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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Journal of muscle and joint health
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Journal DOI :
Korean Society of Muscle and Joint Health
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Volume & Issues
Volume 4, Issue 2 - Nov 1997
Volume 4, Issue 1 - Apr 1997
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The Effects of Self-Help Education Increasing Self-Efficacy on the Health Promotion for the Arthritis Patients
Lee, Eun-Ok ; Park, Sang-Youn ; Kim, Jong-Im ; Kim, In-Ja ; Kim, Myung-Ja ; Song, Kyeong-Yae ; Lee, Eun-Nam ; Choi, Hee-Chung ; Park, Jeong-Sook ; Suh, Moon-Ja ; Kim, Myung-Soon ; So, Hee-Young ; Lee, Mi-Ra ;
Journal of muscle and joint health, volume 4, issue 1, 1997, Pages 1~14
It is reported that self-help education is effective to increase self-efficacy for the patients with chronic illness. Also self-efficacy Is proved to be an Important variable to effect the physical and psychological health state. Based upon this theoretical framework, KRHPS (Korean Rheumatology Health Professions Society) has administered for 2 years the self-help education increasing self-efficacy for the patients with arthritis. The group had a weekly session for 6 weeks. During the session, self-efficacy was increased by 1) actually performing a behavior, 2) listening to other patients talking about a successful experience or seeing other patients performing a behavior, 3) Instructor's or another patient's verbal persuasion, and 4) physiological cues experienced by themselves. Every group had 4-15 participants and 2 instructors. Data were collected by self-administered questionaire for 211 out of 361 participants. One hundred and fifty two subjects were analyzed because of missing values. As a result, it was confirmed that self-help education was effective to increase self-efficacy and self-efficacy was an important variable to Improve pain, depression, and ADL. Also it may fairly be said that nurses were right health-professionals to lead self-help groups for the patients with chronic illness. So it is important to facilitate many other self-help education for the patients with chronic illness.
The effect of Aquatic Exercise Program on Pain, Physical Index, Self-Efficacy, and Quality of Life in Patients with Osteoarthritis
Kim, Jong-Im ; Kang, Hyeun-Sook ; Choi, Hee-Jung ; Kim, In-Ja ;
Journal of muscle and joint health, volume 4, issue 1, 1997, Pages 15~25
The purpose of this study was to explore the effect of aquatic exercise program combined with self-help group on pain, weight, body mass index, self-efficacy, quality of life in osteoarthritis patients. This program was carried out three times a week for 6 weeks by 4 small groups of patients among 21 patients in regular swimming pool. Data were analyzed by paired t-tests for pre and post comparison. Study results indicate that all patients participated aquatic exercise program improved Pain, body weight, body mass index, self-efficacy, and quality of life. These results Indicated that the aquatic exercise program combined the self-help group can be recommended to the osteoarthritis patients as well as the rheumatic arthritis patients.
A Grounded Theory Approach of the Treatment Pattern of Patients with Arthritis
Lee, Eun-Ok ; Kang, Hyun-Sook ; Lee, In-Sook ; Eun, Young ;
Journal of muscle and joint health, volume 4, issue 1, 1997, Pages 26~47
The purpose of this study is to explore the treatment pattern of treatment of patients with arthritis. The grounded theory approach methodology was used in this study. The purposive sampling was conducted. 16 subjects who experienced RA, lived in middle sized city in Korea, and all women The results of this study were as follows : 1. The process of treatment was composed of the stage of symptom experience and the stage of sick role experience. The naming of the symptom was conducted in the stage of symptom experience through, the doctor shopping. The sick role experience was patterned by the choice of the treatment mode. 2. The treatment modes were roughly devided by western medicine and oriental or ethnic medicine. Several factors which affected the choice of the treatment mode were patient's economic state, educational level, religion, the acknowledgement of the cause of illness, duration of illness, lay referral system, the relationship of medical staff, and the acculturation of medical professionalism. The key component of the decision of the treatment was the level of the acculturation of medical professionalism. To enhance the acculturation of medical professionalism, we have to provide the information of cause and the prognosis of the disease to the patients and the variety of communication channel between medical staff and patients, and we should understand the medical culture according to the ages, gender, locations in Korea.
A Study of Musculotendinous Problems of Students Majoring in Musical Instruments in Korea
Lee, Eun-Nam ; Lee, Eun-Ok ; Lee, In-Sook ; Park, In-Hyae ; Park, Jeong-Sook ; Bae, Sung-Cheol ; So, Hee-Young ;
Journal of muscle and joint health, volume 4, issue 1, 1997, Pages 48~60
This study was undertaken to identify the musculotendinous problems and contributing factors to those problems In students majoring in musical instruments in Korea. The data were collected from March 2, 1996 to March 31, 1996 from 261 music students in various geographical areas. The data were analyzed for descriptive statistics, t-test, chi-square using SPSS
program. The results of this study were as follows : 1. In a questionnaire survey of 261 music students, one hundred twenty five(47.9%) reported having had various musculotendinous symptoms. Twenty seven students among the those who had previous symptoms(21.9%) reported the present symptoms. 2. The experience rates of musculotendinous problems in keyboard players, string players and woodwind players were 50.3%, 48.2%, 33.3% respectively. 3. Most of the students practiced most intensively during their high school years and the musculotendinous symptoms began at the same period. 4. Pain, tenderness and stiffness were the most common symptoms, while paresthesia and motor dysfunction were rare. This indicates that most players had muscle tendinous overuse, while small number had nerve entrapment and motor dysfunction. 5. In past and present symptoms, string players experienced musculotendinous symptoms mainly in both sides of shoulders, lumbar area, left finger, and left wrist, while keyboard players experienced more symptoms in the right wrist, shoulder, fingers than left side. 6. The major contributing factors to the symptoms were weight of instrument, types of instruments, types of daily activities, duration of practice, and playing technique. 7 The most frequent treatment modalities for the symptoms were acupuncture or moxibustion, other alternative therapy such as heat compress and massage. Through this study it was found that the musculotendinous problems might be increased along with their career, due to lack of knowledge about preventive measures and patterns of health behavior seeking alternative modalities rather than professional consultation. Therefore, preventive measures that focus on playing habits such as duration of practice, frequency of rest and position while playing should be developed and taught to the students, their parents, and music educators. Doctors who are interested in this area should attempt to correct the position and posture while playing of the posture. And measures for reduction of loading of instrument weight should also be developed.
