태극권 운동이 류마티스관절염 환자의 주관적 증상, 체력, 우울 및 자기효능감에 미치는 효과: 3개년 자료를 바탕으로
Comparison of Subjective Symptoms, Physical Fitness, Depression and Self-efficacy before and after Tai Chi in Patients with Rheumatoid Arthritis: Based on 3 Years’ Data
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Purpose: The purpose of this study was to evaluate whether subjective symptoms, physical fitness, and emotional variables were improved after participating in a 6-week Tai Chi program in patients with rheumatoid arthritis. Methods: 23 rheumatoid arthritis patients participated in the Yang style Tai Chi for arthritis patients 90 minutes session conducted twice a week at the Arthritis Center of D University Hospital. The main outcome of current studies included self-reported scores of subjective symptoms(pain, sleep satisfaction, and fatigue), physical fitness tests, and depression (PHQ-9) and self-efficacy investigated with questionnaire before and after participating in Tai Chi. Results: After participating in Tai Chi, participants perceived lesser pain (t=2.61, p=.016) and fatigue (Z=-2.32, p=.020), and reported improved sleep satisfaction (t=-3.56, p=.002). In the physical fitness test, there were significant improvement in muscle strength (upper limb: t=-7.19, p<.001, lower limb: t=-4.86, p<.001), and balance (right t=-3.70, p=.001; left t=-2.30, p=.031). Depression (t=3.87, p=.001) and self-efficacy (Z=-3.44, p=.001) improved significantly after participating in Tai Chi. Conclusion: Tai Chi had beneficial effects on subjective symptoms and emotional variables as well as physical fitness. Therefore, the program could be recommended in the patients with rheumatoid arthritis.
Abstract
Purpose: The purpose of this study was to evaluate whether subjective symptoms, physical fitness, and emotional variables were improved after participating in a 6-week Tai Chi program in patients with rheumatoid arthritis. Methods: 23 rheumatoid arthritis patients participated in the Yang style Tai Chi for arthritis patients 90 minutes session conducted twice a week at the Arthritis Center of D University Hospital. The main outcome of current studies included self-reported scores of subjective symptoms(pain, sleep satisfaction, and fatigue), physical fitness tests, and depression (PHQ-9) and self-efficacy investigated with questionnaire before and after participating in Tai Chi. Results: After participating in Tai Chi, participants perceived lesser pain (t=2.61, p=.016) and fatigue (Z=-2.32, p=.020), and reported improved sleep satisfaction (t=-3.56, p=.002). In the physical fitness test, there were significant improvement in muscle strength (upper limb: t=-7.19, p<.001, lower limb: t=-4.86, p<.001), and balance (right t=-3.70, p=.001; left t=-2.30, p=.031). Depression (t=3.87, p=.001) and self-efficacy (Z=-3.44, p=.001) improved significantly after participating in Tai Chi. Conclusion: Tai Chi had beneficial effects on subjective symptoms and emotional variables as well as physical fitness. Therefore, the program could be recommended in the patients with rheumatoid arthritis.
참고문헌 (31)
- 안제용, "한국어판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 표준화 연구", 생물치료정신의학, 19(1), pp.47~56 (2013), 대한생물치료정신의학회
- Strawberry K. Gatts, "Neural mechanisms underlying balance improvement with short term Tai Chi training", Aging Clinical and Experimental Research, 18(1), pp.7~19 (2006), Springer Nature[DOI]
- Rinie Geenen, "Psychological interventions for patients with rheumatic diseases and anxiety or depression", Best Practice & Research Clinical Rheumatology, 26(3), pp.305~319 (2012), Elsevier BV[DOI]
- Chen-Yuan Hsu, "Seated Tai Chi versus usual activities in older people using wheelchairs: A randomized controlled trial", Complementary Therapies in Medicine, 24, pp.1~6 (2016), Elsevier BV[DOI]
- Roger Jahnke, "A Comprehensive Review of Health Benefits of Qigong and Tai Chi", American Journal of Health Promotion, 24(6), pp.e1~e25 (2010), SAGE Publications[DOI]
