슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 통증, 슬관절가동범위, 환자만족도에 미치는 영향
The Effects of an Early Knee Joint Exercise Education Program on Pain, Knee Range of Motion, and Satisfaction in Patients after Undergoing Total Knee Replacement Arthroplasty
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목적: 본 연구는 슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 환자의 통증, 슬관절가동범위, 환자만족도에 미치는 효과를 파악하기 위하여 시도되었다. 방법: 연구설계는 비동등성 대조군 전후 시차 설계이며 연구대상자는 실험군 32명, 대조군 32명이었다. 실험군은 체계적인 지속적 수동운동(CPM) 운동과 슬관절 운동을 포함한 슬관절 운동 교육프로그램을 받았다. 대조군은 관례대로 행하던 CPM 운동이 적용되었다. 슬관절 통증, 굴곡과 굴곡구축 관절운동범위, 환자만족도는 SPSS 23.0 Window 프로그램을 사용하여 χ²-test, Fisher's exact test, t-test, 및 반복측정 분산분석(ANOVA)으로 분석하였다. 결과: 슬관절 굴곡과 환자만족도는 대조군보다 실험군에서 유의하게 증가하였다. 통증과 굴곡구축은 두 군 간에 유의한 차이가 없었다. 결론: 본 연구에 적용된 교육 프로그램은 슬관절 전 치환술 후 간호에 효율적이고 효과적임을 시사한다.
Abstract
Purpose: This study was conducted to evaluate the effects of early knee joint exercise education program on pain, knee ROM, and satisfaction among patients with a total knee replacement arthroplasty. Methods: An experimental study with non-equivalent groups was conducted using 32 patients for an experimental group and 32 patients for a control group. The experimental group received knee joint exercise education including systemic continuous passive motion (CPM) exercise and knee exercise. The control group received conventional CPM exercise. Pain, flexion and flexion contracture range of motion, and patient satisfaction were evaluated by x2 test, Fisher's exact test, t-test, and repeated measures ANOVA using the SPSS 23.0 Windows program. Results: There were a significant improvement in patients' knee flexion and satisfaction in the experimental group compared to the control group. There was no significant difference in pain and flexion contracture between the two groups. Conclusion: The findings suggest that the proposed education program is efficient and effective when providing nursing care after a total knee replacement arthroplasty.
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