The Effects of a Self-Management Program on Physical Function and Quality of Life of Patients with Knee Osteoarthritis

자가관리프로그램이 슬관절염환자의 신체기능 및 삶의 질에 미치는 영향

  • Published : 2005.06.01

Abstract

Purpose: This study was to examine the effects of a Self-management program on physical function and quality of life of women with knee osteoarthritis. Method: The participants for this study, who had knee osteoarthritis, were recruited from an arthritis clinic, at a university hospital located in S city, Korea between February 16, 2004 and June IS, 2004. Seventeen subjects in the control group received no intervention and 18 subjects in for experimental group received an individual Self-management program. The self-management program consisted of dietary education and home-based exercise; walking and resistance exercise. The subjects performed this program 5 times per week during 8 weeks and recorded a diary for diet and exercise. In order to verify the effects of the Self-management program, physical function and Quality of life as a dependent variable were measured at three points in time: before, week4 and week8 after the interventions. Result: There were significant increases on physical function (F=5.08, p=.002) and significant interaction effects (F=7.42, p=.002) in the intervention group over the three measurement points in time. In addition, there were significant increases on quality of life (F=8.08, p=.002) and significant interaction effects (F=4.89, p=.016) in the intervention group over the three measurement points in time. Conclusion: This study revealed that a Self-management program can be used as an efficient nursing intervention for women with knee osteoarthritis.

