulechek GM, Butcher H, Dochterman J, Wagner C. Nursing Interventions Classification (NIC). 6th Edition. Singapore: Mosby, Elsevier Inc.; 2016.
  21. Pitsillides A, Stasinopoulos D, Giannakou K. The effects of cognitive behavioural therapy delivered by physical therapists in knee osteoarthritis pain: A systematic review and meta-analysis of randomized controlled trials. J Bodyw Mov Ther [Internet]. 2021;25(November):157–64. Available from: https://doi.org/10.1016/j.jbmt.2020.11.002
  22. Smith D, Jones I, Simpson S. Psychoeducation for bipolar disorder. Advances in Psychiatric Treatment. 2010.
  23. Ismail A, Moore C, Alshishani N, Yaseen K, Alshehri MA. Cognitive behavioural therapy and pain coping skills training for osteoarthritis knee pain management: A systematic review. J Phys Ther Sci. 2017;29(12):2228–35.
  24. Machmudah. The effectiveness of the psychoeducation toilet training with demonstration video and card picture toward increasing mother’s knowledge and ability to toilet training toddler in informal. 2016;
  25. Astuti I, Rosani D, Tuapattinaja JMR. Effectiveness of group cognitive behavioral therapy for decreasing pain intensity in osteoarthritis patients. 2019;4(1):125–7.
  26. Thaniwattananon P, Sinaga F. The effect of a group support enhancing self-management program on lifestyle modification behaviors among Indonesian older adults with knee osteoarthritis. Walailak J Sci Technol. 2019;16(8):593–600.
  27. Janevic M, Robinson-Lane SG, Murphy SL, Courser R PJ. A pilot study of a chronic pain self-management program delivered by community health workers to underserved African American older adults. Pain Med. 2021; 29;pnaa468.
  28. Green SM, Hadjistavropoulos T, Hadjistavropoulos H, Martin R, Sharpe D. A controlled investigation of a cognitive behavioural pain management program for older adults. Behav Cogn Psychother. 2009;37(2):221–6.
  29. Forman EM, Shaw JA, Goetter EM, Herbert JD, Park JA, Yuen EK. Long-term follow-up of a randomized controlled trial comparing acceptance and commitment therapy and standard cognitive behavior therapy for anxiety and depression. Behav Ther. 2012; Dec;43(4):801-11.
  30. Kuerbis A, Mulliken A, Muench F, A. Moore A, Gardner D. Older adults and mobile technology: Factors that enhance and inhibit utilization in the context of behavioral health. Ment Heal Addict Res. 2017;2(2).
  31. Swensen K, Voss M, Condie A, Yaugher A. Cognitive behavioral therapies for the management of chronic pain. All Curr Publ [Internet]. 2020;(August). Available from: https://digitalcommons.usu.edu/extension_curall/2128
  32. Ehde DM, Dillworth TM, Turner JA. Cognitive-behavioral therapy for individuals with chronic pain: Efficacy, innovations, and directions for research. Am Psychol. 2014;69(2):153-66.
  33. Bennell KL, Nelligan R, Dobson F, Rini C, Keefe F, Kasza J, et al. Effectiveness of an internet-delivered exercise and pain-coping skills training intervention for persons with chronic knee pain: A randomized trial. Ann Intern Med. 2017 Apr 4;166(7):453-462.
  34. Hatefi M, Parvizi R, Borji M, Tarjoman A. Effect of self-management program on pain and disability index in elderly men with osteoarthritis. Anesthesiol Pain Med. 2019;9(4).
  35. Kao MH, Tsai YF. Clinical effectiveness of a self-regulation theory–based self-management intervention for adults with knee osteoarthritis: A long-term follow-up. J Nurs Scholarsh. 2020;52:643–51.
  36. Istifada R, Rekawati E. Peran Kader Kesehatan dalam Promosi Pencegahan Komplikasi Hipertensi di Wilayah Perkotaan: Literatur Review. Dunia Keperawatan. 2019;7(1):28–46.
  37. Rekawati E, Istifada R, Sari NLPDY. Perceptions of family caregivers on the implementation of the cordial older family nursing model: A qualitative study. Enferm Clin. 2019;29:211–8.



DOI: https://doi.org/10.22146/jcoemph.64312

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