• The Journal of Korean Physical Therapy
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• v.18 no.5
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• pp.35-41
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• 2006

Purpose: This study was to determine the effects of exercise program for knee osteoarthritis on the physical fitness in elderly. The progressive exercise program included flexibility, strength, endurance, active range of motion and function activities. Methods: Nineteen subjects with osteoarthritis of the knees randomized to exercise group(n=10) or control group(n=9), but fourteen subjects completed the trial with an adherence of 70% to the intervention and 77% to the control. The physical fitness(back muscle strength, grip strength, flexibility, muscle power, agility, equilibrium) were evaluated with Helmas(Health Management System) made by Sewoo system at pre- and post- intervention. Results: The data were analysed with the two-way repeated ANOVA and paired t-test. The physical fitness had no difference among the groups and times except muscle power. Within experimental group, muscle power and agility were significantly increased between pre and post intervention, while the control group showed no change. Conclusion: Exercise program for knee osteoarthirits appear to be effective in muscle power and agility.

• Journal of Korean Academy of Nursing
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• v.31 no.2
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• pp.180-193
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• 2001

The purpose of this study was to determine the meaning of the pain and experiences of elderly women with osteoarthritis, by adopting Colaizzi′s phenomenological method. The participants were 7 elderly women over the age of 65. They were selected using a theoretical sampling technique. The Data was collected by in-depth and open-ended interviews from Dec. 1. 1999. to Feb, 28. 2000. The length of the interviews varied from 120 minutes to 180 minutes. Data was recorded and analyzed by a constant comparative method. From the data, significant statements were extracted and then organized into 48 themes, which resulted in 15 clusters of themes and 6 categories. The final descriptions turned out to be valid through the interviewee′ validation process. Essential themes of the pain experiences emerged : "physical discomfortness(disturbances)", "negative state of mind", "influence of the death", "positive change in life", "Cause of pain perceived", and "change of their personal relationships". From these results, it was found that elderly women need nursing care based on a deep understanding of pain, and a reflection on their past is imperative to overcome their given situations. In conclusion, it is suggested that the care givers provide more support to solve the problems experienced by the elderly. Thus the researchers expect to provide understanding of older people and give basic data of holistic care for them.

• Journal of Korean Biological Nursing Science
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• v.15 no.4
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• pp.219-229
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• 2013

Purpose: The purpose of this study was to identify the prevalence of osteoarthritis and its risk factors among a community dwelling population age 60-74 and 75 and over (young-old vs. old-old) in Korea. Methods: A total of 1,389 of age 60-74 and 397 of age 75 and over from the 2010 Korean National Health and Nutrition Examination Survey (KNHANES) were selected. The data analysis was performed using the complex sampling function of SPSS version 19.0. Results: The prevalence of osteoarthritis was greater for old-old people (35.50%) compared to young-old people (18.20%). Univariate logistic regression analysis shows that the difference of risk factors for osteoarthritis between young-old and old-old elderly people. The prevalence of osteoarthritis in young-old people was associated with lower education levels; performance of moderate intensity physical activity; higher waist circumference, whereas old-old people was most affected in females; depression and experience. Conclusion: The finding of differences in the prevalence of osteoarthritis and its' risk factors between young-old and old-old people is expected to promote the screening strategy for the aged at risk of osteoarthritis in the Korean community.

• Journal of Digital Convergence
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• v.16 no.2
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• pp.451-459
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• 2018

The aim of this study is to compare the differences in health promotion behaviors by the use of complementary alternative therapy(CAT) in elderly women with osteoarthritis. A total of 621 elderly women with osteoarthritis from public health centers and their branches at a city of C state were enrolled. This study analyzed the frequency and percentage of complementary alternative therapy utilization; a Chi-square test was used for utilization analysis according to subjects' general characteristics and disease features. Degree of health promotion behaviors according to CAT utilization was analyzed by a t-test and ANOVA. The study found that the CAT utilization rate for the total of 621 people was 61.7 %. For health promotion behaviors according to CAT utilization, statistically significant differences were found in exercise (p<0.001), health responsibility (p<0.001) and self-realization (p=0.016) from the domains. This study demonstrated the differences of health promotion behaviors based on CAT utilization. Due to the results of this study it is notable to mention that counseling, instruction for CAT utilization, and strategy development for health promotion are necessary for elderly women with osteoarthritis.

• Journal of Korean Academy of Rural Health Nursing
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• v.1 no.1
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• pp.32-39
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• 2006

Purpose: The purpose of this study was to identify how heat therapy influences pain and sleep in rural elders who have osteoarthritis (OA). Method: A non-equivalent control group pretest-posttest design was used. Participants were 61 elderly farmers and they were assigned to an experimental group (31) or control group (30). The participants were living within the district boundaries of a public health clinic in North Choong Chung Province. The research was conducted from April 1, to 28, 2006. Results: The results of this study demonstrate that heat therapy is effective in reducing pain and promoting sleep in rural elders who have osteoarthritis. Conclusion: Heat therapy reduced pain, and improved sleep in rural elders, with osteoarthritis.

