DOI QR코드

DOI QR Code

Effects of Motivational Interviewing Intervention for Patients with Total Knee Replacement

슬관절 치환술 환자 대상 동기상담 적용 운동 프로그램의 효과

  • Yu, Jihyoung (Department of Nursing, Dongeui Institute of Technology) ;
  • Lee, Haejung (College of Nursing, Pusan National University)
  • 유지형 (동의과학대학교 간호학과) ;
  • 이해정 (부산대학교 간호대학 간호학과)
  • Received : 2016.11.02
  • Accepted : 2016.12.01
  • Published : 2016.12.31

Abstract

Purpose: The study was conducted to examine the effects of motivational interviewing intervention on exercise performance and maintenance, exercise and pain self-efficacy, functional status, and quality of life in the patients with total knee replacement. Methods: This study used a nonequivalent control group non-synchronized design. A total of 100 patients with total knee replacement (33 patients in motivational interviewing group (MG), 33 patients in exercise group (EG), 34 patients in comparison group (CG)) were participated in this study. MG and EG had 7 scheduled sessions for 4 weeks. Data were analyzed with repeated measures ANOVAs by using IBM SPSS Statistics 20. Results: MG showed better exercise maintenance, higher exercise and pain self-efficacy, higher muscle strength, and mental component of quality of life than the other groups. MG and EG showed better knee flexion, less knee extension, longer walking distance for 6 minutes, and better functioning than CG. Conclusion: The results showed that motivational interviewing intervention is an effective intervention for elderly patients with total knee replacement. Future study examining long term effects of motivation interviewing intervention is necessary.

