골관절염 중년여성의 건강증진을 위한 태극권 운동프로그램의효과
Effects of Tai Chi Exercise Program for Health Promotion in Middle Aged Women with Osteoarthritis
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초록
연구배경: 본 연구는 태극권 운동프로그램이 골관절염중년여성의 관절관련 신체증상(통증, 뻣뻣함)과 신체기능(일상생활수행의 어려움), 우울, 스트레스, 수면장애에 미치는 효과를 파악함으로써 골관절염을 가진 중년여성의 건강증진을 위한 기초자료를 제공하는 데 연구목적이 있다. 방법: 본 연구는 비동등성 대조군 전후설계 유사실험 연구로 골관절염을 가진 중년여성 중 실험군 및 대조군 각각20명을 대상으로 하였으며 실험군에게 12주간 태극권 운동프로그램을 적용하고 수집된 자료는 동질성 검정은 χ2-test와 Mann-Whitney U-test로, 태극권 운동프로그램의 효과는 Mann-Whitney U-test와 Wilcoxon signed rank test로분석하였다. 결과: 본 연구결과, 태극권 운동프로그램은 골관절염을가진 중년여성의 통증(z=-2.029, P=0.047)과 우울(z=-2.566,P=0.010)을 유의하게 감소시킨 반면, 뻣뻣함(z=-1.804,P=0.054), 일상생활수행의 어려움(z=-0.325, P=0.745), 스트레스(z=0.326, P=0.745), 수면장애(z=-0.907, P=0.364) 감소에는 유의한 차이를 보이지 않았다. 결론: 본 연구는 태극권 운동프로그램이 골관절염을 가진 중년여성의 신체증상인 통증과 함께 우울을 감소시키는데 효과가 있는 것으로 나타나 골관절염 중년여성의 자기건강관리능력 향상을 위한 건강증진 방안을 제시하였다는데 연구 의의가 있다.
Abstract
Background: The purpose of this study was to identify the effects of Tai Chi exercise program on physical symptoms(pain, stiffness) and physical function (difficulty with physical function) related to joint, stress, depression,and sleep disturbance in middle aged women with osteoarthritis. Methods: The study was conducted with a nonequivalent control group pretest-posttest design. Forty participantswere assigned to either the experimental group (20) or control group (20). Tai Chi exercise programwas administered twice a week for 12 weeks to participants in experimental group. Data were collectedfrom October 4 to December 24, 2011 and analyzed using χ2-test and t-test. Results: There were significant differences between groups in joint pain score (z=-2.029, P=0.047) ofKorean-Western Ontario and McMaster University Osteoarthritis (K-WOMAC) index and depression score(z=-2.566, P=0.010). However, there were no significant differences in stiffness score and physical functionscore of K-WOMAC index, stress score and sleep disturbance score. Conclusions: Findings from this study indicate that Tai Chi exercise program are effective in reducing joint painand depression in osteoarthritis women. It could be regarded as positive program for health promotion ofself-care skills in middle-aged women with osteoarthritis.
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