관절염 환자를 위한 타이치 프로그램 적용 후 통증, 피로, 인지된 건강상태, 관절뻣뻣함, 일상활동장애, 우울의 변화
Changes in Pain, Fatigue, Perceived Health Status, Joint Stiffness, Disability in ADL, and Depression after Tai Chi for Arthritis Program
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to observe the changes of the pain, fatigue, perceived health status, disability in ADL, and depression after Tai Chi for arthritis. Method: The subjects were 19 osteoarthritis women enrolled at one primary health care post. They have agreed to participate in this study, and participated in the 12-week Tai Chi program from Dec. 2006 to Mar. 2007, and all the measurement processes in right after, 2 months later, and 4 months later after Tai Chi program. The measurement tools of this study were all self-reported questionnaires such as Numerical Rating Scale (0-100) for pain, fatigue, and perceived health status, Korean- WOMAC (Western Ontario and McMaster University Osteoarthritis) Index for joint stiffness, Korean Health Assessment Questionnaire, and CES-Depression scale. Results: The repeated measure ANOVA revealed the significant differences on pain among the right after, 2 months later, and 4 months later the program. Especially 2 months later after program, pain was significantly increased than right after by t-test. There were no significant differences on fatigue, perceived health status, disability in ADL, and depression. Conclusion: Pain was increased after Tai Chi for arthritis program, but fatigue, perceived health status, disability in ADL, and depression were not changed until 4 months after Tai Chi program.
Abstract
Purpose: The purpose of this study was to observe the changes of the pain, fatigue, perceived health status, disability in ADL, and depression after Tai Chi for arthritis. Method: The subjects were 19 osteoarthritis women enrolled at one primary health care post. They have agreed to participate in this study, and participated in the 12-week Tai Chi program from Dec. 2006 to Mar. 2007, and all the measurement processes in right after, 2 months later, and 4 months later after Tai Chi program. The measurement tools of this study were all self-reported questionnaires such as Numerical Rating Scale (0-100) for pain, fatigue, and perceived health status, Korean- WOMAC (Western Ontario and McMaster University Osteoarthritis) Index for joint stiffness, Korean Health Assessment Questionnaire, and CES-Depression scale. Results: The repeated measure ANOVA revealed the significant differences on pain among the right after, 2 months later, and 4 months later the program. Especially 2 months later after program, pain was significantly increased than right after by t-test. There were no significant differences on fatigue, perceived health status, disability in ADL, and depression. Conclusion: Pain was increased after Tai Chi for arthritis program, but fatigue, perceived health status, disability in ADL, and depression were not changed until 4 months after Tai Chi program.
참고문헌 (23)
- Barlow, J. H., "Patient education for people with arthritis in rural communities: the UK experience", Patient Educ Couns, 44(3), pp.205~214 (2001)
- Bae, S. C., "Psychometric evaluation of a Korean Health Assessment Questionnaire(KHAQ) for clinical research", J Rheumatol, 25(10), pp.1975~1979 (1997)
- Bae, S. C., "Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and sequence osteoarthritis indices for clinical research", Osteoarthritis Cartilage, 9, pp.746~750 (2001)
- Baek,M.H., "A study on effects of Tai-Chi exercise program on pain, flexibility, perceived health status, and instrumental activities of daily living for osteoarthritis patients", J Rheumatol Health, 12(2), pp.119~131 (2005)
- MOHW (Ministry of Health and Welfare), "Health Plan 2010", ~ (2005)
- MOHW & KIHASA (Ministry of Health and Welfare, Korea Institute for Health and Social Affairs), "2001 National Health and Nutrition Survey", ~ (2002)
- Choi, J. H., "Analysis of the effect of Tai Chi on muscle strength and flexibility", J Rheumatol Health, 12(1), pp.69~80 (2005)
- Chon, K. K., "Preliminary Development of Korean Version of CES-D", Korean J Clinical Psychology, 11(1), pp.65~76 (1992)
- Lam,P., "Tai Chi for Arthritis Instructor's Workshop Teaching Material", Tai Chi (2001)
- Lee,E.N., "Effects of a Tai-Chi on pain, sleep disturbance, mood and fatigue in rheumatoid arthritis patients", J Rheumatol Health, 12(1), pp.57~68 (2005)
- Lee, E. N., "Effects of a 8-week Tai Chi exercise program on the risk factors for falls in the elderly with osteoarthritis", J Rheumatol Health, 11(1), pp.61~73 (2004)
- 이혜영, "슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교", Journal of Korean Academy of Nursing, 36(4), pp.571~580 (2006), 한국간호과학회
- Lee, H. Y., "Effects of Tai Chi exercise in elderly with knee osteoarthritis", J Korean Acad Nurs, 38(1), pp.11~18 (2008)
- Lee, I. O., "The effects of follow-up with peer group meetings after self-help program for arthritis patients", J Rheumatol Health, 8(1), pp.109~121 (2001)
- Lee, K. S., "Long-term effect of self-help program for arthritis patients", J Rheumatol Health, 10(1), pp.32~43 (2003)
- Lee, K. S., "Thecomparison of fatigue of the patients with rheumatoid arthritis, lupus, and fibromyalgia", J Rheumatol Health, 7(1), pp.131~147 (2000)
- Lee, K. Y., "The effect of Tai Chi movement in patients with rheumatoid arthritis", J Korean Acad Nurs, 36(2), pp.278~286 (2006)
- Lorig, K., "The beneficial outcome of the arthritis self-management course are not adequately explained by behavior change", Arthritis Rheum, 32(1), pp.91~95 (1989)
- So,A.Y., "Expansion strategy of Wonju healthy city project to rural area", Healthy City Wonju Forum Workshop, pp.44~62 (2005)
- Song, R. Y., "Effects of tai chi exercise on pain, balance, muscle strength, and physical functioning in older women with osteoarthritis: A randomized clinical trial", J Rheumatol, 30(9), pp.2039~2044 (2003)
- Taal, E., "Group education for patients with rheumatoid arthritis", Patient Educ Couns, 20, pp.177~187 (1993)
- Wonju city & Yonsei university, "Diagnosis and project development for Wonju healthy city", ~ (2004)
- Yoon, T. H., "Health inequalities between rural and urban areas in South Korea", J Korean Acade Rural Health Nurs, 1(1), pp.11~20 (2006)