DOI QR코드

DOI QR Code

The Effect of Tai Chi Self Help Group Program for Hemophilic Arthritis Patients

혈우병관절염 수술환자를 위한 타이치자조관리 프로그램 효과

  • 박원숙 (강동경희대학교병원 관절.류마티스센타) ;
  • 유명철 (경희대학교 의학전문대학원) ;
  • 강현숙 (경희대학교 간호과학대학)
  • Received : 2011.12.13
  • Accepted : 2012.04.24
  • Published : 2012.04.30

Abstract

Purpose: The purpose of this study was to develop and evaluate the effects of Tai Chi Self-help program for Hemophilic Arthritis Patients. Method: A quasi-experimental design was used. The subjects were 48 patients who underwent orthopedic surgery (24 experimental group, 24 control group). The subjects of experimental group were participated in the Tai Chi self-help group program in which 16 times for 8 weeks. The program consisted of health education on hemophilia, Tai Chi exercise, and workshop and its outcomes have been evaluated on WOMAC(Western Ontario and McMaster scale), mobility, pain, fatigue, muscle strength, depression, and quality of life(SF-36). The obtained data were analyzed by using the t-test or Fisher's exact test of PASW 18.0. Results: 1) The score of WOMAC, pain, fatigue, and depression decreased significantly in the experimental group as compared to the control group. 2) The score of mobility, muscle strength, and quality of life increased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program could be useful to improve joint movement, strength and psychological condition for patient with hemophilic arthritis, particularly in those who underwent orthopedic surgery.