Keywords

References

  1. American Thoratic Society. (2002). ATS statement: Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166, 111-117. https://doi.org/10.1164/ajrccm.166.1.at1102
  2. Bellamy, N. (1989). Pain assessment in osteoarthritis: Experience with the WOMAC osteoarthritis index. Seminars in Arthritis and Rheumatism, 18(4 Suppl 2), 14-17. https://doi.org/10.1016/0049-0172(89)90010-3
  3. Bennett, J. A., Lyons, K. S., Winters-Stone, N., & Scherer, J. (2007). Motivational interviewing to increase physical activity in long-term cancer survivors: A randomized controlled trial. Nursing Research, 56(1), 18-27. https://doi.org/10.1097/00006199-200701000-00003
  4. Brodie, D. A., Inoue, A., & Shaw, D. G. (2008). Motivational interviewing to change quality of life for people with chronic heart failure: A randomised controlled trial. International Journal of Nursing Studies, 45, 489-500. https://doi.org/10.1016/j.ijnurstu.2006.11.009
  5. Chung, M. S., & Kwak, H. S. (2008). Effects of a muscle strengthening exercise program after total knee arthroplasty. Journal of Korean Academic Society of Nursing Education, 14(1), 20-29. https://doi.org/10.5977/jkasne.2008.14.1.020
  6. Cohen, J. (1988). Statistical power analysis for the behavior sciences (2nd Ed). New York: Academic Press. https://doi.org/10.4324/9780203771587
  7. Fields, A. (2006). Resolving patient ambivalence: A five session motivational interviewing intervention. Washington: Hollifield.
  8. Fisher, N. M., Pendergast, D. R., Gresham, G. E., & Calkins, E. (1991). Muscle rehabilitation: Its effect on muscularand functional performance of patients with knee osteoarthritis. Archives of physical medicine and rehabilitation, 72(6), 367-374. https://doi.org/10.1097/00042752-199110000-00019
  9. Groen, J. W., Stevens, M., Kersten, R. F., Reininga, I. H., & van den Akker-Scheek, I. (2012). After total knee arthroplasty, many people are not active enough to maintain their health and fitness: An observational study. Journal of Physiotherapy, 58(2), 113-116. https://doi.org/10.1016/S1836-9553(12)70091-7
  10. Hardcastle, S. J., Taylor, A. H., Bailey, M. P., Harley, R. A., & Hagger, M. S. (2013). Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: A randomised controlled trial with a 12-month post-intervention follow-up. International Journal of Behavioral Nutrition and Physical Activity, 10(40). https://doi.org/10.1186/1479-5868-10-40
  11. Jeon, J. Y. (2012). Analysis of reported study on the rehabilitation therapy for patients with total knee arthroplasty. Journal of Korean Academic Society of Adult Nursing, 24(3), 253-265. https://doi.org/10.7475/kjan.2012.24.3.253
  12. Kim, I. B., & Kim, Y. S. (2009). The effect of PROM and AARPM exercise after TKA on increasing the knee range of motion. Journal of Korean Academy of Physical Therapy Science, 16(4), 11-17.
  13. Ko, V., Naylor, J. M., Harris, I. A., Crosbie, J., & Yeo, A. E. (2013). The six minute walk test is an excellent predictor of functional ambulation after total knee arthroplasty. BMC Musculoskelet Disord, 24(14). https://doi.org/10.1186/1471-2474-14-145
  14. Lee, D. C., Kim, Y. Y., & Choi, I. S. (1999). Evaluation of muscle strength using isokinetic testing and functional result after total knee arthroplasty. Journal of the Korean Orthopaedic Association, 34(5), 931-936.
  15. Letourneau, K., & Goodman, J. H. (2014). A patient-centered approach to addressing physical activity in older adults: Motivational interviewing. Journal of Gerontological Nursing, 40(11), 26-33. https://doi.org/10.3928/00989134-20140819-01
  16. Lord, S. R., Murray, S. M., Chapman, K., Munro, B., & Tiedemann, A. (2002). Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 57(8), M539-M543. https://doi.org/10.1093/gerona/57.8.m539
  17. Miller, W. R., & Rollnick, S. (2006). Motivational interviewing. Seoul: Sigmapress.
  18. Min, H. S., Jung, Y. H., Kim, E. S., Kim, S. W., & Choi, Y. J. (2011). Effects of muscle strengthening exercise program on pain, fatigue, physical function in elderly women with total knee arthroplasty. Journal of Muscle and Joint Health, 18(2), 203-214. https://doi.org/10.5953/JMJH.2011.18.2.203
  19. Pang, J., Cao, Y. L., Zheng, Y. X., Gao, N. Y., Wang, X. Z., Chen, B., et al. (2015). Influence of pain severity on health-related quality of life in Chinese knee osteoarthritis patients. International Journal of Clinical and Experimental Medicine, 8(3), 4472-4479.
  20. Petursdottir, U., Arnadottir, S. A., & Halldorsdottir, S. (2010). Facilitators and barriers to exercising among people with osteoarthritis: A phenomenological study. Physical Therapy, 90(7), 1014-1025. https://doi.org/10.2522/ptj.20090217
  21. Resnick, B., & Jenkins, L. S. (2000). Testing the reliability and validity of the self-efficacy for exercise scale. Nursing Research, 49(3), 154-159. https://doi.org/10.1097/00006199-200005000-00007
  22. Rollnick, S., Miller, W. R., & Butler, C. C. (2008). Motivational Interviewing in health care: Helping patients change behaviour. New York: The Guildford Press.
  23. Shin, J. Y. (2011). The effect of rehabilitation program on pain, range of motion of the knee joint, and mobility in elderly with total knee arthroplasty. Unpublished master's thesis, Dong-Eui University, Busan.
  24. Statistics Korea. Major surgery statistics [internet]. Seoul: Author; 2013 [cited 2015 January 15]. Available from: http://kosis.kr/common/meta_onedepth.jsp?vwcd=MT_OTITLE&listid=350_35004
  25. Szots, K., Pedersen, P. U., Hordam, B., Thomsen, T., & Konradsen, H. (2015). Physical health problems experienced in the early postoperative recovery period following total knee replacement. International Journal of Orthopaedic and Trauma Nursing, 19(1), 36-44. https://doi.org/10.1016/j.ijotn.2014.03.005
  26. Tse, M. Y., Vong, K. S., & Tang, S. K. (2013). Motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: A randomised controlled study. Journal of Clinical Nursing, 22, 1843-1856. https://doi.org/10.1111/j.1365-2702.2012.04317.x
  27. Vong, S. K., Cheing, G. L., Chan, F., So, E. M., & Chan, C. C. (2011). Motivational enhancement therapy in addition to physical therapy improves motivational factors and treatment outcomes in people with low back pain: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 92(2), 176-183. https://doi.org/10.1016/j.apmr.2010.10.016
  28. Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, B. (2002). User's manual for the SF-12v2 health survey (with a supplement documenting SF-12 health survey). Lincole, Rhode Island: Quality Metric Incorporated.
  29. Yang, G. S., Eun, Y., Moon, G. H., & Lee, S. K. (2014). The effects of a progressive lower-extremity exercise program on pain, self-efficacy of exercise, and life satisfaction among older women with total knee replacement arthroplasty. Journal of Muscle and Joint Health, 21(3), 215-223. https://doi.org/10.5953/JMJH.2014.21.3.215