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슬관절 치환술 환자 대상 동기상담 적용 운동 프로그램의 효과

Effects of Motivational Interviewing Intervention for Patients with Total Knee Replacement

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초록

Purpose: The study was conducted to examine the effects of motivational interviewing intervention on exercise performance and maintenance, exercise and pain self-efficacy, functional status, and quality of life in the patients with total knee replacement. Methods: This study used a nonequivalent control group non-synchronized design. A total of 100 patients with total knee replacement (33 patients in motivational interviewing group (MG), 33 patients in exercise group (EG), 34 patients in comparison group (CG)) were participated in this study. MG and EG had 7 scheduled sessions for 4 weeks. Data were analyzed with repeated measures ANOVAs by using IBM SPSS Statistics 20. Results: MG showed better exercise maintenance, higher exercise and pain self-efficacy, higher muscle strength, and mental component of quality of life than the other groups. MG and EG showed better knee flexion, less knee extension, longer walking distance for 6 minutes, and better functioning than CG. Conclusion: The results showed that motivational interviewing intervention is an effective intervention for elderly patients with total knee replacement. Future study examining long term effects of motivation interviewing intervention is necessary.

Abstract

Purpose: The study was conducted to examine the effects of motivational interviewing intervention on exercise performance and maintenance, exercise and pain self-efficacy, functional status, and quality of life in the patients with total knee replacement. Methods: This study used a nonequivalent control group non-synchronized design. A total of 100 patients with total knee replacement (33 patients in motivational interviewing group (MG), 33 patients in exercise group (EG), 34 patients in comparison group (CG)) were participated in this study. MG and EG had 7 scheduled sessions for 4 weeks. Data were analyzed with repeated measures ANOVAs by using IBM SPSS Statistics 20. Results: MG showed better exercise maintenance, higher exercise and pain self-efficacy, higher muscle strength, and mental component of quality of life than the other groups. MG and EG showed better knee flexion, less knee extension, longer walking distance for 6 minutes, and better functioning than CG. Conclusion: The results showed that motivational interviewing intervention is an effective intervention for elderly patients with total knee replacement. Future study examining long term effects of motivation interviewing intervention is necessary.

참고문헌 (29)

