요추수술 후 운동요법이 통증, 운동 자기효능감과 일상생활활동 장애에 미치는 효과
The Effects of Muscle Strengthening Exercise for Postoperative Lumbar Spinal Surgery on Pain, Exercise Self-Efficacy, Activities of Daily Living
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Purpose:The purpose of this study was to examine the effects of exercise on pain, exercise self-efficacy, activities of daily living for postoperative lumbar spinal surgery. Method:The study used a nonequivalent control group pre- and post-test design in quasi-experimental research. The data were collected from April, 2010 to July, 2011. The subjects were 40 lumbar spine surgery patients who had been hospitalized in neurosurgery of G university hospital, 20 assigned for the experimental and 20 for the control group. Exercise of this study reformed to be adapted to lumbar spine surgery patients on the basis of William's flexion exercise and exercise for HIVD surgery patients developed by Kim(1995) and was practiced three times a day for 3 weeks. The data were analysed with -test, t- test, Repeated measures ANOVA using the SPSS program.Result:There was a significant decrease in pain in the experimental group, but there was no significant increase in exercise self-efficacy and activities of daily living between the groups. Conclusion:Muscle strengthening exercise after surgery was effective in improvement of pain. Postoperative muscle strengthening exercise in lumbar spinal patients may be a useful intervention to reduce pain.
Abstract
Purpose:The purpose of this study was to examine the effects of exercise on pain, exercise self-efficacy, activities of daily living for postoperative lumbar spinal surgery. Method:The study used a nonequivalent control group pre- and post-test design in quasi-experimental research. The data were collected from April, 2010 to July, 2011. The subjects were 40 lumbar spine surgery patients who had been hospitalized in neurosurgery of G university hospital, 20 assigned for the experimental and 20 for the control group. Exercise of this study reformed to be adapted to lumbar spine surgery patients on the basis of William's flexion exercise and exercise for HIVD surgery patients developed by Kim(1995) and was practiced three times a day for 3 weeks. The data were analysed with -test, t- test, Repeated measures ANOVA using the SPSS program.Result:There was a significant decrease in pain in the experimental group, but there was no significant increase in exercise self-efficacy and activities of daily living between the groups. Conclusion:Muscle strengthening exercise after surgery was effective in improvement of pain. Postoperative muscle strengthening exercise in lumbar spinal patients may be a useful intervention to reduce pain.
참고문헌 (26)
- Bandura, A, "Social foundations of thought and action: A social cognitive theory" (1986), Prentice Hall Inc
- Bandura, A, "Self-Efficacy : Toward a unifying Theory of Behavior Change", Psychological Review, 84(2), pp.191~215 (1997)
- Chung, S. G, "Rehabilitative Treatments of Chronic Low Back Pain", Journal of the Korean Medical Association, 50(6), pp.494~506 (2007)
- Fairbank, J. C, "The oswestry disability index", Spine, 25(22), pp.2940~2952 (1980)
- Halfman, M. A, "Exercise and the maintenance of health", Topical in Clinical Nurssing, 3(2), pp.1~10 (1981)
- Jang, Y. J, "Post operative pain of spinal surgery patients' and satisfaction about intervention of pain control", 석사, pp.2005
- Kang, S. Y, "The Guide of rehabilitation for lumbar pain", The Journal of the Korean Medical Association, 35, pp.968~975 (1992)
- Kang, I. O, "The trends of spine surgery in Korea", Health Insurance Forum, 5(2), pp.116~139 (2006)
- Kim, D. K, "Neuro surgery" (2007), Ilchokak
- Kim, H. J, "(The) effects of education of postoperative esercise on postoperative admission and functional recovery in patients with herniated lumbar disc", 석사, pp.1995
- Kim, J. I, "Effect of aquatic exercise program with self-help group activities and strategies for promoting self-efficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis", 박사, pp.1993
- Kim, J. S., "The Effect of extension exercise on the reduction of pain in patients with low back pain", The Journal of Korean Academy of Physical Therapist, 3(1), pp.9~19 (1996)
- Korea Neurology Society, "Neurology" (2000), Joongang copy
- Lee, D. H., "Effects of the strengthening exercise on back muscles after lumbar discectomy", Journal of Korean Society of Spine Surgery, 9(1), pp.41~47 (2002)
- 이미진, "동영상 운동요법이 척추수술 환자의 통증과 일상생활 기능, 교육만족도에 미치는 효과", 임상간호연구, 15(3), pp.39~48 (2009), 병원간호사회
- 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)
- Lee, S. E, "Pain electric", Biochemistry and Molecular Biology News, 24(3), pp.88~195 (2004)
- Lee, S. J, "Effect of exercise after surgery on self-efficacy and activities of daily living of spine surgery patients", Journal of Nursing Studies, 9(1), pp.21~34 (2004)
- 이윤정, "타이치 운동프로그램이 골관절염 환자의 체력, 통증, 자기효능감에 미치는 효과", 근관절건강학회지, 16(1), pp.26~35 (2009), 대한근관절건강학회
- Mannion, A. F, "A randomised controlled trial of post-operative rehabilitation after surgical decompression of the lumbar spine", European Spine Journal, 16, pp.1101~1117 (2007)
- Marcus, B. H., "Self-efficacy and the stages of exercise behavior change", Reserch Quarterly for Exercise and Sport, 63(1), pp.60~66 (1992)
- McGregor, A. H., "The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression", European Spine Journal, 16, pp.339~346 (2007)
- 문훈기, "후방 요추체간유합(PLIF) 수술을 시행한 노인 요통환자들의 운동프로그램 효과", 대한스포츠의학회지, 26(1), pp.19~26 (2008), 대한스포츠의학회
- Nam, K. W, "Isotonic lumbar extension exercise on improvement and maintenance of trunk stability in the patients with microscopic lumbar discectomy", 박사, pp.2005
- 박찬홍, "척추수술후증후군에서 척수자극술을 이용한 치료경험- 증례 보고", The Korean Journal of Pain, 19(1), pp.23~23 (2006), 대한통증학회
- Verbrugge, L. M., "Levels of disability among U.S. adults with arthritis", Journal of Gerontology, 46(2), pp.71~83 (1991)