수술 전 슬관절 치환술 환자의 규칙적 운동 관련인자
Factors Affecting Regular Exercise among Patients with Osteoarthritis before Total Knee Replacement
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목적: 본 연구는 수술 전 슬관절 치환술 환자의 규칙적 운동 유무와 관련된 인자를 확인하기 위함이다. 방법: 슬관절 치환술 수술을 기다리는 136명 환자의 규칙적 운동 유무와 신체활동 정도를 파악하고, 규칙적 운동 유무 관련 인자를 확인하기 위한 횡단적 서술적 상관관계 연구이다. 결과: 수술 전 슬관절 치환술 환자들의 규칙적 운동 유무 정도는 22.06%이며, 신체활동량이 매우 저조하였다. 규칙적 운동 유무에 따라 보조기구의 사용유무, 6분 걷기, 신체활동량, 운동 자기효능감, 통증 자기효능감, 정신적 삶의 질에 유의하게 영향을 미쳤고, 규칙적 운동유무의 다변량 로지스틱 회귀분석결과 운동에 대한 자기효능감이 높고, 총 보행거리가 많으면 규칙적 운동을 할 확률이 증가하는 것으로 나타났다. 결론: 본 연구 결과는 슬관절 치환술 환자의 수술 전․후 운동을 증가시킬 수 있는 프로그램 개발의 기초자료를 제공할 것으로 기대한다.
Abstract
Purpose: This study was to identify factors to regular exercise among patients with osteoarthritis prior to total knee replacement. Methods: For this cross-sectional descriptive study, the data were collected using questionnaires from 136 patients scheduled for total knee replacement from July 2014 to December. This study aimed to analyse regular exercise status, intensity of physical activity, and factors affecting regular exercise. Results: Twenty two percent of patients expecting for total knee replacement are performing regular exercise and the intensity of it was very low. The use of walking aids, 6-minute walk test, self efficacy for exercise and pain, and quality of life (mental) were significantly associated with regular exercise before surgery. Factors affecting regular exercise were self efficacy for exercise (OR=1.059, CI=1.037-1.091) and 6 minutes walking distance (OR=1.007, CI=1.001-1.014). Conclusion: The results suggest that pre-surgery programs for physical activity and self efficacy were necessary for patients expecting total knee replacement. Regular exercise program could be beneficial for better outcomes after total knee replacement.
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