Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Experience of Exercise Maintenance in Older Adults with Osteoarthritis: Focus Group Interview

골관절염 노인의 운동지속 경험: 포커스 집단면접

  • Yi, Yu Mi (College of Nursing, Seoul National University) ;
  • Park, Yeon Hwan (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • 이유미 (서울대학교 간호대학) ;
  • 박연환 (서울대학교 간호대학.간호과학연구소)
  • Received : 2018.01.30
  • Accepted : 2018.03.20
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to understand and describe the experiences of exercise maintenance in elderly with osteoarthritis (OA). Methods: Three focus group interviews were conducted with a total of 19 older adults with OA who have been exercising for more than six months. Results: Two main themes emerged from the analysis: the changing exercise in life's journey (exercise maintained by self and family affection, exercise maintained by social networking expansion, exercise changing for function and body-image and exercise changing for economic efficiency) and the exercise pervaded into the life (Exercise used as a side effect-free treatment, exercise internalized by will and a sense of accomplishment and exercise become daily routine habits). Conclusion: Despite the various problems associated with aging and OA, participants made exercise a part of their lives by changing it to fit their own functions, abilities and circumstances. It is necessary to emphasize the positive aspects of the overall situation and to provide appropriate education and exercise based on the theory as well as the individual's overall fitness and limitations.

