본문 바로가기
KERD
논문KCI 등재

류마티스 관절염환자를 위한 타이치운동과 이압요법의 효과- 영국 옥크셔지역을 중심으로 -

Effects of Tai Chi Exercise and Auricular Acupressure in Patients with Rheumatoid Arthritis

0

조회

0

다운로드

4

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to evaluate the effects of a program of Tai Chi and auricular acupressure in patients with rheumatoid arthritis. Methods: The study design was a one-group pretest-posttest design. The subjects were 14 outpatients with a diagnosis of rheumatoid arthritis based on the American College of Rheumatology Standards. The setting was a Academic Section of Musculoskeletal Disease in the Leeds Institute of Molecular Medicine in United Kingdom. The program was Tai Chi exercise with auricular acupressure per two times a week, for twelve weeks. Results: A program of Tai Chi with auricular acupressure showed significant improvements in amount of pain of RADAI, 28 Joint count swollen, fatigue, physical, affect and symptom of AIMS2, function and symptom of ASES (p<0.05). However, no differences were found in the score of self-efficacy relate to the pain, and quality of healthy related life to social interaction. Conclusion: In order to improve the quality of healthy related life and self-efficacy relate to the pain, it requires long-term intervention. Also different research designs are needed to confirm the effect of this study.

Abstract

Purpose: The purpose of this study was to evaluate the effects of a program of Tai Chi and auricular acupressure in patients with rheumatoid arthritis. Methods: The study design was a one-group pretest-posttest design. The subjects were 14 outpatients with a diagnosis of rheumatoid arthritis based on the American College of Rheumatology Standards. The setting was a Academic Section of Musculoskeletal Disease in the Leeds Institute of Molecular Medicine in United Kingdom. The program was Tai Chi exercise with auricular acupressure per two times a week, for twelve weeks. Results: A program of Tai Chi with auricular acupressure showed significant improvements in amount of pain of RADAI, 28 Joint count swollen, fatigue, physical, affect and symptom of AIMS2, function and symptom of ASES (p<0.05). However, no differences were found in the score of self-efficacy relate to the pain, and quality of healthy related life to social interaction. Conclusion: In order to improve the quality of healthy related life and self-efficacy relate to the pain, it requires long-term intervention. Also different research designs are needed to confirm the effect of this study.

참고문헌 (33)

