Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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The effect of an osteoarthritis adaptation program on biological, psychological, and social integrity variables and quality of life in older women with osteoarthritis in Korea: a quasi-experimental study

  • Hye Sim Seo (Department of Nursing, Kwangju Women's University) ;
  • Young Eun (College of Nursing, Sustainable Health Research Institute, Gyeongsang National University) ;
  • Mi Yang Jeon (College of Nursing, Sustainable Health Research Institute, Gyeongsang National University)
  • Received : 2025.06.15
  • Accepted : 2025.08.04
  • Published : 2025.08.31
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Abstract

Purpose: This study aimed to determine whether an osteoarthritis adaptation program increased biological, psychological, and social integrity variables and quality of life in older women with osteoarthritis in Korea. Methods: This study employed a non-equivalent control group pretest-posttest design, allocating 51 older women with osteoarthritis to an experimental group (26 participants) and a control group (25 participants). The program was conducted thrice weekly for 12 weeks, with each session lasting 60 to 90 minutes. It combined exercises (flexibility, muscle strength, and aerobic) and education (pain control, nutrition management, and compliance). Results: Pain differed significantly between the groups (F = 12.10, p < .001), and the time-group interaction was also significant (F = 23.65, p < .001). Difficulty in daily living did not show significant differences between the groups (F = 3.88, p = .055), although the time-group interaction was significant (F = 39.57, p < .001). Depression showed a significant difference between the groups (F = 7.24, p = .010), as did the time-group interaction (F = 9.17, p = .002). Social support also differed significantly between the groups (F = 46.07, p < .001), and the time-group interaction was significant (F = 45.22, p < .001). Quality of life showed significant differences between the groups (F = 29.04, p < .001), and the time-group interaction was also significant for this variable (F = 64.32, p < .001). Conclusion: The osteoarthritis adaptation program effectively improved biological, psychological, and social integrity variables in older women with osteoarthritis. Therefore, this program offers considerable benefits to older women with chronic osteoarthritis, emphasizing its value for individuals with osteoarthritis living in the community.

