방문건강관리사업을 통한 재가 관절통증환자 집중관리 프로그램의 효과
The Effects of Intensive Management Program of Home Visiting Health Service for community dwelling Clients with Arthralgia
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Objective : The purpose of this study was to investigate the effects of Intensive management program of home visiting health service for community dwelling Clients with Arthralgia. Method : A nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to an experimental group (n=30) or a control group (n=30). For an experimental group, The Intensive Management program was given as a home visiting health service once a week for 8 weeks. Study outcomes were measured by structured questionnaires from August, 2013 to october. For data analysis, Chi-square test, Fisher’s exact probability test, independent t-test, and paired t-test were performed using SPSS version 17.0. Results : Changes in pain, fatigue, medical service utilization and self management compliance were significantly different between the two groups in pretest and posttest(t=-4.828, p ‹ .001), (t=-4.944, p =.001), (t=2.176, p =.039), (t=3.141, p =.003). And there were significant difference between the two groups in left extension and flexion of knee(t=-2.241, p ‹ .031), (t=2.166, p ‹ .037). Conclusion : The intensive management program was effective on decreasing pain, fatigue, medical service utilization, and increasing flexibility of knee joint and self-management compliance of community dwelling clients with arthralgia.
Abstract
Objective : The purpose of this study was to investigate the effects of Intensive management program of home visiting health service for community dwelling Clients with Arthralgia. Method : A nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to an experimental group (n=30) or a control group (n=30). For an experimental group, The Intensive Management program was given as a home visiting health service once a week for 8 weeks. Study outcomes were measured by structured questionnaires from August, 2013 to october. For data analysis, Chi-square test, Fisher’s exact probability test, independent t-test, and paired t-test were performed using SPSS version 17.0. Results : Changes in pain, fatigue, medical service utilization and self management compliance were significantly different between the two groups in pretest and posttest(t=-4.828, p ‹ .001), (t=-4.944, p =.001), (t=2.176, p =.039), (t=3.141, p =.003). And there were significant difference between the two groups in left extension and flexion of knee(t=-2.241, p ‹ .031), (t=2.166, p ‹ .037). Conclusion : The intensive management program was effective on decreasing pain, fatigue, medical service utilization, and increasing flexibility of knee joint and self-management compliance of community dwelling clients with arthralgia.
참고문헌 (27)
- "aged population statistics" (2012)[URL]
- 정형선, "인구고령화와 의료비", 보건경제와 정책연구, 13(1), pp.95~116 (2007), 한국보건경제정책학회
- 고령화시대의 노인의료비 중장기 추이 전망 및 정책과제, "김진수", 국민건강보험공단, ~ (2005)
- OECD, "Health Data", ~ (2009)
- Hickey, "Health promotion for older people: all is not well", Gerontologist, 31(6), pp.822~829 (1991)
- Elkan R, "Effectiveness of home based support for older people: systematic review and metaanalysis", British medical J, 323(7315), pp.719~725 (2001)
- "국민건강 영양조사", 보건복지부, ~ (2007)
- Ministry of Health and Welfare, "Guideline for customized home visiting health service", Ministry of Health and Welfare, ~ (2011)
- Blixen CE, "Depression, social support, and quality of life in older adults with osteoarthritis", J Nursing Scholarship, 31(3), pp.221~226 (1999)
- Rosemann T, "Case management of arthritis patients in primary care: A cluster-randomized controlled trial", Arthritis & Rheumatism, 57(8), pp.1390~1397 (2007)
- Park MH, "2008 living profiles and welfare services needs of older persons in Korea" (2009), Korea Institute for Health and Social Affairs Publishing
- 박정숙, "독비와 슬안 뜸요법이 노인의 무릎 관절통증, 가동범위 및 일상생활활동 불편감에 미치는 효과", Journal of Korean Academy of Nursing, 36(1), pp.189~196 (2006), 한국간호과학회
- 이혜영, "슬골관절염노인환자의타이치운동효과", Journal of Korean Academy of Nursing, 38(1), pp.11~18 (2008), 한국간호과학회
- 김광호, "동의노년양생학", pp.164~ (1999), 서원당
- 신강우, "퇴행성관절염의 한의학적 치료방법에 대한 소고", The Journal of Oriental Physiotherapics, 3(1), pp.215~ (1993)
- Lee, E. N, "Prevalence, patterns of use and perceived efficacy of alternative therapies in patients with rheumatoid arthritis", J Rheumatol Health, 8(2), pp.250~261 (2001)
- 송미숙, "재가노인을 위한 지역사회 중심의 집중건강관리프로그램의 개발과 적용", 한국노년학, 29(1), pp.37~50 (2009), 한국노년학회
- Bellamy N, "Musculoskeletal clinical metrology" (1993), Kluwer Academic Publishers
- 양순옥, "보건소 맞춤형 방문건강관리사업 관절염 사례관리 효과", 지역사회간호학회지, 22(2), pp.151~161 (2011), 한국지역사회간호학회
- 이혜영, "슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교", Journal of Korean Academy of Nursing, 36(4), pp.571~580 (2006), 한국간호과학회
- Lee KS, "Effect of the self-help program on pain, fatigue, difficulty in physical activity, joint stiffness, flexibility of the joints in arthritis patients", J Muscle Joint Health, 14(1), pp.26~32 (2007)
- 정영희, "9주간의 자조관리 ․ 수중운동 프로그램이 골관절염환자의 통증, 유연성, 균형감, 피로감 및 자기효능감에 미치는 효과", 근관절건강학회지, 17(1), pp.47~57 (2010), 대한근관절건강학회
- Kim JI, "The effects of aquatic exercise program on pain, body weight, fatigue, flexibility, in elderly women with osteoarthritis", J Muscle Joint Health, 12(2), pp.109~118 (2005)
- Choi YW, "Changes in blood sugar value and performance level of self-management following the case management programs for diabetic patients", Kosin Medical J, 22(2), pp.1~7 (2007)
- 기미영, "고혈압 자조집단 프로그램이 근로자의 고혈압 관련 지식, 자기효능감, 자가관리 이행도 및 생리적 지수에 미치는 효과", 한국직업건강간호학회지, 21(1), pp.1~9 (2012), 한국직업건강간호학회[DOI]
- 신경림, "노인의 대체요법 이용 양상에 대한 조사연구", 성인간호학회지, 16(1), pp.111~122 (2004), 성인간호학회
- 김영희, "요가 프로그램이 재가노인의 우울, 삶의 질, 일상활동장애에 미치는 효과", 대한예방한의학회지, 17(3), pp.75~89 (2013), 대한예방한의학회
