한의약 관절염관리프로그램이 골관절염 여성노인의 관절기능, 체력 및 자가관리수행에 미치는 효과
Effects of Korean medicine based arthritis management program on joint function, physical fitness and self care of the elderly women with osteoarthritis.
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Objectives : The purpose of this study was to investigate the effects of Korean medicine based arthritis management program for community dwelling elderly women with osteoarthritis. Methods : A Nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to a experimental group(n = 29) or a control group (n = 30). The Korean medicine based arthritis management program conducted for 12 weeks, 2 times a week. Study outcomes were measured by structured questionnaires from April, 2016 to July. For data analysis, independent t-test, Mann-Whitney U test and ANCOVA were performed using SPSS version 21.0. Results : Pain, stiffness, balance, strength of lower extremity, and self care activity were significant difference between the two groups in pretest and posttest(F = 8.23, p = 006), (F = 9.13, p = .004), (F = 5.74, p = .020), (F = 4.98, p = .030), (F = 8.47, p = .005). Conclusions : The Korean medicine based arthritis management program was effective on decreasing joint pain, stiffness, and increasing balance, strength of lower extremity and self care activity of community dwelling elderly women with osteoarthritis. This program was found to be useful in alleviating and managing joint symptoms of elderly women with osteoarthritis.
Abstract
Objectives : The purpose of this study was to investigate the effects of Korean medicine based arthritis management program for community dwelling elderly women with osteoarthritis. Methods : A Nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to a experimental group(n = 29) or a control group (n = 30). The Korean medicine based arthritis management program conducted for 12 weeks, 2 times a week. Study outcomes were measured by structured questionnaires from April, 2016 to July. For data analysis, independent t-test, Mann-Whitney U test and ANCOVA were performed using SPSS version 21.0. Results : Pain, stiffness, balance, strength of lower extremity, and self care activity were significant difference between the two groups in pretest and posttest(F = 8.23, p = 006), (F = 9.13, p = .004), (F = 5.74, p = .020), (F = 4.98, p = .030), (F = 8.47, p = .005). Conclusions : The Korean medicine based arthritis management program was effective on decreasing joint pain, stiffness, and increasing balance, strength of lower extremity and self care activity of community dwelling elderly women with osteoarthritis. This program was found to be useful in alleviating and managing joint symptoms of elderly women with osteoarthritis.
참고문헌 (40)
- Shane AA, "Why is osteoarthritis an age-related disease?", Best Practice &Research Clinical Rheumatology, 24(1), pp.15~26 (2010)
- "2013 Statistics for elderly" (2014)[URL]
- 2012 국민건강통계: 국민건강영양조사제5기 3차년도 결과보고서, "보건복지부", ~ (2013)
- 2015 지역별 의료이용 통계연보, "국민건강보험", ~ (2016)
- 송라윤, "골관절염을 가진 여성의 균형감, 유연성, 심폐기능 및 근력에 대한 타이치 운동과 자조관리 프로그램의 효과비교", 기본간호학회지, 16(1), pp.30~38 (2009), 기본간호학회
- Puenpatom, RA., "Increased prevalence of metabolic syndrome in individuals with osteoarthritis: An analysis of NHANES III data", Postgraduate Medical Journal, 121(6), pp.9~20 (2009)
- 안지연, "관절염 노인의 연령별 우울정도와 위험요인", Journal of Korean Academy of Nursing, 39(1), pp.72~83 (2009), 한국간호과학회
- Antonelli, MC, "Assessing for risk and progression of osteoarthritis: the nurse’s role", The American Journal of Nursing, 112(3), pp.526~531 (2012)
