골관절염 대상자에게 간호중재로 적용한 보완대체요법의 효과: 체계적 문헌고찰

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this review was to analyze the effectiveness of complementary and alternative therapies (CAT) as nursing interventions for patients with osteoarthritis (OA). Methods: A systematic literature review was conducted using the PRISMA statement guidelines. To search for studies related to the effects of CAT applied as nursing care in OA patients, a combination of the keywords ‘osteoarthritis,’ ‘complementary and alternative therapy,’ and ‘nursing care’ were used. Finally, 12 articles retrieved from five electronic databases were included for the analysis. Results: Twelve studies were classified into seven interventions: Tai chi exercise, yoga, qigong, massage. flax seed compress, music, and meditation relaxation, administered by a nurse, and were RCTs. Outcome variables used for pain evaluation were WOMAC and VAS. The duration of interventions varied from 2 to 12 weeks. All twelve interventions had a positive effect on the outcome variables. Conclusion: CAT applied in nursing care for patients with OA significantly reduced pain and improved mobility. When planning a nursing intervention program, it is recommended to combine multiple therapies, considering the duration of effects. In addition, it is recommended to design the study as an RCT to secure the evidence for practical application.

참고문헌 (Reference)

1 이희복, "퇴행성관절염 환자의 보완‧대체요법 이용행태" 대한근관절건강학회 15 (15): 41-52, 2008

2 김정숙, "퇴행성관절염 여성노인들의 보완대체요법 이용 유무에 따른 건강증진행위 비교" 한국디지털정책학회 16 (16): 451-459, 2018

3 박영임, "재가 취약계층 노인의 보완대체요법에 대한 태도, 이용 및 유해반응" 한국지역사회간호학회 25 (25): 1-11, 2014

4 감신, "일개 시지역 저소득 골관절염 환자의 보완대체요법 이용실태 및 비용 -의료급여 및 건강보험하위 20% 대상자를 중심으로-" 한국농촌의학.지역보건학회 33 (33): 181-192, 2008

5 안연혜, "수지 뜸요법과 압봉 자극법이 재가노인의 변비 완화에 미치는 효과" 한국성인간호학회 24 (24): 109-118, 2012

6 최희권, "수중운동 프로그램이 골관절염 환자의 체력, 통증 및 삶의 질에 미치는 영향" 대한근관절건강학회 16 (16): 55-65, 2009

7 안영준, "불안에 대한 운동요법 중 요가, 기공, 태극권 연구 고찰: 2009년부터 2015년까지 국내학술지 논문을 중심으로" 대한한방신경정신과학회 27 (27): 23-31, 2016

8 오가실, "보완대체요법의 국내외 연구 동향 비교" 한국간호과학회 36 (36): 721-731, 2006

9 최경호, "보완대체요법에 대한 인식 및 적용실태" 한국생활환경학회 18 (18): 580-589, 2011

10 임소희, "보완대체요법에 대한 간호대학생의 인식, 경험 및 태도 조사" 동서간호학연구소 21 (21): 110-118, 2015

11 김정순, "발반사 마사지가 골관절염 재가 여성노인의 관절통증, 관절강직, 우울 및 수면에 미치는 효과" 한국지역사회간호학회 25 (25): 207-216, 2014

12 윤청구, "무릎 골관절염 환자에게 적용된 운동 프로그램이 통증 및 삶의 질에 미치는 영향: 체계적 문헌고찰과 메타분석" 대한근관절건강학회 21 (21): 173-183, 2014

13 김인자, "무릎 골관절염 환자에게 시행한 아로마 마사지가 통증, 일상활동 능력 및 피로에 미치는 효과" 대한근관절건강학회 16 (16): 145-153, 2009

14 김영일, "무릎 골관절염 대상자에게 적용한 자가관리 중재의 효과 메타분석" 한국산학기술학회 16 (16): 1946-1956, 2015

15 이혜영, "류마티스 관절염환자를 위한 타이치운동과 이압요법의 효과- 영국 옥크셔지역을 중심으로 -" 대한근관절건강학회 18 (18): 103-112, 2011