Keywords

References

  1. Atkins, D. V., & Eichler, D. A. (2013). The effects of self-massage on osteoarthritis of the knee: A randomized, controlled trial. International Journal of Therapeutic Massage & Bodywork, 6(1), 4. https://doi.org/10.3822/ijtmb.v6i1.119
  2. Bennell, K. L., Dobson, F., & Hinman, R. S. (2014). Exercise in osteoarthritis: Moving from prescription to adherence. Best Practice & Research Clinical Rheumatology, 28(1), 93-117. https://doi.org/10.1016/j.berh.2014.01.009
  3. Choi, H.-K., Kim, N.-S., & Kim, H.-S. (2009). Effects of water exercise program on physical fitness, pain and quality of life in patients with osteoarthritis. Journal of Muscle and Joint Health, 16(1), 55-65.
  4. Esser, S., & Bailey, A. (2011). Effects of exercise and physical activity on knee osteoarthritis. Current Pain and Headache Reports, 15(6), 423-430. https://doi.org/10.1007/s11916-011-0225-z
  5. Fitzcharles, M.-A., Lussier, D., & Shir, Y. (2010). Management of chronic arthritis pain in the elderly. Drugs & Aging, 27(6), 471- 490. https://doi.org/10.2165/11536530-000000000-00000
  6. Fransen, M., & McConnell, S. (2009). Land-based exercise for osteoarthritis of the knee: A metaanalysis of randomized controlled trials. Journal of Rheumatology, 36(6), 1109-1117. https://doi.org/10.3899/jrheum.090058
  7. Han, S. W., & Seung, W. (2012). The effects of aquarobics exercise programs for female elderly suffering from degenerative arthritis on pain, bone mineral density and leg muscle strength. Korean Journal of Sports Science, 21(1), 803-814.
  8. Hawkins, K., Musich, S., Bottone, F. G., Ozminkowski, R. J., Cheng, Y., Rush, S., et al. (2013). The impact of pain on physical and mental quality of life in adults 65 and older. Journal of Gerontological Nursing, 39(6), 32-44. https://doi.org/10.3928/00989134-20130402-02
  9. Holden, M. A., Nicholls, E. E., Young, J., Hay, E. M., & Foster, N. E. (2012). Role of exercise for knee pain: What do older adults in the community think? Arthritis Care & Research, 64(10), 1554-1564. https://doi.org/10.1002/acr.21700
  10. Howe, T. E. (2016). Exercise for osteoarthritis of the hip and knee. Annual Review of Gerontology & Geriatrics, 36, 155-168. https://doi.org/10.1891/0198-8794.36.155
  11. Iwamoto, J., Sato, Y., Takeda, T., & Matsumoto, H. (2011). Effectiveness of exercise for osteoarthritis of the knee: A review of the literature. World Journal of Orthopedics, 2(5), 37. https://doi.org/10.5312/wjo.v2.i5.37
  12. Kang, H. S., Kim, J. I., & Lee, E. O. (1999). Influencing factors on aquatic exercise adherence and dropout in patients with arthritis. Journal of Muscle and Joint Health, 6(2), 185-196.
  13. Kang, S., & Kim, Y. (2011). The effect of individual, social, and physical environment variables on older adults' physical activity. Korean Journal of Sport Psychology, 22(3), 113-124.
  14. Kim, S. J., Kim, H. J., Lee, K. J., & Lee, S. O. (2000). Focus group as research method. Seoul: Hyunmoonsa Publishing.
  15. Korea Institute for Health and Social Affairs [KIHASA]. (2015 April 8). 2014 The survey of the elderly. Retrieved April 8 2015 from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=337301& page=1
  16. Krueger, R. A. (2015). Focus groups: A practical guide for applied research / Richard A. Krueger, University of Minnesota, Professor Emeritus Mary Anne Casey, Consultant (5th ed.). Thousand Oaks, California: Thousand Oaks, California: SAGE. https://doi.org/10.1002/9781119171386.ch20
  17. Marks, R., & Allegrante, J. P. (2005). Chronic osteoarthritis and ad- herence to exercise: A review of the literature. Journal of Aging and Physical Activity, 13(4), 434-460. https://doi.org/10.1123/japa.13.4.434
  18. Mazieres, B., Thevenon, A., Coudeyre, E., Chevalier, X., Revel, M., & Rannou, F. (2008). Adherence to, and results of, physical therapy programs in patients with hip or knee osteoarthritis. Development of French clinical practice guidelines. Joint Bone Spine, 75(5), 589-596. https://doi.org/10.1016/j.jbspin.2008.02.016
  19. Nuesch, E., Dieppe, P., Reichenbach, S., Williams, S., Iff, S., & Juni, P. (2011). All cause and disease specific mortality in patients with knee or hip osteoarthritis: Population based cohort study. BMJ, 342, d1165. https://doi.org/10.1136/bmj.d1165
  20. Parsons, S., Ingram, M., Clarke-Cornwell, A., & Symmons, D. (2011). A heavy burden: The occurrence and impact of musculoskeletal conditions in the United Kingdom today. Manchester: University of Menchester, Arthritis Research UK. http://www.medicine.manchester.ac.uk/musculoskeletal/aboutus/publications/heavyburden.pdf
  21. 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
  22. Power, J. D., Badley, E. M., French, M. R., Wall, A. J., & Hawker, G. A. (2008). Fatigue in osteoarthritis: A qualitative study. BMC Musculoskeletal Disorders, 9(1), 63. https://doi.org/10.1186/1471-2474-9-63
  23. Ravaud, P., Giraudeau, B., Logeart, I., Larguier, J., Rolland, D., Tre- ves, R., et al. (2004). Management of osteoarthritis (OA) with an unsupervised home based exercise programme and/or patient administered assessment tools. A cluster randomised controlled trial with a 2$\times$2 factorial design. Annals of the Rheumatic Diseases, 63(6), 703-708. https://doi.org/10.1136/ard.2003.009803
  24. Resnick, B. P. C., & Spellbring, A. M. P. (2000). Understanding what motivates older adults to exercise. Journal of Gerontological Nursing, 26(3), 34-42. https://doi.org/10.3928/0098-9134-20000301-08
  25. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37. https://doi.org/10.1097/00012272-198604000-00005
  26. Stead, M., Wimbush, E., Eadie, D., & Teer, P. (1997). A qualitative study of older people's perceptions of ageing and exercise: The implications for health promotion. Health Education Journal, 56(1), 3-16. https://doi.org/10.1177/001789699705600102
  27. Triandis, H. C. (1980). Values, attitudes, and interpersonal behavior. Nebraska Symposium Motivation, 27, 195-259.
  28. Van Kaam, A. (1967). Existential foundations of psychology. In Duquesne Studies: Psychological Series (Vol. 3): Pittsburgh: Duquesne University Press. https://doi.org/10.2307/2105343
  29. Wilcox, S., Oberrecht, L., Bopp, M., Kammermann, S. K., & Mc-Elmurray, C. T. (2005). A qualitative study of exercise in older African American and white women in rural South Carolina: Perceptions, barriers, and motivations. Journal of Women & Aging, 17(1-2), 37-53. https://doi.org/10.1300/j074v17n01_04
  30. Yoon, J. Y., & Ahn, H. S. (2012). A study on a sporting equipment developing to induce old people's interest. Journal of the Korean Society Design Culture, 18(1), 221-234.