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이지아 ( Lee Ji-A ) - 경희대학교 간호과학대학
지은선 ( Ji Eun-Sun ) - 미국 위스콘신 주립대학 박사후연구원
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Abstract
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Purpose: This study was done to examine the effect of an integrated care service which included a combination of oriental
and western care on health outcomes in elderly patients with degenerative arthritis.
Methods: A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks.
Results: Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035).
Conclusion: The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.
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KeyWords
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Integrated health care systems, Arthritis, Older adults
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원문 및 링크아웃 정보
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등재저널 정보
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