  1. ACR: American College of Rheumatology Subcommittee on RA Guidelines, "Guidelines for the management of rheumatoid arthritis: 2002 Update", Arthritis and Rheumatism, 46(2), pp.328~346 (2002)
  2. Arthritis and Musculoskeleal Alliance, "Arthritis and Musculoskeleal Alliance. Available from ARMA, 41 Ecgle Street, London WC1R 4LT", ~ (2003)
  3. Brismée, J. M., "Group and home-based tai chi in elderly subjects with knee osteoarthritis: A randomized controlled trial", Clinical Rehabilitation, 1(2), pp.99~111 (2007)
  4. Fitzpatrick, R., "Social relationships and psychological well-being in rheumatoid arthritis", Social Science & Medicine, 27(4), pp.399~403 (1988)
  5. Hammond, A., "One-year outcomes of a randomized controlled trial of an educational-behavioral joint protection programme for people with rheumatoid arthritis", Rheumatology (Oxford), 40(9), pp.1044~1051 (2001)
  6. Hartman, C. A., "Effects of Tai Chi training on function and quality of life indicators in older adults with osteoarthritis", Journal of the American Geriatrics Society, 48, pp.1553~1559 (2000)
  7. Hochberg, M. C, "Adult and Juvenile rheumatoid arthritis: current epidemiologic concepts", Oxford Journals, 3(1), pp.27~44 (1981)
  8. Kirsteins. A. E., "Evaluating the safety and potential use of a weight-bearing exercise, Tai-Chi Chuan for rheumatoid arthritis patients", American journal of physical medicine & rehabilitation, 70(3), pp.136~141 (1991)
  9. Lee, H. Y, "The effect of Tai-Chi for arthritis (TCA) program in Osteoarthritis and rheumatoid arthritis patients", Journal of Muscle and Health, 10(2), pp.7~18 (2003)
  10. Lee, H. Y., "Analysis of the effect and network of exercise programs on rheumatoid arthritis patients", Journal of muscle and Health, 11(1), pp.74~88 (2004)
  11. 이혜영, "슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교", Journal of Korean Academy of Nursing, 36(4), pp.571~580 (2006), 한국간호과학회
  12. Lee, M. S., "Tai Chi for osteoarthritis: A systematic review", Clinical Rheumatology, 27(2), pp.211~218 (2007)
  13. Li, L. C., "Use of mainstream nonpharmacologic treatment by patients with arthritis", Arthritis Rheum, 51, pp.203~209 (2004)
  14. Lorig, K., "Long-term outcomes of an arthritis self-management study: Effects of reinforcement efforts", Social Science an Medicine, 29(2), pp.221~224 (1989)
  15. Maa, S. H., "Selfadministered acupressure reduces the symptoms that limit daily activities in bronchiectasis patients: Pilot study findings", Source Journal of Clinical Nursing, 16(4), pp.794~804 (2007)
  16. Meenan, R. F., "Measuring health status in arthritis. The arthritis impact measurement scales", Arthritis Rheumatism, 23(2), pp.146~152 (1980)
  17. Moon, H. J., "A Literature review about application of an auricular acupuncture therapy for independent oriental medical nursing intervention development", Journal of East-West Nursing Research, 4(1), pp.66~76 (1999)
  18. Mowinckel, P., "Repeated measures in rheumatoid arthritis reduced the required sample size in a two-armed clinical trial", Journal of Clinical Epidemiology, 61(9), pp.940~944 (2007)
  19. Oleson, T, "Auriculrotherapy Manual(3nd ed.)" (2003), Churchill Livingstone
  20. Pincus, T, "Pain, function, and RAPID scores: vital signs in chronic diseases, analogous to pulse and temperature in acute diseases and blood pressure and cholesterol in long-term health", Bulletin of the NYU hospital for joint diseases, 66(2), pp.155~165 (2008)
  21. Prevoo, M. L., "Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis", Arthritis Rheumatism, 38(1), pp.44~48 (1995)
  22. Rosemann, T., "Case management of arthritis patients in primary care: A cluster-randomized controlled trial", Arthritis Rheumatism, 57(8), pp.1390~1397 (2007)
  23. Scott, D. L., "The clinical management of rheumatoid arthritis and osteoarthritis: Strategies for improving clinical effectiveness", British journal of rheumatology, 37(5), pp.546~554 (1998)
  24. Song, R. Y., "Effects of Tai Chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis: A Randomized clinical trial", Journal of Rheumatology, 30(9), pp.2039~2044 (2003)
  25. Stucki, G., "A self-administered rheumatoid arthritis disease activity index (RADAI) for epidemiologic research. Psychometric properties and correlation with parameters of disease activity", Arthritis Rheumatism, 38(6), pp.795~798 (1995)
  26. Suen, L. K., "Longitudinal changes in the disability level of the elders with low back pain after auriculotherapy", Complementary therapies in medicine, 16(1), pp.28~35 (2008)
  27. Suen, L. K., "Auriculotherapy on low back pain in the elderly", Complementary therapies in clinical practice, 13(1), pp.63~69 (2007)
  28. Swain, M. G, "Fatigue in chronic disease", Clinical science. (Lond), 99(1), pp.1~8 (2000)
  29. Uhlig, T., "Exploring Tai Chi in rheumatoid arthritis: A quantitative and qualitative study", BMC musculoskeletal disorders, 11, pp.43~ (2010)
  30. Wolfe, F., "The prevalence and meaning of fatigue in rheumatic disease", The journal of Rheumatology, 23(8), pp.1407~1417 (1996)
  31. "Chronic rheumatic conditions"[URL]
  32. Young, A., "How does functional disability in early rheumatoid arthritis (RA) affect patients and their lives? Results of 5 years of follow-up in 732 patients from the Early RA Study (ERAS)", Rheumatology (oxford), 39(6), pp.603~611 (2000)
  33. Zautra, A. J., "Daily fatigue in women with osteoarthritis", Pain, 128(1), pp.128~135 (2007)

관련 논문AI추천

이 간행물의 다른 논문 (9건)