본문 바로가기
KERD
논문KCI 등재

슬관절 전치환술 환자를 위한 구조화된 운동교육 프로그램 후 한국형 슬관절 점수와 슬관절 운동범위 변화: 후향적 조사연구

Changes in Korean Knee Score and Range of Motion after the Implementation of Structured Nursing Exercise Programs for Patients underwent Total Knee Arthroplasty: A Retrospective Study

박완주|박유라
대한근관절건강학회 (Korean Society of Muscle and Joint Health)|2018.08|근관절건강학회지 (Journal of Muscle and Joint Health)|제25권 제2호|pp. 61-74|DOI 10.5953/JMJH.2018.25.2.61

1

조회

0

다운로드

4

인용

0

참고문헌

키워드

교육Education운동ExerciseKnee무릎Arthritis관절염
주제분류간호학

초록

Purpose: The purpose of this study was to examine the factors affecting changes in Korean Knee Score (KKS) and ranges of motion (ROM) of the knee after the structured exercise programs for the patients with total knee arthroplasty. Methods: This was a retrospective study using electronic medical records from January 2015 to February 2017, and the subject of this study was a total of 124 out of 434 patients underwent total knee replacement operation. They took part in a structured step-by-step exercise program conducted by orthopedic nurses, and then were evaluated for KKS and Knee ROM for 12 weeks after operation. Results: Post-intervention scores increased significantly in the KKS subdomains including pain and symptoms (t=-22.31, p<.001), function (t=-20.68, p<.001), evaluation of floor life (t=-14.18, p<.001), socioemotional function (t=-28.94, p<.001) over time. As for the change in the ROM, knee extension (t=9.23, p<.001) and knee flexion (t=4.04, p<.001) showed a statistically significant changes over time. Conclusion: This study illuminated the factors affecting the changes in pain and symptom, physical function, evaluation of floor life, socioemotional function and range of motion after structured exercise training programs for knee arthritis patients.

Abstract

Purpose: The purpose of this study was to examine the factors affecting changes in Korean Knee Score (KKS) and ranges of motion (ROM) of the knee after the structured exercise programs for the patients with total knee arthroplasty. Methods: This was a retrospective study using electronic medical records from January 2015 to February 2017, and the subject of this study was a total of 124 out of 434 patients underwent total knee replacement operation. They took part in a structured step-by-step exercise program conducted by orthopedic nurses, and then were evaluated for KKS and Knee ROM for 12 weeks after operation. Results: Post-intervention scores increased significantly in the KKS subdomains including pain and symptoms (t=-22.31, p<.001), function (t=-20.68, p<.001), evaluation of floor life (t=-14.18, p<.001), socioemotional function (t=-28.94, p<.001) over time. As for the change in the ROM, knee extension (t=9.23, p<.001) and knee flexion (t=4.04, p<.001) showed a statistically significant changes over time. Conclusion: This study illuminated the factors affecting the changes in pain and symptom, physical function, evaluation of floor life, socioemotional function and range of motion after structured exercise training programs for knee arthritis patients.

참고문헌 (29)