• Journal of muscle and joint health
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• v.18 no.2
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• pp.192-202
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• 2011

Purpose: This study examined the effects of heat therapy combined with aromatherapy on pain, flexibility, sleep, and depression in elderly women with osteoarthritis. Methods: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=21) was treated using an aroma-permeated hot compress applied to the knee. The cotton towel was heated in a microwave to $45^{\circ}C$, and 2~3 drops of lavender were applied on it. The towel was wrapped with plastic bag to prevent aroma leakage and retain heat. The treatment was applied the towel for 20 minutes, three times a day for 3 weeks. The control group (n=24) was not given any treatment. Data were collected using a VAS(100mm) for pain, questionnaire for sleep and depression, and a goniometer for knee flexibility. The data were analyzed with ${\chi}^2$-test and t-test using SPSS/Win18.0. Results: There were significant differences in knee pain (p=.001) and flexibility (p<.001), subjective quality of sleep (p=.020) and depression (p=.003) between the groups. Conclusion: Heat therapy combined with aromatherapy may be an effective nursing intervention and self-care technique to ameliorate pain and depression and to improve flexibility and sleep in elderly suffering from osteoarthritis.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.1
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• pp.55-63
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• 2010

Purpose: The purpose of this study was to determine the effects of the BeHaS exercise program on balance and walking ability in middle-aged women with knee osteoarthritis. Method: Participants were 36 patients (experimental group: 18, control group: 18) with knee osteoarthritis. Women with knee osteoarthritis in the experimental group participated in the BeHaS exercise program for 65 to 90 minutes per session twice a week for 12 weeks. Data were collected by a structured interview and measurement tool from September 1, 2005 to March 30, 2006. Descriptive statistics, such as frequency, percentages, means, SD and t-test, Chi square test were used with the SPSS Win 12.0 to analyze the data. Results: There was a significant difference between the two groups for dynamic balance, but differences in balance and walking ability were only partially supported. Conclusion: These findings indicate that the BeHaS exercise program could be a good nursing intervention for health maintenance and promotion of patients with knee osteoarthritis. Further research is needed in order to confirm these findings in elderly people with osteoarthritis.

• Physical Therapy Korea
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• v.14 no.1
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• pp.82-89
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• 2007

The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a valid and widely used instrument for the assessment of osteoarthritis patients. In this study, data was obtained from the out-patients with painful osteoarthritis of the knee. One hundred-three out-patients were interviewed by physical therapists. In an exploratory way, a Korean version of the KWOMAC was analyzed for unidimensionality, item separation, and item difficulty using the Winsteps programs. Ninety-five patients with osteoarthritis of the knee over 65 years were analyzed for Rash analysis. In the analysis several functional items poorly fit to the model. These items included "heavy domestic duties" and "standing". In the pain domain, one item ("at night while in bed") did not fit the model. In the stiffness domain one item ("after sitting, lying, or resting later in the day") did not fit the model. Although 4 items from the 3 domains (pain, stiffness, function domain) do not fit well, the KWOMAC domains were confirmed by Rasch analysis. Thus the KWOMAC needs to be further examined before it can be used to properly determine the health status of the elderly with OA.

• Journal of muscle and joint health
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• v.15 no.2
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• pp.155-165
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• 2008

Purpose: The purpose of this study was to develop a progressive exercise program based on clinical guidelines for exercise prescription for older adults with osteoarthritis, which was planned to improve the existing arthritis self-help program. Method: We analyzed the contents of the arthritis self-help program and closely reviewed the guideline of exercise prescription for elderly with osteoarthritis. Results: The major contents of the revised arthritis self-help program are as follows: 1) The weekly education is composed of one-hour exercise and one-hour health education about various subjects. 2) The weekly main exercise is composed of muscle strengthening and endurance exercise. 3) Endurance exercise consists of three steps. 4) Muscle strengthening exercise is performed by gravity at first, and then the Thera-Band muscle strengthening exercise is followed on the 4th week. Conclusion: It is necessary to verify the effect of the progressive exercise program for older adults with osteoarthritis. It is thought that this revised program could be adopted as a rehabilitation program for older adults with osteoarthritis.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.3
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• pp.169-180
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• 2021

This study was undertaken to determine the degree of quality of life, and factors influencing osteoarthritis in hypertensive elderly 65 years or older patients, using data from the 7th National Health and Nutrition Survey 2018. Totally, 843 subjects were included from a national sample. The SPSS WIN 26.0 program was used to analyze complex samples by applying the Rao-Scott chi-square test, t-test, and multiple regression analysis. Results indicate that quality of life of the hypertensive group with osteoarthritis is significantly lower than the group with only hypertension (t=5.07, p<0.001). Factors affecting the decrease in quality of life of the hypertensive group were age, subjective health status, and activity restrictions, and the explanatory power was 46.1% (F=12.33, p<0.001). In the hypertensive group with osteoarthritis, the effective factors included gender, cohabitation status, economic activity, subjective health status, activity restriction, body mass index, sleep time, stress perception, and depression, and the explanatory power was 44.6% (F=99.82, p<0.001). Subsequent studies showed that in order to improve the quality of life of hypertensive seniors, intervention programs are required to actively accommodate health conditions and minimize activity restrictions. In addition, for the elderly with osteoarthritis and hypertension, it is necessary to include exercise and nutrition education for body mass index management, and the development and intervention of multidisciplinary participation programs to strengthen mental health.