- 전인수, "태극권 수련이 여성 노인의 보행능력에 미치는 영향", 체육과학연구, 17(2), pp.14~24 (2006), 국민체육진흥공단 한국스포츠정책과학원
- 김현나, "느림의 운동, 슬로우 엑스사이즈의 정의와 의미-요가, 태극권, 필라테스, 코어를 중심으로-", 한국여가레크리에이션학회지, 29, pp.23~34 (2005), 한국여가레크리에이션학회
- Kim, J. I., "An effect of aquatic exercise program with selfhelp group activates and strategies for promoting self-efficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis", Journal of Muscle and Joint Health, 1(1), pp.1~30 (1994)
- Ko, Y. J., "The relationships among health behavior and self-efficacy, family support and depression in patients with rheumatoid arthritis", Health & Nursing, 21(2), pp.22~35 (2009)
- Korean College of Rheumatology, "KCR textbook of rheumatology" (2014), Kunja Publishing Company
- 이은남, "걷기운동 및 Thera-Band를 이용한 하지근육 강화운동이 류마티스 관절염 환자의 통증, 피로, 신체적 기능정도 및 질병활성도에 미치는 효과", 재활간호학회지, 4(1), pp.84~93 (2001), 한국재활간호학회
- Lee, H. Y., "The effect of Tai-Chi for arthritis(TCA)Program in osteoarthritis and rheumatoid arthritis patients", Journal of Muscle and Joint Health, 10(2), pp.188~202 (2003)
- Lee, K. Y., "Arthritis and nursing care", pp.190~205 (2013), Jungmungag
- 이명찬, "太極拳24式이 健康에 미치는 影響에 대한 小考", 대한한의학원전학회지, 22(2), pp.263~274 (2009), 대한한의학원전학회
- 이시경, "수중 운동치료가 류마티스 관절염 환자의 염증 완화에 미치는 효과", 대한물리의학회지, 6(1), pp.39~49 (2011), 대한물리의학회
- 이숙련, "태극권 운동이 골관절염 중년여성의 신체기능, 스트레스 및 우울에 미치는 효과", 기본간호학회지, 17(2), pp.159~168 (2010), 기본간호학회
- Fuzhong Li, "Tai Chi and Self-Rated Quality of Sleep and Daytime Sleepiness in Older Adults: A Randomized Controlled Trial", Journal of the American Geriatrics Society, 52(6), pp.892~900 (2004), Wiley[DOI]
- Kate Lorig, "The beneficial outcomes of the arthritis self-management course are not adequately explained by behavior change", Arthritis & Rheumatism, 32(1), pp.91~95 (1989), Wiley[DOI]
- 오현경, "타이치 운동이 골관절염과 류마티스관절염 여성의 통증, 일상활동 및 낙상공포감에 미치는 효과 비교", 근관절건강학회지, 18(2), pp.137~146 (2011), 대한근관절건강학회
- Park, J. S., "Study of fatigue in patients with rheumatoid arthritis", Journal of Korean Academic Society of Nursing Education, 7(2), pp.245~253 (2001)
- Chwan-Li Shen, "Effects of Tai Chi on Gait Kinematics, Physical Function, and Pain in Elderly with Knee Osteoarthritis — A Pilot Study", The American Journal of Chinese Medicine, 36(02), pp.219~232 (2008), World Scientific Pub Co Pte Lt[DOI]
- 손정태, "태극권 수련이 간호대학생의 체력, 스트레스반응, 자아탄력성에 미치는 효과", 근관절건강학회지, 24(3), pp.217~226 (2017), 대한근관절건강학회[DOI]
- Son, J. T., "Arthritis and nursing" (2013), Jungmunkag
- Song, R. Y., "Pre-post comparisons on physical symptoms, balance, muscle strength, physical functioning, and depression in women with osteoarthritis after 12-week tai chi exercise", Journal of Muscle and Joint Health, 9(1), pp.28~39 (2002)
- Spitzer, R. L., "The patient health questionnaire primary care study group. Validation and utility of a self-report version of PRIME-MD : The PHQ primary care study", Journal of the American Medical Association, 282(18), pp.1737~1744 (1999)
- Suh, G. H., "Factors related to fatigue in women with rheumatoid arthritis", Journal of Muscle and Joint Health, 14(1), pp.61~69 (2007)
- T Uhlig, "No improvement in a pilot study of tai chi exercise in rheumatoid arthritis", Annals of the Rheumatic Diseases, 64(3), pp.507~509 (2004), BMJ[DOI]
- Wang, C., "Tai Chi improves pain and functional status in adults with rheumatoid arthritis: results of a pilot singleblinded randomized controlled trial", Medicine and Sport Science, 52, pp.218~229 (2008)[DOI]
- Craig S. Webster, "A systematic review of the health benefits of Tai Chi for students in higher education", Preventive Medicine Reports, 3, pp.103~112 (2016), Elsevier BV[DOI]
- Yu Xiang, "Does Tai Chi relieve fatigue? A systematic review and meta-analysis of randomized controlled trials", PLOS ONE, 12(4), pp.e0174872~ (2017), Public Library of Science (PLoS)[DOI]
- Gloria Y. Yeh, "The Impact of Tai Chi Exercise on Self-Efficacy, Social Support, and Empowerment in Heart Failure: Insights from a Qualitative Sub-Study from a Randomized Controlled Trial", PLOS ONE, 11(5), pp.e0154678~ (2016), Public Library of Science (PLoS)[DOI]