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References

  1. Statistics Korea. Statistics on older people [Internet]. Daejeon: Statistics Korea; 2025 [cited 2025 Jun 30]. Available from: https://kosis.kr/search/search.do?query=%EB%85%B8%EC%9D%B8%EC%9D%B8%EA%B5%AC
  2. Jun EM. Factors related to the prevalence of osteoarthritis according to gender of the elderly. Journal of The Korean Data Analysis Society. 2024;26(4):1205–1216. https://doi.org/10.37727/jkdas.2024.26.4.1205
  3. Martel-Pelletier J, Barr AJ, Cicuttini FM, Conaghan PG, Cooper C, Goldring MB, et al. Osteoarthritis. Nature Reviews Disease Primers. 2016;13(2):16072. https://doi.org/10.1038/nrdp.2016.72
  4. Gelber AC. Knee osteoarthritis. Annals of Internal Medicine. 2024;177(9):ITC129–ITC144. https://doi.org/10.7326/AN-NALS-24-01249
  5. Roy C. Extending the Roy adaptation model to meet changing global needs. Nursing Science Quarterly. 2011;24(4):345–351. https://doi.org/10.1177/0894318411419210
  6. Andrews HA, Roy C. Essentials of the Roy adaptation model. 1st ed. Norwalk CT: Appleton & Lange; 1991. p. 3–26.
  7. Lee EN, Lee KS, Lee IO, Bak WS, Eun Y, Choi HG, et al. Effects of the new version of the arthritis self-management program in patients with osteoarthritis. Journal of Muscle and Joint Health. 2015;22(2):105–113. http://doi.org/10.5953/JMJH.2015.22.2.105
  8. Jokar Z, Hosseinabadi Z, Rustaee S, Bijani M. Self-care education on the pain, quality of life, and consequences of disease in patients with knee osteoarthritis. SAGE Open Nursing. 2024;10:23779608241260822. http://doi.org/10.1177/23779608241260822
  9. Sonobe T, Otani K, Sekiguchi M, Otoshi K, Nikaido T, Konno S, et al. Influence of knee osteoarthritis severity, knee pain, and depression on physical function: a cross-sectional study. Clinical Interventions in Aging. 2024;19:1653–1662. https://doi.org/10.2147/CIA.S470473
  10. Rodrigues da Silva JM, Uchoa de Rezende M, Spada TC, Lucila da Silva Francisco, Sabine de Farias FE, Clemente da Silva CA, et al. Educational program promoting regular physical exercise improves functional capacity and daily living physical activity in subjects with knee osteoarthritis. BMC Musculoskeletal Disorders. 2017;18(1):546. https://doi.org/10.1186/s12891-017-1912-7
  11. Martinez-Calderon J, Cano-Garcia FJ, Garca-Munoz C, Rufo-Barbero C, Matias-Soto J, Infante-Cano M. How can clinicians enhance self-efficacy beliefs in osteoarthritis? An overview of systematic reviews with meta-analysis. Clinical Rheumatology. 2024;43(5):1435–1446. https://doi.org/10.1007/s10067-024-06943-2
  12. Wolf DF, Carvalho C, Moreira Padovez RFC, Braz de Oliveira MP, Mendes da Silva Serro PR. Effects of physical exercise on muscle function of the knee, pain, and quality of life in postmenopausal women with knee osteoarthritis: a systematic review with meta-analysis. Musculoskeletal Science and Practice. 2024;71:102929. https://doi.org/10.1016/j.msksp.2024.102929
  13. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149–1160. https://doi.org/10.3758/BRM.41.4.1149
  14. Park TS. Review of statistical models for analyzing repeated measures data. Journal of the Korean Society of Health Statistics. 1997;22(1):23–34.
  15. Speake DL, Cowart ME, Pellet K. Health perceptions and lifestyles of the elderly. Research in Nursing & Health. 1989;12:93–100. https://doi.org/10.1002/nur.4770120206
  16. Song MS. Construction of a functional status prediction model for the elderly [dissertation]. Seoul: Seoul National University; 1991. p. 1–141.
  17. Bae SC, Lee HS, Yun HR, Kim TH, Yoo DH, Kim SY. Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis and Cartilage. 2001;9(8):746–750. https://doi.org/10.1053/joca.2001.0471
  18. An KS. Study on the quality of life and social support of married couples and single households elderly. Journal of the Korean Gerontological Society. 2005;25(1):1–19.
  19. Cheoi SJ. A study of the quality of life in old people [dissertation]. Seoul: Ewha Womans University; 2001. p. 99–118.
  20. Farsi Z, Azarmi S. Effect of Roy's adaptation model-guided education on coping strategies of the veterans with lower extremities amputation: a double-blind randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery. 2016;4(2):127–136. https://doi.org/10.5812/ircmj.25810
  21. Afrasiabifar A, Karimi Z, Hassani P. Roy's adaptation model-based patient education for promoting the adaptation of hemodialysis patients. Iranian Red Crescent Medical Journal. 2013;15(7):566–572. https://doi.org/10.5812/ircmj.12024
  22. Tsai PF, Tak S, Moore C, Palencia I. Testing a theory of chronic pain. Journal of Advanced Nursing. 2003;43(2):158–169. https://doi.org/10.1046/j.1365-2648.2003.02690.x
  23. Bakan G, Akyol AD. Theory-guided interventions for adaptation to heart failure. Journal of Advanced Nursing. 2007;61(6):596–608. http://doi.org/10.1111/j.1365-2648.2007.04489.x
  24. Woo SJ, Lee ES, Kim HR. Effectiveness of a sexual health program for men with rectal cancer resection. Korean Journal of Adult Nursing. 2017;29(3):225–234. https://doi.org/10.7475/kjan.2017.29.3.225
  25. Choi JH, Yoo IY. Effects of Tai Chi self-help program on functional status of knee joint, fatigue, fear of falling for elderly woman patients with knee osteoarthritis. Journal of the Korean Gerontological Society. 2007;27(4):913–927.
  26. Kim JS, Hyun HJ. Effect of program promoting intention to exercise performance based theory of planned behavior in the elderly. Journal of Korean Biological Nursing Science. 2015;17(1):1–10. https://doi.org/10.7586/jkbns.2015.17.1.1
  27. Cheon EY. The effects of a self-management program on physical function and quality of life of patients with knee osteoarthritis. Journal of Korean Academy of Nursing. 2005;35(3):514–525. https://doi.org/10.4040/jkan.2005.35.3.514
  28. Lee HY, Hale C. Effects of Tai Chi exercise and auricular acupressure in patients with rheumatoid arthritis. Journal of Muscle and Joint Health. 2011;18(5):103–112. https://doi.org/10.5953/jmjh.2011.18.1.103