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The Effect of a Peer-Led Non-Pharmacological Pain-Management Program on Chronic Pain Intensity and Pain-Related Self-Efficacy in Older Adults with Osteoarthritis: A Quasi- Experimental Study | ||
| International Journal of Community Based Nursing & Midwifery | ||
| مقاله 6، دوره 14، شماره 3 - شماره پیاپی 55، مهر 2026، صفحه 245-256 اصل مقاله (489.87 K) | ||
| شناسه دیجیتال (DOI): 10.30476/ijcbnm.2026.102702.2506 | ||
| نویسندگان | ||
| Maryam Salehian* 1؛ Samira Mohajer2؛ Marjan Shoghi3؛ Seyed Reza Mazloum2؛ Mohammad Namazinia4 | ||
| 1Department of Nursing, School of Nursing and Midwifer, Mashhad University of Medical Sciences, Mashhad, Iran; | ||
| 2Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; | ||
| 3Geriatrics Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran; | ||
| 4Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran | ||
| چکیده | ||
| Introduction: Osteoarthritis is a leading cause of disability among the elderly, characterized by chronic pain and functional limitations. This study aimed to evaluate the impact of a peer-led, nonpharmacological pain management program on pain-related self-efficacy and chronic pain severity in older adults with osteoarthritis. Methods: A quasi-experimental study was conducted in 2020 in two healthcare centers in Mashhad, Iran. Sixty elderly individuals with chronic osteoarthritis were assigned to intervention (n=30) and control (n=30) groups. The intervention group received four 90-minute peer-led training sessions over two weeks, facilitated by trained elderly peers under the researcher’s supervision. Pain intensity and pain-related self-efficacy were measured using the McGill Pain Questionnaire and the Pain Self-Efficacy Questionnaire at baseline and at 8-week follow-up after completion of the intervention. Data analysis was performed using paired and independent t-test in SPSS version 21. A P value of less than 0.05 was considered statistically significant. Results: Two months after the intervention, between-group comparison showed that there is a statistically significant difference in terms of pain-related self-efficacy (P<0.001). Two months after the intervention, between-group comparison in terms of total pain score (P<0.001) and the scores of its dimensions including sensory-discriminative (P=0.009) and affective (P<0.001) showed a statistically significant difference. Conclusion: The peer-led pain management program effectively reduces pain and enhances self-efficacy in elderly individuals with osteoarthritis in the intervention group. Implementing such programs, which promote mental control and social engagement, is recommended for improved outcomes. | ||
| کلیدواژهها | ||
| Elderly؛ Osteoarthritis؛ Pain management؛ Peer group؛ Self efficacy | ||
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آمار تعداد مشاهده مقاله: 38 تعداد دریافت فایل اصل مقاله: 49 |
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