Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Effects of Tai-Chi Exercise and Self-help Management Program Applying Laughter Therapy in Patients with Osteoarthritis

골관절염 환자를 위한 웃음요법 적용 자조타이치 프로그램과 자조타이치프로그램의 효과 비교

  • Kim, Keum-Soon (College of Nursing, Seoul National University) ;
  • Yu, Jeong-A (Armed Forces Nursing Academy) ;
  • Kim, Jin-A (Korea Health Industry Development Institute) ;
  • Lee, Yim-Sun (Family Medicine, Seoul National University Hospital) ;
  • Lee, In-Ok (Education Center, Korea Society of Muscle and Joint Health)
  • Received : 2010.03.02
  • Accepted : 2010.04.18
  • Published : 2010.04.30
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Abstract

Purpose: This study was conducted to determine the effects of Tai-Chi exercise and self-help management program applying laughter therapy in patients with osteoarthritis. Methods: This quasi-experimental study recruited a sample of 61 patients with osteoarthritis (experimental group: 30, control group: 31) through the community healthcare centers located in Seoul and Kyung Gi area. The primary outcome measures included symptoms of osteoarthritis, basic physical performance, fatigue, and depression assessed before and after the study. The data were analyzed using SPSSWIN V. 12.0. Results: At the end of the six-week intervention, left shoulder flexibility (t=2.011, p=.049), 6m walking speed (t=3.639, p=.001), and right balance (t=-2.30, p=.025) were significantly improved in the control group. Fatigue (t=3.012, p=.004), stiffness (t=2,093, p=.041), right shoulder flexibility (t=2.138, p=.037), right balance (t=-2.065, p=.043), and 6m walking speed (t=2.683, p=.009) were significantly improved in the experimental group. Conclusion: A twice a week, 6-week tai-chi exercise self-help management program applying laughter therapy is effective in decreasing fatigue and stiffness. Osteoarthritis is one of common chronic diseases that the patients should be required to continue self management for the rest of their life. Therefore, there is a need to develop the more effective self-help management program and nursing intervention to motivate them to maintain their own self-help management.

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References

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