Needs of Home Exercise for Arthritic Patients
Kil, Suk-Yong ; Kim, Myung-Ja ;
Journal of muscle and joint health, volume 4, issue 1, 1997, Pages 61~73
This study deals with needs assessment for home exercise of 233 arthritis patients, who visited 2 university hospitals in Seoul from May 27. to June. 15. 1996. Data was collected through the interview with them. As a result, we came to the following points. 1. Seventy five percent of all interviewees expressed strong will to home exercise, if they know how to do. 2. With no partners for life. the needs for home exercise were higher than those who have (P=0.016). 3. Christians(87.1%) and Catholics(86.4%) had more the need for home exercise those who have Buddhist(70.9%) and atheist (60%) (P=0.002). 4. In the direct ratio to level of education. the need for home exercise was high (P=0.027). 5. In the inverse ratio to age. the need for home exercise was high(t=6.20. P=0.0000). 6. Patients with arthritis for relatively short period of time had more than those who had long period of the disease need for home exercise(t=3.36, P=0.0013). 7. Those who have long distance from hospital had more needs for home exercise than those who line in short distance (t=3.15 P=0.002) 8. When average cost of hospital visit for each time is much. then need for home exercise was high(t=4.20, P=0.0001).
Survey on Fibromyalgia Syndrome
Han, Sang-Sook ; Kang, Hyun-Sook ;
Journal of muscle and joint health, volume 4, issue 1, 1997, Pages 74~86
This investigation has been conducted based on the medical chart of 344 patients who have been diagnosed of fibromyalgia syndrome during Oct. 9, 1996 through Nov. 20 at the Rheumatism Hospital of H. University located in Seoul. 280 which have been included in the analysis. 1. Only one patient was male in 280 patients, age distribution was from 28 to 76, in which the average age was 52.4. 2. Percentage of treatment duration was 6 months in 46.1%, 3 years in 22.1% and 2 years in 12.5%. Considering these results, it can be predicted that the number of patients might be increased and accumulated in the future. 3. Percentage of patients having primary fibromyalgia syndrome was 39.3%, having combination with osteoarthritis was 36.7% and the rest case have combination with rheumatoid arthritis at the same time. 4. The percentage of cases having patients 10-12 tender points was 37.1%, while the most of cases have pain at 12-19 tender points. The common locations of the tender point were at lateral epicondyle of elbow in 92.0%, at midpoint of upper border Trapezius in 84.8%, at upper part of scapula Supraspinatus in 82.9%, at medial fat pad proximal to the joint line knee in 81.85%, at intertransverse of
Low cervical in 73.4% and at 2nd distal costochondral Junction 2nd rib in 72.0%. And most of the patients had joint functional disability at all in 47.1% with average 2.41 joint functional disability. 5. Age was not a variable influencing the number of tender points and the number of joint functional disability.
A Study of Life Satisfaction by Chronic Arthritis Patient
Kim, Won-Sook ;
Journal of muscle and joint health, volume 4, issue 1, 1997, Pages 87~97
This study is descriptive research clarifying the relations between physical inconvenience, social aptitude and sense of satisfaction In life of the chronic arthritis patients. This research has been conducted from 115 patients by structured self-reporting questionnaires and direct interview of the adult patients over the age of 16 years old who had been under treatment in 3 University hospitals in Seoul from Oct. 4, 1996 through Oct. 24, 1996 for 20 days. The collected materials have been under t-test and F-test(ANOVA) per variables after computerizing using SPSS package and the correlation between various causes was conducted by pearson's correlation coefficient method. The results are as the follows : 1) Generally the age of starling the disease was 40-60 with 91 in female(79.0%) and male 88(76.5%), the persons who had the religion showed the high rate of being taken ill and the persons with over high school education have fallen ill by 46.1%. The monthly income has shown that 77.5% was over 1,000,000won or over, the periods of the disease in average was 4 years 3 months showing it was the chronic disease, the degree of recognizing the disease was 19.0%, spouse and children were most concerned about their disease and the part of Joint attacked was knee(73.0%), wrist(43.5%) and others which showed that they have been very inconvenient in daily life. 2) The variables affecting to physical inconvenience were by age (F=9.06, p=.000), education level(F=7.14, p=000), economic standards (F=2.18, p=.05), the period of disease(F=3.09, p=.03), hospitalized or not(F=3.23, p=.002), showing such correlations. 3) The variables affecting to the social adaptation were by age (F=3.47, p=.018), education level(F=4.98, p=.001), periods of taken ill (F=419, p:.007), hospitalized or not (F=3.23, p=.004) and the operation or not (F=1.30, p=.028) showing such correlations. 4) The variables affecting to life satisfaction were by sex(t=2.08, p=.045), economic status(F=3.15, p=.01) being able to explain statistically. Through the above correlations, they are required to receive self-management education positively to elevate the effect of rehabilitation treatment and effective nursing arbitration and also they required to be reduced physical inconvenience at the early stage and be helped to be able to lead the quality life in satisfaction by elevating the diverse adaptation to the society by correcting the transformed joint.