방문건강관리사업을 통한 재가 관절통증환자 집중관리 프로그램의 효과 = The Effects of Intensive Management Program of Home Visiting Health Service for community dwelling Clients with Arthralgia

다국어 초록 (Multilingual 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 (Reference)

1 신강우, "퇴행성관절염의 한의학적 치료방법에 대한 소고" 3 (3): 215-, 1993

2 송미숙, "재가노인을 위한 지역사회 중심의 집중건강관리프로그램의 개발과 적용" 한국노년학회 29 (29): 37-50, 2009

3 정형선, "인구고령화와 의료비" 한국보건경제정책학회 13 (13): 95-116, 2007

4 김영희, "요가 프로그램이 재가노인의 우울, 삶의 질, 일상활동장애에 미치는 효과" 대한예방한의학회 17 (17): 75-89, 2013

5 이혜영, "슬골관절염노인환자의타이치운동효과" 한국간호과학회 38 (38): 11-18, 2008

6 이혜영, "슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교" 한국간호과학회 36 (36): 571-580, 2006

7 양순옥, "보건소 맞춤형 방문건강관리사업 관절염 사례관리 효과" 한국지역사회간호학회 22 (22): 151-161, 2011

8 김광호, "동의노년양생학" 서원당 164-, 1999

9 박정숙, "독비와 슬안 뜸요법이 노인의 무릎 관절통증, 가동범위 및 일상생활활동 불편감에 미치는 효과" 한국간호과학회 36 (36): 189-196, 2006

10 신경림, "노인의 대체요법 이용 양상에 대한 조사연구" 성인간호학회 16 (16): 111-122, 2004

11 "국민건강 영양조사"

12 기미영, "고혈압 자조집단 프로그램이 근로자의 고혈압 관련 지식, 자기효능감, 자가관리 이행도 및 생리적 지수에 미치는 효과" 한국직업건강간호학회 21 (21): 1-9, 2012

13 김진수, "고령화시대의 노인의료비 중장기 추이 전망 및 정책과제" 국민건강보험공단 2005

14 Korean National Statistical Office, "aged population statistics"

15 Kim JI, "The effects of aquatic exercise program on pain, body weight, fatigue, flexibility, in elderly women with osteoarthritis" 12 (12): 109-118, 2005

16 Lee, E. N, "Prevalence, patterns of use and perceived efficacy of alternative therapies in patients with rheumatoid arthritis" 8 (8): 250-261, 2001

17 Bellamy N, "Musculoskeletal clinical metrology" Kluwer Academic Publishers 1993

18 Hickey, "Health promotion for older people: all is not well" 31 (31): 822-829, 1991

19 OECD, "Health Data"

20 Ministry of Health and Welfare, "Guideline for customized home visiting health service"

21 Elkan R, "Effectiveness of home based support for older people: systematic review and metaanalysis" 323 (323): 719-725, 2001

22 Lee KS, "Effect of the self-help program on pain, fatigue, difficulty in physical activity, joint stiffness, flexibility of the joints in arthritis patients" 14 (14): 26-32, 2007

23 Blixen CE, "Depression, social support, and quality of life in older adults with osteoarthritis" 31 (31): 221-226, 1999

24 Choi YW, "Changes in blood sugar value and performance level of self-management following the case management programs for diabetic patients" 22 (22): 1-7, 2007

25 Rosemann T, "Case management of arthritis patients in primary care: A cluster-randomized controlled trial" 57 (57): 1390-1397, 2007

26 정영희, "9주간의 자조관리 ․ 수중운동 프로그램이 골관절염환자의 통증, 유연성, 균형감, 피로감 및 자기효능감에 미치는 효과" 대한근관절건강학회 17 (17): 47-57, 2010

27 Park MH, "2008 living profiles and welfare services needs of older persons in Korea" Korea Institute for Health and Social Affairs Publishing 2009