A pinboard by
Taye Akidele

senior registrar in family medicine department , lagos university teaching hospital,Lagos,Nigeria


The relationship between pain coping and function status of knee OA elderly patients in Lagos,Nig

SUMMARY There has been a growing interest in the elderly population and their health challenges in the recent past . Osteoarthritis (OA) is the most common musculoskeletal condition affecting about 60-70% of the elderly population. OA of the knees is the most affected joint with a worldwide prevalence of 10% in adults above 60 years of age. OA of the knees has caused chronic pain, and often times, disability to the affected elderly. Biomedical treatment options have been the crux of care with their attendant complications. In the recent past, psychosocial management of the chronic pain from OA is being explored. This study was carried out to determine the ‘Relationship between Pain Coping Strategies and Functional Status of Elderly Patients with Knee Osteoarthritis attending Two Tertiary Hospitals in Lagos state’. The study was a hospital based cross sectional descriptive study carried out among consenting elderly patients aged 60 years and older who attended the orthopedic clinics of Lagos University Teaching Hospital (LUTH) and National Orthopedic Hospital Igbobi (NOHI). The functional status and pain coping strategies of the participants were assessed using the Western Ontario and McMaster Universities Osteoarthritis index and Vanderbilt Pain Coping Inventory. The data were analyzed using the Statistical Package for Social Sciences version 20. One hundred and five elderly participants aged between 60 and 112 years with a mean (SD) age of 68(±5) were studied. Fifty seven (54.3%) participants had mild pain intensity and only six (5.7%) had severe pains. Seventy four (70.5%) participants had a good functional status while, 31(29.5%) had an impaired functional status. There was a weak negative linear relationship between active pain coping strategies and functional status which was found to be statistically significant (r = -0.378, p<0.001) and a moderately positive linear relationship between passive coping strategies and functional status, which was also statistically significant (r = 0.469, p<0.001).