Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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Effects of Self-care Program on Exercise performance Self-Efficay, Self-care Knowledge, Self-care Performance in Patients with Lumbar Discectomy

자가간호프로그램이 요추간판제거술 환자의 운동이행 자기효능감, 자가간호지식, 자가간호이행에 미치는 효과

  • Jeong, Jin-Hee (Department of Nursing Science, Kongju National University) ;
  • Lee, Hye-Kyung (Department of Nursing Science, Kongju National University)
  • 정진희 (국립공주대학교 간호학과) ;
  • 이혜경 (국립공주대학교 간호학과)
  • Received : 2021.05.31
  • Accepted : 2021.06.28
  • Published : 2021.06.30
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Abstract

This study is an experimental study to confirm the effect of self-care program on exercise performance self-efficacy, Knowledge of self-management and Performance of self-management in patients with lumbar disc removal. The subjects were 26 inpatients in the experimental group and 27 in the control group as inpatients at the D City Material Spine Hospital. The collected material was analyzed using the SPSS 25.0 program with mean, percentage, standard deviation, t-test, x2-test, Independent t-test, and repeated measures ANOVA. Hypothesis that after self-care program mediation, the experimental group had higher scores for orthosis management knowledge (p<.001) and daily life management knowledge (p=.005) as time passed compared to the unprovided control group. The hypothesis is that the experimental group provided with the self-care program has a performance of orthosis management(p=.011), higher degree of orthosis management performance (p=.011) and daily life management performance (p=.007) than the non-provided control group. Was supported. There, it was confirmed that it is an effective self-care program that can be easily applied at home to patients with lumbar disc removal from the day before surgery to after discharge.

본 연구는 자가간호프로그램이 요추간판제거술 환자의 운동이행 자기효능감, 자가간호지식, 자가간호이행에 미치는 효과를 확인하기 위한 실험연구이다. 대상자는 D광역시 소재 일개 척추전문병원 입원환자 중 미세현미경 요추간판제거술을 받은 환자로 실험군 26명, 대조군 27명이다. 수집된 자료는 SPSS 25프로그램을 이용하여 평균, 백분율, 표준편차, t-test, χ2-test, t-test, repeated measures ANOVA로 분석하였다. 연구결과 자가간호프로그램 중재를 받은 실험군은 제공받지 않은 대조군에 비해 시간이 경과함에 따라 보조기 관리지식(p=.001)과 일상생활관리지식점수(p=.005)가 더 높아 지지되었다. 또한 자가간호프로그램을 제공받은 실험군은 제공받지 않는 대조군보다 보조기 관리이행도(p=.011), 일상생활 이행도(p=.007), 유해생활 습관관리 이행도(p=.011)가 높아 지지되었다. 따라서 자가간호프로그램은 요추간판제거술 환자의 수술 전후 적용을 통해 운동이행 자기효능감, 자가간호지식 및 자가간호이행도를 향상시켜 보다 빠른 회복을 도울 수 있는 프로그램이라고 할 수 있다.

