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Needling Techniques for Knee Osteoarthritis

The purpose of this open-label, twenty-four weeks-long clinical study is to investigate the efficacy of acupuncture for Knee Osteoarthritis (KOA) as adjunctive therapy to conventional treatment in comparison to conventional therapy alone and assessment of its eventual prolonged efficacy after nine weeks without treatment. Long term effects of acupuncture on KOA are not yet confirmed. A safety assessment will be done. It will be interesting to find possible additional benefits of acupuncture while treating knee/s with in advance determined acupuncture protocol for KOA since Traditional Chinese Medicine (TCM) theory connects KOA with Kidney deficiency syndrome. Acupuncture treatment point prescription will use local points for KOA and non-local points with their influence on KOA through Kidney deficiency as a root cause. The deep layered chronic pathological condition like KOA requires a higher number of acupuncture treatments. This study will provide three cycles of acupuncture treatments, which are three weeks long each, with treatment frequency three times weekly. It is to be expected that study design with twenty-seven acupuncture treatments of KOA in fifteen weeks achieves improvement with the KOA and Kidney deficiency symptoms, additionally. Also, treatment effectiveness is expected at the final assessment nine weeks after the last acupuncture treatment. That could confirm holistic aspect of TCM. Sixty-four patients with symptomatic KOA will be randomly allocated into the Acupuncture group or Control group (standard care) according to their permanent, unique, and coincidental Personal Identification Number which is given to all citizens in Croatia. Before experiment starts participant's demographic and disease parameters of both groups will be compared at baseline. Prescribed acupuncture protocol will be provided to the Acupuncture group. Objective assessments of therapeutic efficacy will be done by a physiatrist at three time-points: baseline, after final acupuncture treatment (15th Week), and at the 24th Week as the final one. Subjective evaluation of symptoms intensity will be assessed by Western Ontario and McMaster University Arthritis Index (WOMAC) total score and subscales, Visual Analogue Scale (VAS), Kidney Deficiency Syndrome Questionnaire (KDSQ). Analgesics taken by participants for pain will be recorded. Hypothesis: Decrease in symptoms intensity could be achieved after treatment in experimental group compared to control.

ZagrebStart: September 2021
Rheumatoid Arthritis, Planned Behavıor Theory And Nurse Counselıng

Ensuring disease management begins with comprehensive education and drug therapy. Symptoms such as deformities, pain and fatigue, which are most common in rheumatoid arthritis patients, seriously affect the daily activities of the patients. In order to improve the quality of life of the patient, it is essential that he receives planned education about his disease and constant follow up it like this helps him manage his disease by providing behavioral changes. There are similar studies on chronic diseases in the literature, and it has been seen to make a positive contribution. Studies have shown that patient education includes only information, counseling or behavioral therapies, and does not necessarily turn into behavior change on its own. Which was developed on the basis of education and human behavior theories, According to The Theory of Planned Behavior it is thought that patients can cope with their illnes, manage their illnesses and show behavioral changes by adapting to the illness with the help of nursing counseling. The importance of patient follow-up has once again come to the fore when it comes to the problems that those with chronic diseases may experience during the pandemic process and the difficulties in finding solutions. Recently, training and follow-up are carried out with remote access in the management of many chronic diseases. Especially in chronic diseases such as rheumatoid arthritis, which affects all systems, the counseling service to be provided to the extent that behavior change can be achieved has become more important. In this direction, it is thought that it will be beneficial in the long term for patients to gain behavioral changes by telephone monitoring after education.

GaziantepStart: September 2021