Keywords

References

  1. Bae, S. C., Lee, H. S., Yun, H. R., Kim, T. H., Yoo, D. H., & Kim, S. Y. (2001). Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis and Cartilage. 9(8), 746-750. https://doi.org/10.1053/joca.2001.0471
  2. Back, M, W. (2005). A study on effects of Tai-Chi exercise program on pain, flexibility, perceived health status and instrumental activities of daily living for osteoarthritis patients. The Journel of Rheumatology Health, 12(2), 119-131.
  3. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  4. Battistella, L. R., (1998). Maintenance of musculoskeletal function in people with haemophilia. Haemophilia, 4(Suppl2), 26-32.
  5. Brismee, J. M., Paige, R. L., Chyu. M. C., Boatright, J. D., Hagar, J. M., MaCeleb,, J. A., Quintela, M. M., Du Feng, Xu K. T., & Shen. C. L. (2007 ). Group and home-based tai chi in elderly subjects with knee osteoarthritis : A randomized controlled trial. Clin Rehabil. 21. 99-111. and rheumatoid arthritis patients. The Journel of Rheumatology Health. 10(20), 188-202.
  6. Choi, J. H. & Yoo, I. Y. (2007). Effects of Tai Chi self-help program on functional status of knee joint, fatigue, fear of falling for elderly woman patients with knee osteoarthritis. Korean Gerontological Science. 40(4), 913-927.
  7. Harold, S. Boyd., Cara, M. Maguire., Thorsten, M. Seyler., Lawrence, P. Lai., Ronald, E. Delanois., Riyaz, H. Jinnah. (2010). Hip resurfacing-keys to success. Surgical Orthopaedic Advances, 19(2)., 98-103.
  8. Heim, M., Rodrigueez-Merchan, E. C., & Horozowski, H. (1994). Current trends in haemophilia and others : Orthopaedic complications and management. International. Journal of Pediatric Hematology and Oncology, 1, 545-551.
  9. Kang, H. S., Kim, W. O., Kim, J. H., Wang, M. J., & Cho, J. H. (2004). Development and Effect of East-West Self-help Group Program for Rehabilitation of Post-Stroke clients : A Preliminary study, Journel of Korean Academy of Adult Nursing, 16(1), 37-48.
  10. Kang, H. S., Kim, W. O., & Song, Y. A. (2004). Health problem and joint bleeding, limitation according to severity in patients with hemophilia, The Journel of Rheumatology Health, 11(2), 119-126.
  11. Kang, H. S., Kim, W. O., & Song, Y. A. (2006). Factors influencing on quality of life in patients with hemophilia, Journel of Korean Academy of Adult Nursing, 18(1), 71-80.
  12. Kang, H. S., Kim, W. O., Lee, H. S. (2005). Effects of a Self-Help Group Program for Young Adult with Hemophilia, Journel of Korean Academy of Adult Nursing, 35(3), 602-610. https://doi.org/10.4040/jkan.2005.35.3.602
  13. Kim, E. J., & Lee, H. (2000). Current Status and Comprehensive Care of Korean Hemophilia. Journel of Korean Academy of Bleeding, 35(3,4), 222-232..
  14. Kim, H. Y., & Koh, H. J. (1996). Study on depression and ego identity of middle-aged women. Korean Journal of Women Health Nursing, 3, 117-138.
  15. Kim, K. Y. (1998). Clinical practice of hemostasis and thrombosis. Seoul, Kunjah Co.
  16. Kim, W. O. (2001). The adjustment process of patients with hemophilia. Unpublished Doctoral Dissertation, KyungHee University of Korea, Seoul.
  17. Ko, S. B., Jang, S. J., Kang, M. K., Cha, B. S., & Park, J. K. (1997). Reliability and validity on measurement instruments for health status assessments in occupational workers. The Korean Journal of Preventive Medicine, 30, 251-265.
  18. Korea Hemophilia Foundation (2009). Current activities of korea hemophilia Foundation. 30-42
  19. Lam, P. & Horstman, J. (2002). Overcoming arthritis: How to relieve pain and restore mobility through a unique tai chi program. NY: DK Adult.
  20. Lan, C., Lai, J. S., Wong, M. K., & Yu, M. L. (1996). Cardiorespiratory function, flexibility, and body comparision among geriatrics Tai Chi Chuan practitioners. Archives of Physical Medicine and Rehabilitation, 77(6), 612-616. https://doi.org/10.1016/S0003-9993(96)90305-6
  21. Lee, Y. I. (2008). The effects of the Tai Chi exercise program using the Transtheorical model is applied to degressive arthritis patients. Unpulished doctoral dissertation. Hanyang University, Seoul.
  22. Lee, H. Y. & Suh, M. J. (2003). The effect of Tai Chi arthritis (TCA) program in osteoarthritis and rheumatoid arthritis patients. The Journel of Rheumatology Health.. 10(2), 188-202.
  23. Miners, A. H., Sabin, C. A., & Tolley, K. H., Jenkinson., C., Ebrahim, S., & Lee, C. A. (1999). Assessing health-related quality-of-life in patients with severe hemophilia A and B. Psychology Health & Medicine, 4(1), 5-11. https://doi.org/10.1080/135485099106360
  24. Song, R. Y. (2006). Applying Tai Chi from nursing perspective. Journal of Nursing Query, 15(2), 1-14.
  25. Song, R. Y., Eom, A. Y., Lee, E. Y., Lam. P., & Bae, S. C. (2009). Effects of Tai Chi combined with self-helf program on arthritis symptoms and fear of falling in women with osteoarthritis. Journal of Muscle and Joint Health.. 16(1), 46-54.
  26. Song, R. Y., Lee, E. O., & Lee, I. O. (2002). Pre-Post comparision on physical symptoms, balance, muscle strength, physical functioning, and depression in women with osteoarthritis after 12-week Tai Chi exercise. The Journal of Rheumatology Health, 9(1), 28-39.
  27. Park, Y. J. (2004). The effects of the Tai Chi exercise program on self-efficacy, pain, and physical Function in patients with osteoarthritis. Unpublished doctoral dissertation. Chonnam National University, Gwangju.
  28. Ware, J. E. & Sherbourne, C. D. (1992). The MOS 36-item shorts form health survey (SF-36). I. conceptual framework and item selection. Medical Care, 30, 473-483. https://doi.org/10.1097/00005650-199206000-00002
  29. Yeh, G. Y., Wayne, P. M., & Phililips, R. S. (2008). Tai Chi exercise in patients with chronic heart failure. Medicine and Sport Science, 52, 195-208. https://doi.org/10.1159/000134300

Cited by

  1. Nurses' Needs and Priority for Developing Advanced Nursing Education Program in Musculoskeletal Care vol.19, pp.2, 2012, https://doi.org/10.5953/JMJH.2012.19.2.120
  2. Concept Analysis of Self-help Groups vol.21, pp.1, 2014, https://doi.org/10.5953/JMJH.2014.21.1.1