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슬관절 전치환술 후 점진적 하지운동요법이 통증, 운동자기효능감, 삶의 만족도에 미치는 효과

The Effects of a Progressive Lower-extremity Exercise Program on Pain, Self-efficacy of Exercise, and Life Satisfaction among Older Women with Total Knee Replacement Arthroplasty (TKRA)

은영|이선경|문경희|양귀숙
대한근관절건강학회 (Korean Society of Muscle and Joint Health)|2014.12|근관절건강학회지 (Journal of Muscle and Joint Health)|제21권 제3호|pp. 215-223|DOI 10.5953/JMJH.2014.21.3.215

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참고문헌

키워드

Life satisfaction삶의 만족도Pain통증운동 자기효능감슬관절 전치환술Self-efficacy of exerciseTotal knee replacement arthroplasty
주제분류간호학

초록

Purpose: The purpose of this study was to examine the effect of a progressive lower-extremity exercise program on pain, efficacy of exercise, and the life satisfaction among older women with TKRA. Methods: This study was a nonequivalent control group non synchronized design and was conducted from 12 September 2012 to 05 February 2014 in G-university hospital located in J-city. The sample was composed of an experimental group (n=20) and a control group (n=20). The progressive lower extremity exercise program was applied to the experimental group for 13 days. NRS scale was used to measure the pain, self-efficacy of exercise was measured by Exercise Self Efficacy, and life satisfaction was measured by 8 item questionnaire. Results: The experimental group was significantly lower in the degree of pain (F=73.53, p<.001), higher in the degree of self-efficacy of exercise (F=61.42, p<.001) and life satisfaction (F=80.91, p<.001) than the control group. Conclusion: The progressive lower-extremity exercise program for TKRA patients was useful to reduce pain and improve self-efficacy of exercise and life satisfaction, To reduce the pain and th improve the life satisfaction of older women with TKRA, we need to provide the progressive exercise at bedside during the postoperative recovery phase.

Abstract

Purpose: The purpose of this study was to examine the effect of a progressive lower-extremity exercise program on pain, efficacy of exercise, and the life satisfaction among older women with TKRA. Methods: This study was a nonequivalent control group non synchronized design and was conducted from 12 September 2012 to 05 February 2014 in G-university hospital located in J-city. The sample was composed of an experimental group (n=20) and a control group (n=20). The progressive lower extremity exercise program was applied to the experimental group for 13 days. NRS scale was used to measure the pain, self-efficacy of exercise was measured by Exercise Self Efficacy, and life satisfaction was measured by 8 item questionnaire. Results: The experimental group was significantly lower in the degree of pain (F=73.53, p<.001), higher in the degree of self-efficacy of exercise (F=61.42, p<.001) and life satisfaction (F=80.91, p<.001) than the control group. Conclusion: The progressive lower-extremity exercise program for TKRA patients was useful to reduce pain and improve self-efficacy of exercise and life satisfaction, To reduce the pain and th improve the life satisfaction of older women with TKRA, we need to provide the progressive exercise at bedside during the postoperative recovery phase.

참고문헌 (25)

  1. Campbell, A., "The sense of well-being", American Psychologist, 31, pp.117~124 (1981)
  2. 장경오, "골관절염 환자에게 적용한 타이치운동이 하지근력, 악력, 유연성, 통증, 우울 및 자기효능감에 미치는 효과", 근관절건강학회지, 15(2), pp.130~139 (2008), 대한근관절건강학회
  3. Han, J. H., "Effectiveness of 8 weeks of application of aqua complexed exercise on lower limbs muscular strength, pain relief and balance after total knee arthroplasty", 석사, pp.2009
  4. 허남욱, "국민건강영양조사를 이용한 한국인 관절염의 유병률 현황과 연도별 변화", 대한류마티스학회지, 15(1), pp.11~26 (2008), 대한류마티스학회[DOI]
  5. Jung, H. Y., "A comparative study of factors influencing the life satisfaction of the vulnerable aged group", 석사, pp.2002
  6. Kang, S. H., "A comparative study of the handicaps in and satisfaction with the ordinary life before and after the plastic operation for artificial joint replacement centering around those who suffer from joint disease", Journal of Muscle and Joint Health, 3(1), pp.37~49 (1996)
  7. Kim, K. B., "A study on the relation among the perceived family support, depression and physical health status in Korean elderly", Journal of East-West Nursing Research, 9(1), pp.66~73 (2004)
  8. Lee, J. H., "Effect of lower extremity patterns of proprioceptive neuromuscular facilitation on pain and balance in total knee replacement", 석사, pp.2010
  9. Lee, P. S., "The study on the effect of stage based exercise motivational intervention program for the elderly", Journal of Korean Academy of Nursing, 31(5), pp.818~834 (2001)
  10. Lee, S. H., "Improved effect on daily activity-disorder and the quality of life through the plastic operation for artificial knee joint replacement", 석사, pp.2011
  11. 이선옥, "여성 관절염 환자에게 적용한 수중운동과정이 통증과 피로, 신체조성, 체력 및 심리적 변수에 미치는 효과", 여성건강간호학회지, 13(3), pp.165~173 (2007), 여성건강간호학회
  12. MacDonald, S. J., "Prospective randomized clinical trail of continuous passive motion after total knee arthroplasty", Clinical Orthopedics and Related Research, 380(1), pp.30~35 (2000)
  13. Marcus, B. H., "Self-efficacy and the stages of exercise behavior change", Research Quarterly for Exercise and Sport, 63(1), pp.60~66 (1992)
  14. McAuley, E., "Long-term maintenance of exercise, self-efficacy, and physiological change in older adults", Journal of Gerontology, 48(4), pp.218~224 (1993)[DOI]
  15. Nam, H. R., "The Correlation of pain, depression, and exercise self-efficacy in elderly female patient after total knee arthroplasty", 석사, pp.2010
  16. "Statistics Korea" (2013)[URL]
  17. "National health insurance statistical yearbook" (2010)[URL]
  18. Park, J. S., "Comparison of pain, depression, and satisfaction in life in elderly patients before and after total knee arthroplasty", 석사, pp.2009
  19. Park, S. A., "The effect of integrative home rehabilitation program for knee arthroplasty patients", 박사, pp.2013
  20. 박영주, "여성노인에 대한 타이치 운동의 효과", 근관절건강학회지, 15(2), pp.119~129 (2008), 대한근관절건강학회
  21. Shin, J. Y., "The effect of rehabilitation program on pain, ROM of the knee joint, and mobility in elderly with total knee arthroplasty", 석사, pp.2011
  22. Skoffer, B., "Progressive resistance training before and after total hip and knee arthroplasty: A systematic review", Clinical Rehabilitation (2014)[DOI]
  23. Taylor-Piliae, R. E., "Improvement in balance, strength, and flexibility after 12 weeks of Tai chi exercise in ethnic Chinese adults with cardiovascular disease risk factors", Alternative Therapy of Health and Medicine, 12(2), pp.50~58 (2006)
  24. 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(11), pp.709~715 (2012)
  25. Vincent, K. R., "Resistance exercise for knee osteoarthritis", Journal of Injury, Function, and Rehabilitation, 4(5), pp.45~52 (2012)[DOI]

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