- 임정아, "鍼과 蜂藥針 複合治療의 退行性 膝關節炎에 대한 臨床的 硏究", Journal of Pharmacopuncture, 8(2), pp.29~37 (2005), 대한약침학회
- 김태윤, "퇴행성 슬관절염의 한의학적 치료에 대한 국내 연구 동향", 척추신경추나의학회지, 9(2), pp.69~79 (2014), 척추신경추나의학회
- Rat, AC., "Development and testing of a specific quality-of-life questionnaire for knee and hip osteoarthritis : OAKHQOL (Osteo-Arthritis of Knee Hip Quality Of Life)", Joint Bone Spine, 73(6), pp.697~704 (2006)
- 김병성, "골관절염", 가정의학학회지, 30(11), pp.S283~S289 (2009)
- 소애영, "농촌지역 관절염대상자를 위한 타이치운동 프로그램 효과", 지역사회간호학회지, 21(1), pp.118~127 (2010), 한국지역사회간호학회
- 이혜영, "슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교", Journal of Korean Academy of Nursing, 36(4), pp.571~580 (2006), 한국간호과학회
- 송라윤, "타이치 운동교실 참여 후골관절염 여성환자의 통증, 체력, 신체기능 및 우울의 변화", 근관절건강학회지, 9(1), pp.28~29 (2002)
- 백명화, "태극권이 골관절염환자의 통증, 유연성, 지각된 건강상태 및 일상생활활동능력에 미치는효과", 류마티스건강학회지, 11(2), pp.119~131 (2005)
- 최희권, "수중운동 프로그램이 골관절염 환자의 체력, 통증 및 삶의 질에 미치는 영향", 근관절건강학회지, 16(1), pp.55~65 (2009), 대한근관절건강학회
- 이윤정, "타이치 운동프로그램이 골관절염 환자의 체력, 통증, 자기효능감에 미치는 효과", 근관절건강학회지, 16(1), pp.26~35 (2009), 대한근관절건강학회
- 조수진, "노인 골관절염 환자를 위한 자기효능 강화 스트레칭운동의 효과", 석사, 간호학과 간호학전공, pp.2012
- 2015년 지역사회 통합건강증진사업 안내(한의약건강증진), "보건복지부", ~ (2015)
- 2011년 한방의료이용실태 및 한약소비실태조사, "보건복지부", ~ (2012)
- 이지아, "퇴행성 관절질환을 앓고 있는 노인환자를 위한 한방과 양방을 적용한 통합의료 서비스의 효과", Journal of Korean Academy of Nursing, 41(1), pp.18~25 (2011), 한국간호과학회
- Lorig, K., "Self-management education: History, definition, outcomes, and mechanism", Annals of Behavioral Medicine, 26(1), pp.1~7 (2003)
- Brown, GA, "AAOS clinical practice guideline:Treatment of osteoarthritis of the knee:Evidence-based guideline. 2nd edition", The Journal of American Academy of Orthopaedic Surgeons, 21(9), pp.577~579 (2013)
- 황보각, "퇴행성 슬관절염 환자의 KWOMAC 항목간의 상관관계 연구", PNF and Movement, 2(1), pp.1~12 (2004), 대한고유수용성신경근촉진법학회
- 보건복지부, "2011 맞춤형 방문건강관리사업 집중건강관리중재집", ~ (2011)
- 이진숙, "우리나라 골관절염 환자의 관절통증: 2012년 국민건강영양조사 자료를 이용하여", 근관절건강학회지, 23(3), pp.152~158 (2016), 대한근관절건강학회[DOI]
- 오현경, "타이치 운동이 골관절염과 류마티스관절염 여성의 통증, 일상활동 및 낙상공포감에 미치는 효과 비교", 근관절건강학회지, 18(2), pp.137~146 (2011), 대한근관절건강학회
- Kim, YJ, "Effects of aquatic exercise program on pain, flexibility, grip strength, self-care activities and helplessness in patients having osteoarthritis", J Rheumatol Health, 11(2), pp.127~135 (2004)
- Kim, JI, "The effect of aquatic exercise program on pain, body weight, fatigue, flexibility in elderly women with osteoarthritis", J Rheumatol Health, 12(2), pp.109~118 (2005)
- Iversen, MD, "Rehabilitation interventions for pain and disability in osteoarthritis", The American Journal of Nursing, 112(3), pp.S32~S37 (2012)
- 이경숙, "관절염 자조관리과정이 통증, 피로, 일상활동어려움, 관절뻣뻣함, 유연성에 미치는 효과", 근관절건강학회지, 14(1), pp.26~32 (2007)
- Brismee, JM, "Group and home-based tai chi in elderly subjects with knee osteoarthritis: a randomized controlled trial", Clinical Rehabilitation, 21(2), pp.99~111 (2007)
- 김상규, "중국 기공의 발전과정연구", 체육사학회지, 6, pp.58~67 (2001)
- 김지선, "기공체조를 활용한 복합운동프로그램이 농촌노인의 신체조성 및 체력변화에 미치는 영향", 운동학 학술지, 13(1), pp.91~102 (2011), 대한운동사협회
- 정연수, "한방기공체조가 성인 여성들의 건강관련 체력요인과 체지방에 미치는 영향", 한국사회체육학회지, (28), pp.375~382 (2006), 한국사회체육학회
- 홍용, "여성노인들의 연령대별 건강 및 체력수준 상태와 태극기공 운동이활동체력, 혈중지질에 미치는 영향", 한국생활환경학회지, 14(3), pp.189~199 (2007), 한국생활환경학회
- 전영선, "太極健康氣功體操가 身體·生理的 機能에 미치는 影響", Journal of Acupuncture Research, 21(4), pp.107~124 (2004), 대한침구의학회
- Robbins L, "Rhe state of the science in the prevention and management of osteoarthritis", American Journal of Nursing, 112(3), pp.25~33 (2012)
- 조경숙, "골관절염 환자를위한 타이치, 타이치-자조관리 및 자조관리과정의효과비교", 근관절건강학회지, 14(1), pp.77~85 (2007)