  1. American Thoratic Society, "ATS statement: Guidelines for the six-minute walk test", American Journal of Respiratory and Critical Care Medicine, 166(1), pp.111~117 (2002), American Thoracic Society[DOI]
  2. Nicholas Bellamy, "Pain assessment in osteoarthritis: Experience with the WOMAC osteoarthritis index", Seminars in Arthritis and Rheumatism, 18(4), pp.14~17 (1989), Elsevier BV[DOI]
  3. Jill A. Bennett, "Motivational Interviewing to Increase Physical Activity in Long-Term Cancer Survivors", Nursing Research, 56(1), pp.18~27 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  4. David A. Brodie, "Motivational interviewing to change quality of life for people with chronic heart failure: A randomised controlled trial", International Journal of Nursing Studies, 45(4), pp.489~500 (2008), Elsevier BV[DOI]
  5. 정명실, "슬관절 전치환술 후 하지 근육강화 운동 프로그램 효과", 한국간호교육학회지, 14(1), pp.20~29 (2008), 한국간호교육학회
  6. Cohen, J., "Statistical power analysis for the behavior sciences" (1988), Academic Press
  7. Fields, A., "Resolving patient ambivalence : A five session motivational interviewing intervention" (2006), Hollifield
  8. Fisher NM, "Muscle rehabilitation", Clinical Journal of Sport Medicine, 1(4), pp.269~ (1991), Ovid Technologies (Wolters Kluwer Health)[DOI]
  9. Jan-Willem Groen, "After total knee arthroplasty, many people are not active enough to maintain their health and fitness: an observational study", Journal of Physiotherapy, 58(2), pp.113~116 (2012), Elsevier BV[DOI]
  10. Sarah J Hardcastle, "Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: a randomised controlled trial with a 12-month post-intervention follow-up", International Journal of Behavioral Nutrition and Physical Activity, 10(1), pp.40~ (2013), Springer Nature[DOI]
  11. 전점이, "슬관절 전치환술 환자에게 적용한 재활요법 연구논문 분석", 성인간호학회지, 24(3), pp.253~265 (2012), 성인간호학회[DOI]
  12. Kim, I. B., "The effect of PROM and AARPM exercise after TKA on increasing the knee range of motion", Journal of Korean Academy of Physical Therapy Science, 16(4), pp.11~17 (2009)
  13. Victoria Ko, "The six-minute walk test is an excellent predictor of functional ambulation after total knee arthroplasty", BMC Musculoskeletal Disorders, 24(14) (2013), Springer Nature[DOI]
  14. Lee, D. C., "Evaluation of muscle strength using isokinetic testing and functional result after total knee arthroplasty", Journal of the Korean Orthopaedic Association, 34(5), pp.931~936 (1999)
  15. Katherine Letourneau, "A Patient – Centered Approach to Addressing Physical Activity in Older Adults: Motivational Interviewing", Journal of Gerontological Nursing, 40(11), pp.26~32 (2014), SLACK, Inc.[DOI]
  16. Lord, S. R., "Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people", Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 57(8), pp.M539~M543 (2002)[DOI]
  17. Miller, W. R., "Motivational interviewing" (2006), Sigmapress
  18. 민혜숙, "근력강화 운동프로그램이 슬관절 전치환술 여성 노인환자의 통증, 피로, 신체적 기능에 미치는 영향", 근관절건강학회지, 18(2), pp.203~214 (2011), 대한근관절건강학회
  19. Pang, J., "Influence of pain severity on health-related quality of life in Chinese knee osteoarthritis patients", International Journal of Clinical and Experimental Medicine, 8(3), pp.4472~4479 (2015)
  20. U. Petursdottir, "Facilitators and Barriers to Exercising Among People With Osteoarthritis: A Phenomenological Study", Physical Therapy, 90(7), pp.1014~1025 (2010), Oxford University Press (OUP)[DOI]
  21. Barbara Resnick, "Testing the Reliability and Validity of the Self-Efficacy for Exercise Scale", Nursing Research, 49(3), pp.154~159 (2000), Ovid Technologies (Wolters Kluwer Health)[DOI]
  22. Rollnick, S., "Motivational Interviewing in health care: Helping patients change behaviour" (2008), The Guildford Press
  23. Shin, J. Y., "The effect of rehabilitation program on pain, range of motion of the knee joint, and mobility in elderly with total knee arthroplasty", master, pp.2011
  24. "Major surgery statistics" (2013)[URL]
  25. Kirsten Szöts, "Physical health problems experienced in the early postoperative recovery period following total knee replacement", International Journal of Orthopaedic and Trauma Nursing, 19(1), pp.36~44 (2015), Elsevier BV[DOI]
  26. Mimi MY Tse, "Motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: a randomised controlled study", Journal of Clinical Nursing, 22(13-14), pp.1843~1856 (2013), Wiley-Blackwell[DOI]
  27. Sinfia K. Vong, "Motivational Enhancement Therapy in Addition to Physical Therapy Improves Motivational Factors and Treatment Outcomes in People With Low Back Pain: A Randomized Controlled Trial", Archives of Physical Medicine and Rehabilitation, 92(2), pp.176~183 (2011), Elsevier BV[DOI]
  28. Ware, J. E., "User's manual for the SF-12v2 health survey (with a supplement documenting SF-12 health survey)", Quality Metric Incorporated, ~ (2002)
  29. 양귀숙, "슬관절 전치환술 후 점진적 하지운동요법이 통증, 운동자기효능감, 삶의 만족도에 미치는 효과", 근관절건강학회지, 21(3), pp.215~223 (2014), 대한근관절건강학회[DOI]

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