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Comparison of Subjective Symptoms, Physical Fitness, Depression and Self-efficacy before and after Tai Chi in Patients with Rheumatoid Arthritis: Based on 3 Years' Data

태극권 운동이 류마티스관절염 환자의 주관적 증상, 체력, 우울 및 자기효능감에 미치는 효과: 3개년 자료를 바탕으로

  • 손정태 (대구가톨릭대학교 간호대학) ;
  • 황혜영 (대구가톨릭대학교병원 관절센터)
  • Received : 2018.10.01
  • Accepted : 2018.11.30
  • Published : 2018.12.31

Abstract

Purpose: The purpose of this study was to evaluate whether subjective symptoms, physical fitness, and emotional variables were improved after participating in a 6-week Tai Chi program in patients with rheumatoid arthritis. Methods: 23 rheumatoid arthritis patients participated in the Yang style Tai Chi for arthritis patients 90 minutes session conducted twice a week at the Arthritis Center of D University Hospital. The main outcome of current studies included self-reported scores of subjective symptoms(pain, sleep satisfaction, and fatigue), physical fitness tests, and depression (PHQ-9) and self-efficacy investigated with questionnaire before and after participating in Tai Chi. Results: After participating in Tai Chi, participants perceived lesser pain (t=2.61, p=.016) and fatigue (Z=-2.32, p=.020), and reported improved sleep satisfaction (t=-3.56, p=.002). In the physical fitness test, there were significant improvement in muscle strength (upper limb: t=-7.19, p<.001, lower limb: t=-4.86, p<.001), and balance (right t=-3.70, p=.001; left t=-2.30, p=.031). Depression (t=3.87, p=.001) and self-efficacy (Z=-3.44, p=.001) improved significantly after participating in Tai Chi. Conclusion: Tai Chi had beneficial effects on subjective symptoms and emotional variables as well as physical fitness. Therefore, the program could be recommended in the patients with rheumatoid arthritis.

Keywords

Table 1. Contents of the Tai Chi Exercise Program

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Table 2. Subjective Symptoms at Baseline and after 6th Weeks of Tai Chi

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Table 3. Physical Fitness at Baseline and after 6 weeks of Tai Chi

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Table 4. Depression and Self-efficacy at Baseline and after 6 Weeks of Tai Chi

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