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김금순 ( Kim Keum-Soon ) - 서울대학교 간호대학
유정아 ( Yu Jeong-A ) - 국군간호사관학교
김진아 ( Kim Jin-A ) - 한국보건산업진흥원
이임선 ( ) - 서울대학교병원 가정의학과
이인옥 ( Lee In-Ok ) - 대한근관절건강학회 교육센터
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Abstract
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Purpose: This study was conducted to determine the effects of Tai-Chi exercise and self-help management program applying laughter therapy in patients with osteoarthritis.
Methods: This quasi-experimental study recruited a sample of 61 patients with osteoarthritis (experimental group: 30, control group: 31) through the community healthcare centers located in Seoul and Kyung Gi area. The primary outcome measures included symptoms of osteoarthritis, basic physical performance, fatigue, and depression assessed before and after the study. The data were analyzed using SPSSWIN V. 12.0.
Results: At the end of the six-week intervention, left shoulder flexibility (t=2.011, p=.049), 6m walking speed (t=3.639, p=.001), and right balance (t=-2.30, p=.025) were significantly improved in the control group. Fatigue (t=3.012, p=.004), stiffness (t=2,093, p=.041), right shoulder flexibility (t=2.138, p=.037), right balance (t=-2.065, p=.043), and 6m walking speed (t=2.683, p=.009) were significantly improved in the experimental group.
Conclusion: A twice a week, 6-week tai-chi exercise self-help management program applying laughter therapy is effective in decreasing fatigue and stiffness. Osteoarthritis is one of common chronic diseases that the patients should be required to continue self management for the rest of their life. Therefore, there is a need to develop the more effective self-help management program and nursing intervention to motivate them to maintain their own self-help management.
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KeyWords
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골관절염, 웃음요법, 자조타이치
Laughter therapy, Tai-chi exercise, Self-help management program, Osteoarthritis
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원문 및 링크아웃 정보
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등재저널 정보
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