Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Comparing Effects of Tai Chi Exercise, Tai Chi Self-help Program, and Self-help Management Program for Osteoarthritis Patients

골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교

  • Cho, Kyung-Sook (Department of Nursing, Kyungwon College) ;
  • Kang, Hyun-Sook (College of Nursing Science, Kyunghee University) ;
  • Kim, Jong-Im (Department of Nursing, Chungnam National University) ;
  • Bak, Won-Sook (East-West Neo-Medical Center) ;
  • Song, Rha-Yun (Department of Nursing, Chungnam National University) ;
  • Ahn, Yang-Heui (Department of Nursing, Yonsei University Wonju College of Medicine) ;
  • Lim, Nan-Young (Department of Nursing, Hanyang University) ;
  • Lee, In-Ok (The Research Institute of Nursing Science, Seoul National University) ;
  • Choi, Sun-Ha (Department of Nursing, Wonju Campus, Kangung National College) ;
  • Han, Sang-Sook (College of Nursing Science, Kyunghee University)
  • 조경숙 (경원대학 간호학과) ;
  • 강현숙 (경희대학교 간호과학대학) ;
  • 김종임 (충남대학교 간호학과) ;
  • 박원숙 (동서신의학병원) ;
  • 송라윤 (충남대학교 간호학과) ;
  • 안양희 (연세대학교 원주의과대학 간호학과) ;
  • 임난영 (한양대학교 간호학과) ;
  • 이인옥 (서울대학교 간호대학 연구소) ;
  • 최선하 (강릉대학교 원주캠퍼스 간호학과) ;
  • 한상숙 (경희대학교 간호과학대학)
  • Published : 2007.04.30
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Abstract

Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.

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