Keywords

References

  1. Health Insurance Review & Assessment Service. 2020 Medical Expense Statistical Index, https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000&brdScnBltNo=4&brdBltNo=2345&pageIndex=1#none (2020).
  2. Health Insurance Review & Assessment Service. Press Release; Neck and pain and numbness, 'disk' should be suspected, http://www.hira.or.kr (2014).
  3. The Korean Orthopaedic Association. Orthopedic Surgery Health Information. c2011[cited 2019 Sep. 20] Available From: https://www.koa.or.kr/info/index.php
  4. C. E. Kasper. Skeletal muscle atrophy, Pathophysiological phenomena in nursing: Human responses to illness, pp. 389-412. (2003).
  5. D. H. Kim, S. S. Kim, "The short term effect of early 3-dimensional lumbar stabilization exercise after lumbar microdiscectomy", The Korean Journal of Sports Medicine, Vol.27, No.1 pp.47-52, (2009).
  6. M. H. Jun, J. Y. Jung, "A follow up study for elderly's disabilities in performing activities of daily life after lumbar spinal surgery", The Journal of Korean Academic Society of Nursing Education, Vol.16, No.1 pp. 140-149, (2010). https://doi.org/10.5977/JKASNE.2010.16.1.140
  7. J. H. Cho, D. C. Seo, Y. K. Kim, J. H. Lee, "Effects of 8-week Resistance Training designed for Herniated Lumbar Disc Patients on Inflammatory Factors and Muscular Function", Korean Academy of Kinesiology. Vol.12, No.2 pp.79-88, (2010).
  8. A. F. Mannion, R. Denzler, J. Dvorak, M. Muntener, D. Grob, "A randomised controlled trial of post-operative rehabilitation after surgical decompression of the lumbar spine", European Spine Journal, Vol.16, No.8 pp.1101-1117, (2007). https://doi.org/10.1007/s00586-007-0399-6
  9. R. W. Ostelo, L. O. P. Costa, C. G. Maher, H. C. W. de Vet, M. W. van Tulder, "Rehabilitation after lumbar disc surgery: An update cochrane review". Spine, Vol.34, No.17 pp.1839-1848, (2009). https://doi.org/10.1097/BRS.0b013e3181abbfdf
  10. M. H. Jun, J. Y. Jeong, M. S. Kim. "Factors Affecting Post-operative Uncertainty of the Patients Undergone Lumbar Spinal Surgery", Journal of muscle and joint health Vol.19, No.3 pp.294-307, (2012). https://doi.org/10.5953/JMJH.2012.19.3.294
  11. G. J. Kim, H. Y. Kim, "Development and Effects of Early Exercise Program for Lumbar Spine Surgery Patients", Korean Journal of Adult Nursing, Vol.30, No.3 pp.245-254, (2018). https://doi.org/10.7475/kjan.2018.30.3.245
  12. B. Resnick, D. Luisi, A. Vogel, P. Junaleepa, "Reliability and validity of the self-efficacy for exercise and outcome expectations for exercise scales with minority older adults", Journal of Nursing Measurement, Vol.12, No.3 pp.235-247, (2004). https://doi.org/10.1891/106137404780954579
  13. A. Bandura, "Self-efficacy: Toward a unifying theory of behavioral change", Psychological Review, Vol.84, No.2 pp.191-215, (1977). https://doi.org/10.1037/0033-295X.84.2.191
  14. S. J. Lee, C. S. Lee, "The Effect of Exercise after Surgery on Self-Efficacy and Activities of Daily Living of Spiune Surgery Patients", Chonnam Journal of Nursung Science, Vol. 9 No. 1. pp.21-34, (2004).
  15. E. K. Kim, M. R. Eom, J. Y. Jung, "Comparison of the perceived nursing needs between spinal surgery patients and nurses caring for them", Journal of Korean Academy of Fundamentals of Nursing, Vol. 15 No. 1. pp. 89-97, (2008).
  16. M. Zieger, R. Schwarz, H. H. Konig, M. Harter, S. G.Riedel-Heller, "Depression and anxiety in patients undergoing herniated disc surgery: relevant but under researched-a systematic review", Central European Neurosurgery. Vol.71 No.1, pp.26-34, (2010). https://doi.org/10.1055/s-0029-1225325
  17. C. Ramirez-Maestre, R. Esteve, G. RuizParraga, L. Gomez-Perez, A. E. Lopez- Martinez, "The key role of pain catastrophizing in the disability of patients with acute back pain", International Journal of Behavioral Medicine, Vol.24 No.2, pp.239-248, (2017). https://doi.org/10.1007/s12529-016-9600-9
  18. J. H. Kim, E. H. Lee, S. R. Kim, S. R. Kim, "Factors Affecting Discharge Delay in Lumbar Spinal Surgery Patients Who were Treated according to a Critical Pathway", Korean Journal of Adult Nursing, Vol.28 No. 1 pp.43-52, (2016). https://doi.org/10.7475/kjan.2016.28.1.43
  19. Kim KH. Pre-operative Education Effectiveness for Lumbar Herniated Intervertebral Disc Patients Receiving Operation in a Hospital, [Daejeon] Konyang University. Daejeon Korea. p. 55, (2017).
  20. Do JY. The Effects of Lumbar Surgery Patients Recovery Nursing Education program. [Daejeon] Chungnam National University, p.77, (2019).
  21. H. Y. Kim, Y. Eun, M. E. Song, "The Effects of Muscle Strengthening Exercise for Postoperative Lumbar Spinal Surgery on Pain, Exercise Self-Efficacy, Activities of Daily Living", Journal of muscle and joint health, Vol.18 No. 2 pp.238 - 248, (2011) https://doi.org/10.5953/JMJH.2011.18.2.238
  22. Han SH. The Effect of Exercise Program with Strategies promoting Self-Efficacy on health status and exercise capacity in patients after the stem cell transplantation, [Seoul] Yonsei University. p. 120, (2000).
  23. Park SK. Development of a standardized post-operative education progam for herniated lumbar disc patients, [Seoul]. Yonsei University p. 68, (2009).
  24. Jung JY. Effects of Legs Muscular Strengthening Exercises on Pain, Muscular Strength of Legs, Disability of Daily Living Activity, and Isozyme of Patients with Lumbar Spinal Stenosis, [Daejeonl] Daejeon University. p.101, (2010).
  25. Lee YH. Effect of Exercise After Surgery on Pain, Muscle Strength of Legs, and Disability of Daily Living Activity of Patients with Lumbar Spinal Disease, [Daejeon] Chungnam National University, p.80, (2012)
  26. H. K. Jin, J. H. Kim, M. J. Kim, "Influence of physical and psychological symptoms on exercise adherence in patients with heart failure: focused on the mediating effects of self-efficacy", Journal of Korean Academy of Fundamentals of Nursing, Vol.26 No. 1 pp.52-61, (2019). https://doi.org/10.7739/jkafn.2019.26.1.52
  27. M. A. Yun, S. S. Kim, S. H. Kim, S. H. Noh, "The Effects of a Standardized Preoperative Education Program on Stomach Cancer Patients undergoing Gastrectomy", Asian Oncology Nursing Vol.16 No. 2 pp.85-93, (2016). https://doi.org/10.5388/aon.2016.16.2.85