Keywords

References

  1. Anderson, J. J., & Felson, D. T. (1988). Factors associated with osteoarthritis of the knee in the first National Health an Nutrition Examination Survey(NHANES). Am J Epidemiol. 128, 179-189
  2. Archenholtz, B., & Bjelle, A. (1997). Reliability, validity, and sensitivity of a Swedish version of the revised and expanded Arthritis Impact Measurement Scales(AIMS2). J Rheumatol. 24(7), 1370-1377
  3. Bae, S. C., Lee, H. S., Yun, H. R., Kim, T. H., Yoo, D. H., & Kim, S. Y. (2001). Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities(WOMAC) and Lequensne Osteoarthritis Indices for Clinical Research. OsteoArthritis Cartilage, 9(8), 746-750 https://doi.org/10.1053/joca.2001.0471
  4. Baker, K. R., & McAlindon, T. (2000). Exercise for knee osteoarthritis. Curr Opin Rheumatol, 12(5), 456-463 https://doi.org/10.1097/00002281-200009000-00020
  5. Baker, K. R, Nelson, M., Layne, J., Felson, D., & Roubenoff, R. (1999). The efficacy of home-based progressive strength training for knee osteoarthritis(KOA). Arthritis Rheum, 42(9), 13-17
  6. Barbara, R. (2001). Managing arthritis with exercise. Geriatr Nurs, 22(3), 143-150 https://doi.org/10.1067/mgn.2001.116380
  7. Bartha, C., & Petrella, R. J. (1999). Randomized trial of home-based exercise treatment for osteoarthritis of the knee. Med Sci sports Exerc, 31(5suppl), S209
  8. Bellamy, N. (1982). Osteoarthritis-An evaluative index for clinical trials. MSc thesis. McMaster University, Hamilton, Canada. 1982
  9. Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., & Stitt, L. W. (1988). Validation study of WOMAC: a health status instrument for measuring clinically-important patient-relevant outcomes following total hjp or knee arthroplasty in osteoarthritis. Journal of Orthopaedic Rheumatology, 1, 95-108
  10. Birchfield, Patricia, C. (2001). Osteoarthritis overview. Geriatr Nurs, 22(3), 124-131 https://doi.org/10.1067/mgn.2001.116375
  11. Ettinger, W. H., & Afable, R. F. (1994). Physical disability from knee osteoarthritis: the role of exercise as on intervention. Med Sci sports Exerc, 26(12), 1435-1440
  12. Ettinger, W. H., Burns, R., Messier, S. P., Applegate, W., Rejeski, W. J., Morgan, T., Shumaker, S., Berry, M. J., O'Toole, M., Monu, J., & Craven, T. (1997). A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. JAMA, 277(1), 25-31 https://doi.org/10.1001/jama.277.1.25
  13. Get over arthritis. (2002, 4. 1). The Dong-A Ilbo, p. E01
  14. Hall, J. Skevington, S. M., Maddison, P. J., & Chapman, K. (1996). A randomized and controlled trial of hydrotherapy in rheumatoid arthritis. Arthritis Care Research, 9(3), 206-215 https://doi.org/10.1002/1529-0131(199606)9:3<206::AID-ANR1790090309>3.0.CO;2-J
  15. Hochberg, M. C, Altman, R. D., Brandt, K. D., Clark, B. M., Dieppe, P. A., & Griffin, M. R. (1995). Guide for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee. Arthritis Rheum, 38, 1541-1546 https://doi.org/10.1002/art.1780381104
  16. Ji, Y. S. (2001). The demonstrative study of effectiveness on rehabilitation exercise therapy in the order women with knee degenerative arthritis & obesity. PhD thesis. Korea University, Seoul, Korea
  17. Kang, H. S. (2001). A structural model for aquatic exercise adherence of patients with arthritis. The Korean Rheumatology Health Professionals society, 8(1), 5-26
  18. Kim, J. I. (1994). An effect of aquatic exercise program with self-help group activities and strategies for promoting self-efficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis. PhD thesis. The Seoul National University, Seoul. Korea
  19. Kim, J. I., Kang, H. S., Choi, H. J., & Kim, I. J. (1997). The effect of aquatic exercise program on pain, physical index, self-efficacy, and quality of life in patients with osteoarthritis. The Korean Rheumatology Health Professionals society, 4(1), 15-25
  20. Kim, J. S., Yom, Y. H., & Yee, J. A. (2001). Related factors of physical functions and activities of daily living in Korea rural aged people. Journal of Korean Society for Health Education and Promotion. 18(1), 1-13
  21. Korean Society for the Study of Obesity (2003). Treatment Guideline for Obesity 2003. seoul; 의학
  22. Kovar, P. A., Allegrante, J. P., Mackenzie, C. R., Peterson, M. G. E., Gutin, B., & Charlson, M. E. (1992). Supervised fitness walking in patients with osteoarthritis of the knee. Ann Intern Med, 116, 529-534 https://doi.org/10.7326/0003-4819-116-7-529
  23. Lee, E. N. (2001). Effects of brisk walking & muscle strengthening exercise using thera-band on pain, fatigue, physical function, and disease activity in patients with rheumatoid arthritis. Journal of Korean Academic Society of Rehabilitation Nursing, 4(1), 84-93
  24. Lee, E. O., Kim, I. J., Kim, J. I., Kang, H. S., & Bae, S. C. (2001). Prediction model of exercise behavior in patietns with rheumatoid arthritis. J Korean Acad Nurs, 31(4), 681-691
  25. Lee, E. O., Seo, M. J., Kim, K. S., Kang, H. S., Lim. S. Y., Kim., J. I. Song, K. A., Han, S. S., & Lee. K. S. (2001). Needs of instructors for developing self-help and aquatic exercise programs of Korean Pheumatology Helath Professionals Society. The Korean Rheumatology Health Professionals society, 8(2), 217-229
  26. Lee, M. R. (1996). An effect of muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy and quality of life of patients with knee osteoarthritis. Msc thesis. Chungnam National University, Daejeon, Korea
  27. Lorig, K., Holman, H., Sobel, D., Laurent, D., Gonzalez, V., & Minor, M. (2000). Living a healthy life with chronic conditions : self-management of heart disease, arthritis, diabetes, asthma, bronchitis, emphysema & others(2nd ed). Colorado: Bull Publishing Company
  28. Messier, S. P., Loeser R. F., Mitchell, M. N., Vall,e, G., Mrgan, T., Rejeski W. J., & Ettinger W. H. (2000). Exercise and weight loss in obese older adults with knee osteoarthritis: a preliminary study. J Am Geriatr Soc, 4(9), 1062-1072
  29. Messier, S. P. (1994). Osteoarthritis of the knee and associated factors of age and obesity: effects on gait. Med Sci sports Exerc, 2, 1452
  30. Minor, M. A., Hewett, J. E., Webel, R. R., Anderson, S. K., & Kay, D. R. (1989). Efficiancy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis. Arthritis and Rheumatism, 32(11), 1396-1405 https://doi.org/10.1002/anr.1780321108
  31. Morris, J., Suissa, S., Sherwood, S., Wright, S., & Greer, D. (1986). Last days : a study of the quality of life of terminally ill cancer patients. J Chronic Dis, 34, 47-62
  32. Oliveira, S. A., Felson, D. T., Reed, J. I., Cirillo, P. A., & Walker, A. M. (1995). Incidence of symptomatic hand, hip, and knee ostarthritis among patients in a health maintenance organization. Arthritis Rheum. 38, 1134-1141 https://doi.org/10.1002/art.1780380817
  33. Rejeski, W. J., Focht, B. C., Messier, S. P., Morgan, T., Pahor, M., & Pennin, B. (2002). Obese, older adults with knee osteoarthritis: Weight loss, exercise, and quality life. Health Psychol. 21(5), 419-426 https://doi.org/10.1037/0278-6133.21.5.419
  34. Ro, Y. J. (1988). An analytical study of the quality of life of the middle-aged in Seoul. PhD thesis. Yonsei University, Seoul, Korea
  35. Saxon, L., Finch, C., & Bass, S. (1999). Sports participation, sports injuries and osteoarthritis. Sports Med, 28(2), 123-135 https://doi.org/10.2165/00007256-199928020-00005
  36. Sharma, L. (2002). Nonpharmacologic management of osteoarthritis. Curr Opin Rheumatol, 14(5), 603-607 https://doi.org/10.1097/00002281-200209000-00022
  37. Song, G. A. (2001). Physical training for arthritis. The Korean Rheumatology Health Professionals society, 8(2), 365-375
  38. Song, R., Lee, E. O., & Lee, I. O. (2002). Pre-post comparisons on physical symptoms, balance, muscle strength, physical functioning, and depression in women with osteoarthritis after 12-week Tai Chi exercise. The Korean Rheumatology Health Professionals society, 9(1)
  39. U.S. Department of Health and Human Services, Center for Disease Control and Prevention, and National Center for Health Statistics (1999). Current estimates from the National Health Interview Survey-1996. Vital and Health Statistics Series 10 (No. 200)
  40. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, and National Institute of Arthritis and Musculoskeletal and Skin Diseases (May 2001). Questions and Answers about Arthritis and Exercise. NIH Publication NO. 01-4855