  1. 백승훈, "골관절염의 약물요법", 대한의사협회지, 56(12), pp.1123~1131 (2013), 대한의사협회
  2. 조우신, "슬관절 전치환술 후 통증", 대한정형외과학회지, 41(1), pp.129~133 (2006), 대한정형외과학회
  3. 조우신, "요추의 병변이 슬관절 전치환술의 결과에 미치는 영향", 대한정형외과학회지, 48(1), pp.1~8 (2013), 대한정형외과학회
  4. Cho, W. S, "Knee joint arthroplasty" (2015), Young Chang Press
  5. 최희권, "수중운동 프로그램이 골관절염 환자의 체력, 통증 및 삶의 질에 미치는 영향", 근관절건강학회지, 16(1), pp.55~65 (2009), 대한근관절건강학회
  6. Young-Joon Choi, "Patient Satisfaction after Total Knee Arthroplasty", Knee Surgery and Related Research, 28(1), pp.1~15 (2016), 대한슬관절학회
  7. Fisher, D. A, "Looks good but feels bad : Factors that contribute to poor results after total knee arthroplasty", Journal of Arthroplasty, 22(6), pp.33~42 (2007)[DOI]
  8. Jeong Ku Ha, "What Symptoms Are More Important for Korean Patients in Knee Osteoarthritis? Development and Validation of the Korean Knee Score", Knee Surgery and Related Research, 24(3), pp.151~157 (2012), 대한슬관절학회
  9. 하윤주, "전자의무기록시스템을 이용하는 간호사의 만족도가 직무스트레스에 미치는 영향에 관한 융합연구", 한국융합학회논문지, 8(5), pp.69~78 (2017), 한국융합학회[DOI]
  10. 주영주, "인공슬관절 전치환술을 받은 만성 퇴행성관절염 환자의 우울 영향요인", 근관절건강학회지, 19(2), pp.161~172 (2012), 대한근관절건강학회[DOI]
  11. Kang, M. K, "Impact of 12-week complex exercise on degenerative knee joint pain, physical function and physical fitness in elderly women", master’s, pp.2010
  12. Kim, O. Y, "The effects of cold therapy on postoperative pain and range of motion of elderly with osteoarthritis after total knee replacement arthroplasty", master's, pp.2007
  13. 김연정, "등척성운동을 포함한 세라밴드 저항훈련 프로그램이 인공슬관절 전치환술 환자에게 미치는 효과", Korean Journal of Health Promotion, 11(2), pp.82~90 (2011), 대한임상건강증진학회
  14. Lau, R. L, "Patient satisfaction after total knee and hip arthroplasty", Clinics in Geriatric Medicine, 28(3), pp.349~365 (2012)
  15. Lee, D. C, "Results of posterior cruciate retaining and cruciate substituting total knee arthroplasty(3 to 8 years follow up)", Knee Surgery & Related Research, 15(1), pp.48~54 (2003)
  16. 이중철, "노인의 퇴행성 무릎관절염을 위한 재활운동에 관한 고찰", 한국발육발달학회지, 21(3), pp.171~183 (2013), 한국발육발달학회
  17. Lee, M. K, "The effects of home care exercise program on knee joint function and quality of life in patients with total replacement arthroplasty", Journal of Muscle and Joint Health, 18(2), pp.143~155 (2005)
  18. Maloney, W. J, "The effects of implant design on range of motion after total knee arthroplasty : Total condylar versus posterior stabilized total condylar designs", Clinical Orthopaedics and Related Research, 278(1), pp.147~152 (1992)
  19. Shuichi Matsuda, "Postoperative Alignment and ROM Affect Patient Satisfaction After TKA", Clinical Orthopaedics and Related Research®, 471(1), pp.127~133 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
  20. 민혜숙, "근력강화 운동프로그램이 슬관절 전치환술 여성 노인환자의 통증, 피로, 신체적 기능에 미치는 영향", 근관절건강학회지, 18(2), pp.203~214 (2011), 대한근관절건강학회
  21. Moon, I. S, "Research on the quality of life of elderly patients suffering form chronic degenerative knee arthritis", master's, pp.2013
  22. Pang, W. W, "Is total knee replacement more painful than total hip replacement", Acta Anaesthesiologica Sinica, 38(3), pp.143~148 (2000)
  23. 박미애, "슬관절 치환술을 받은 환자의 WOMAC 지수와 생활만족도", 글로벌 건강과 간호, 6(2), pp.69~79 (2016), 간호과학연구소[DOI]
  24. Seok, S. I, "Orthopaedics" (2013), Newest Medical Publishing Company
  25. Shim, E. O, "A study on the effects of structures cryotherapy on pain, inflammation, range of motion and edema in patients with total knee arthroplasty", master's, pp.2014
  26. Guy Trudel, "Contractures secondary to immobility: Is the restriction articular or muscular? An experimental longitudinal study in the rat knee", Archives of Physical Medicine and Rehabilitation, 81(1), pp.6~13 (2000), Elsevier BV[DOI]
  27. Van Manen, M. D, "Management of primary knee osteoarthritis and indications for total knee arthroplasty for general practitioners", Journal of the American Osteopathic Association, 112, pp.709~715 (2012)
  28. Wilson, S. F, "Health assessment for nursing practice" (2013), Hyunmoonsa
  29. 유지형, "슬관절 치환술 환자 대상 동기상담 적용 운동 프로그램의 효과", 근관절건강학회지, 23(3), pp.139~151 (2016), 대한근관절건강학회[DOI]

관련 논문AI추천

슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 통증, 슬관절가동범위, 환자만족도에 미치는 영향신이슬, 이영희병원간호사회 · 임상간호연구2018 · 제24권 제3호슬관절 전치환술 환자 대상 간호사 주도 운동 프로그램 효과: 체계적 문헌고찰 및 메타분석정원희, 정주애대한근관절건강학회 · 근관절건강학회지2025 · 제32권 제2호탄성밴드운동이 슬관절전치환술 환자의 통증, 관절가동범위, 낙상두려움에 미치는 효과강미애, 김영경, 신정순, 여형남병원간호사회 · 임상간호연구2015 · 제21권 제2호슬관절 전치환술 후 점진적 하지운동요법이 통증, 운동자기효능감, 삶의 만족도에 미치는 효과은영, 문경희, 양귀숙, 이선경대한근관절건강학회 · 근관절건강학회지2014 · 제21권 제3호근력강화 운동프로그램이 슬관절 전치환술 여성 노인환자의 통증, 피로, 신체적 기능에 미치는 영향김선화, 김은숙, 민혜숙, 정윤화, 최영지대한근관절건강학회 · 근관절건강학회지2011 · 제18권 제2호인공 슬관절 치환술 후 치료순응도와 경과기간에 따른 회복 양상강현숙, 박수아, 최진이동서간호학연구소 · 동서간호학연구지2010 · 제16권 제2호

이 간행물의 다른 논문 (9건)

수중운동 프로그램이 성인여성의 대사증후군 위험요소와 스트레스에 미치는 효과김지영, 김종임pp. 75-83일개 중소병원 간호사가 경험한 언어적, 신체적 폭력 사건 실태전미양, 강애정, 이미숙pp. 84-91근골격계 만성통증 노인의 삶의 질 영향요인정혜선, 이윤주pp. 92-103강직성 척추염 환자의 통증이 수면장애에 미치는 영향: 피로의 매개효과를 중심으로황경혜, 조옥희, 임종미pp. 104-111만성 폐쇄성 폐질환 환자의 증상경험과 기능상태의 관계에 미치는 영양상태의 매개효과민혜숙, 장준희pp. 112-121
원문 보기