슬관절 전치환술 후 점진적 하지운동요법이 통증, 운동자기효능감, 삶의 만족도에 미치는 효과

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to examine the effect of a progressive lower-extremity exercise program on pain, efficacy of exercise, and the life satisfaction among older women with TKRA. Methods: This study was a nonequivalent control group non synchronized design and was conducted from 12 September 2012 to 05 February 2014 in G-university hospital located in J-city. The sample was composed of an experimental group (n=20) and a control group (n=20). The progressive lower extremity exercise program was applied to the experimental group for 13 days. NRS scale was used to measure the pain, self-efficacy of exercise was measured by Exercise Self Efficacy, and life satisfaction was measured by 8 item questionnaire. Results: The experimental group was significantly lower in the degree of pain (F=73.53, p<.001), higher in the degree of self-efficacy of exercise (F=61.42, p<.001) and life satisfaction (F=80.91, p<.001) than the control group. Conclusion: The progressive lower-extremity exercise program for TKRA patients was useful to reduce pain and improve self-efficacy of exercise and life satisfaction, To reduce the pain and th improve the life satisfaction of older women with TKRA, we need to provide the progressive exercise at bedside during the postoperative recovery phase.

참고문헌 (Reference)

1 박영주, "여성노인에 대한 타이치 운동의 효과" 대한근관절건강학회 15 (15): 119-129, 2008

2 이선옥, "여성 관절염 환자에게 적용한 수중운동과정이 통증과 피로, 신체조성, 체력 및 심리적 변수에 미치는 효과" 여성건강간호학회 13 (13): 165-173, 2007

3 허남욱, "국민건강영양조사를 이용한 한국인 관절염의 유병률 현황과 연도별 변화" 대한류마티스학회 15 (15): 11-26, 2008

4 장경오, "골관절염 환자에게 적용한 타이치운동이 하지근력, 악력, 유연성, 통증, 우울 및 자기효능감에 미치는 효과" 대한근관절건강학회 15 (15): 130-139, 2008

5 Lee, P. S., "The study on the effect of stage based exercise motivational intervention program for the elderly" 31 (31): 818-834, 2001

6 Campbell, A., "The sense of well-being" 31 : 117-124, 1981

7 Shin, J. Y., "The effect of rehabilitation program on pain, ROM of the knee joint, and mobility in elderly with total knee arthroplasty" Dongeui University 2011

8 Park, S. A., "The effect of integrative home rehabilitation program for knee arthroplasty patients" Kyung Hee University 2013

9 Nam, H. R., "The Correlation of pain, depression, and exercise self-efficacy in elderly female patient after total knee arthroplasty" Hallym University 2010

10 National Elderly’s Statistics, "Statistics Korea"

11 Marcus, B. H., "Self-efficacy and the stages of exercise behavior change" 63 (63): 60-66, 1992

12 Vincent, K. R., "Resistance exercise for knee osteoarthritis" 4 (4): 45-52, 2012

13 MacDonald, S. J., "Prospective randomized clinical trail of continuous passive motion after total knee arthroplasty" 380 (380): 30-35, 2000

14 Skoffer, B., "Progressive resistance training before and after total hip and knee arthroplasty: A systematic review" 2014

15 National Health Insurance Service, "National health insurance statistical yearbook"

16 Van Manen, M. D., "Management of primary knee osteoarthritis and indications for total knee arthroplasty for general practitioners" 112 (112): 709-715, 2012

17 McAuley, E., "Long-term maintenance of exercise, self-efficacy, and physiological change in older adults" 48 (48): 218-224, 1993

18 Taylor-Piliae, R. E., "Improvement in balance, strength, and flexibility after 12 weeks of Tai chi exercise in ethnic Chinese adults with cardiovascular disease risk factors" 12 (12): 50-58, 2006

19 Lee, S. H., "Improved effect on daily activity-disorder and the quality of life through the plastic operation for artificial knee joint replacement" Kosin University 2011

20 Han, J. H., "Effectiveness of 8 weeks of application of aqua complexed exercise on lower limbs muscular strength, pain relief and balance after total knee arthroplasty" Korea University 2009

21 Lee, J. H., "Effect of lower extremity patterns of proprioceptive neuromuscular facilitation on pain and balance in total knee replacement" Daegu University 2010

22 Park, J. S., "Comparison of pain, depression, and satisfaction in life in elderly patients before and after total knee arthroplasty" Catholic University of Pusan 2009

23 Kim, K. B., "A study on the relation among the perceived family support, depression and physical health status in Korean elderly" 9 (9): 66-73, 2004

24 Kang, S. H., "A comparative study of the handicaps in and satisfaction with the ordinary life before and after the plastic operation for artificial joint replacement centering around those who suffer from joint disease" 3 (3): 37-49, 1996

25 Jung, H. Y., "A comparative study of factors influencing the life satisfaction of the vulnerable aged group" Mokwon University 2002