혈액투석 중 하지근력운동 프로그램이 혈액투석 환자의 하지근력과 낙상효능감에 미치는 효과
Effects of the Lower Limb Muscle Strength Exercise Program during Hemodialysis on the Leg Strength and Falls Efficacy of Hemodialysis Patients
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목적: 이 연구의 목적은 혈액투석 중 하지근력운동프로그램이 혈액투석환자의 하지근력과 낙상효능감에 미치는 효과를 확인하고자 함이다. 방법: 본 연구는 비동등성 대조군 전후 설계의 유사 실험 연구이다. 총 42명의 환자들이 실험에 참여하였다. 하지근력운동프로그램은 실험군에게 일주일에 세 번씩 매 투석시마다 8주간 적용되었다. 자료분석은 Chi-square test, Fisher's exact test, T-test, repeated measures ANOVA을 사용하였다. 결과: 대상자들의 평균 연령은 58세였고(t=-1.54, p=.132), 혈액투석기간은 평균 67개월이었으며(t=1.949, p=.058), 실험 전 두 군간의 종속변수들(t=1.166, p=.251)(t=-.886, p=.381)의 유의한 차이는 없었다. 실험 후 하지근력은 대조군과 비교하여 실험군에서 유의하게 향상되었다(F=6.63, p=.004). 그러나 낙상효능감은 실험군과 대조군 사이에 유의한 차이를 보이지 않았다(F=2.33, p=.104). 결론: 본 연구의 결과는 혈액투석 중 하지근력 운동프로그램의 적용은 혈액투석 환자의 하지근력을 향상시키는데 유용하고 잠재적으로 낙상을 예방할 수 있음을 나타냈다. 향후, 표본수를 늘린 반복연구, 장기간에 걸친 중재연구를 제언한다.
Abstract
Purpose: The purpose of this study was to explore the effects of the lower limb muscle strength exercise program during hemodialysis on the leg strength and falls efficacy (fall-related self-efficacy) of hemodialysis patients. Methods: The study was designed to be a quasi-experimental, nonequivalent control group pre and post test design. A total of 42 patients participated in the study. We applied lower limb muscle strength exercise program to the experimental group in every hemodialysis three times a week for 8 weeks. Data were analyzed using x2 test, fisher's exact test, t-test and repeated measures ANOVA. Results: The mean age was 58 years old (t=-1.54, p=.132), the mean hemodialysis period was 67 months (t=1.949, p=.058) and there was no significant difference of dependent variable (t=1.17, p=.251)(t=-.89, p=.381) between the two groups before the experiment. After the experiment, leg strength was significantly improved in the experimental group compared to that of the control group (F=6.63, p=.004). However, falls efficacy was not significantly different between the experimental group and the control group (F=2.33, p=.104). Conclusion: The study results indicated that the lower limb muscle strength exercise program during hemodialysis may improve leg strength and potentially to prevent falls for hemodialysis patients. Further studies are warranted in which larger number of participants and longer duration of intervention are recommended.
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