1997-2000 관절염 자조관리 과정의 효과 분석 연구 = The Effect of Self-help Health Promotion Program for Arthritis Patients from Year 1997 to 2000

다국어 초록 (Multilingual Abstract)

The purpose of this one group pre and post test study was to evaluate the effect of self-help programs(SHP) which has been conducted from 1997 to 2000.
The SHP was held by Korean Rheumatology Health Professionals Society(KRHP) once a week for 6 weeks for chronic arthritis patients in Korea. Eight hundred fifty five subjects completed the program at 43 sites. The effect of SHP were evaluated by flexibility. pain, activities of daily living(ADL), fatigue, depression and self-efficacy.
After SHP, followings were found:
1. Participants' characteristics of SHP were most common in living in Seoul, women, sixties, high school graduates, house wifes, osteoarthritis, completed in 1999.
2. The flexibility of arm, knee, ankle joint were significantly increased, but the flexibility of the shoulder was not changed.
3. Level of pain was decreased significantly from 5.21 to 3.99, and the number of painful joints were decreased from 4.96 to 4.18 significantly.
4. The score of ADL was increased from 53.74 to 54.97 significantly.
5. The score of depression and self-efficacy was not changed.
In conclusion, SHP was clearly proved to be an effective nursing intervention to increase the flexibility of arm, knee, ankle joint and enhanced ADL. Also SHP decreased
pain and fatigue.
More research is needed to determine the role of self-efficacy and depression in the SHP, use of a randomized design and longer follow up period to understand more about the effects of the program.

목차 (Table of Contents)

• I 서론
• 1 연구의 필요성
• 2 연구목적
• 3 연구가설
• 4 용어의 정의
• II. 문헌 고찰
• 1 자조관리과정의 이론적 배경
• 2 자조관리과정 프로그램의 효과
• III. 연구 방법
• 1 연구설계
• 2 연구대상자
• 3 연구도구
• 4 자료수집방법
• 5 자료분석방법
• IV. 연구 결과
• 1 대상자의 일반적 특성
• 2 유연성 비교
• 3 통증비교
• 4 피로 비교
• 5 일상생활동작 비교
• 6 우울과 자기효능 비교
• V 논의
• VI. 결론 및 제언