16 손정태, "농촌지역 골관절염 환자의 삶의 질에 영향을 미치는 요인" 한국노년학회 34 (34): 23-35, 2014

17 K.L. Lapane, "Use of complementary and alternative medicine among patients with radiographic-confirmed knee osteoarthritis" Elsevier BV 20 (20): 22-28, 2012

18 Robbins, L., "The state of the science in the prevention and management of osteoarthritis : experts recommend ways to increase nurses' awareness and knowledge of osteoarthritis" 31 (31): 74-81, 2012

19 Caroline A Brand, "The role of self‐management in designing care for people with osteoarthritis of the hip and knee" AMPCo 189 (189): 525-528, 2008

20 Choi, I. S., "The effect of hand acupuncture in knee pain, depression and stress in community-dwelling elderly women with osteoarthritis" University of Chung-Ang 2018

21 Park, J., "The effect of chair yoga on biopsychosocial changes in English-and Spanish-speaking community-dwell-ing older adults with lower-extremity osteoarthritis" 59 (59): 604-626, 2016

22 Statistic Korea, "Population Projections for Korea in 2020"

23 Lisa Corbin Winslow, "Physicians Want Education About Complementary and Alternative Medicine to Enhance Communication With Their Patients" American Medical Association (AMA) 162 (162): 1176-1181, 2002

24 JiaJia Ye, "Mindful Exercise (Baduanjin) as an Adjuvant Treatment for Older Adults (60 Years Old and Over) of Knee Osteoarthritis: A Randomized Controlled Trial" Hindawi Limited 2020 : 1-9, 2020

25 Freda G. DeKeyser, "Knowledge levels and attitudes of staff nurses in Israel towards complementary and alternative medicine" Wiley 36 (36): 41-48, 2001

26 Halil Ibrahim Tuna, "Investigation of the effect of black cumin oil on pain in osteoarthritis geriatric individuals" Elsevier BV 31 : 290-294, 2018

27 Tracey E. Howe, "Exercise for Osteoarthritis of the Hip and Knee" Springer Publishing Company 36 (36): 155-168, 2016

28 Cho, Y. A., "Evidence-Based Nursing Practice for Nurses" Fornurse Book 2018

29 Carol L. Baird, "Efficacy of Guided Imagery with Relaxation for Osteoarthritis Symptoms and Medication Intake" Elsevier BV 11 (11): 56-65, 2010

30 Gi-Suk Lee, "Effects of heat therapy given at a community heath clinic on sleep and pain in rural elders who have osteoarthritis" 한국농촌간호학회 1 (1): 32-39, 2006

31 Rhayun Song, "Effects of a Sun-style Tai Chi Exercise on Arthritic Symptoms, Motivation and the Performance of Health Behaviors in Women with Osteoarthritis" 한국간호과학회 37 (37): 249-256, 2007

32 Song, R. Y., "Effects of Tai chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis: A randomized clinical trial" 30 (30): 2039-2044, 2003

33 Betul Tosun, "Effects of Self-Knee Massage With Ginger Oil in Patients With Osteoarthritis: An Experimental Study" Springer Publishing Company 31 (31): 379-392, 2017

34 Ruth McCaffrey, "Effect of music on chronic osteoarthritis pain in older people" Wiley 44 (44): 517-524, 2003

35 Burcu Babadağ Savaş, "Effect of flaxseed poultice compress application on pain and hand functions of patients with hand osteoarthritis" Springer Science and Business Media LLC 38 (38): 1961-1969, 2019

36 K. J. Hunt, "Complementary and alternative medicine use in England: results from a national survey" Hindawi Limited 64 (64): 1496-1502, 2010

37 Ruth McCaffrey, "Chair Yoga: Feasibility and Sustainability Study With Older Community-Dwelling Adults With Osteoarthritis" Ovid Technologies (Wolters Kluwer Health) 31 (31): 148-157, 2017

38 Pao-Feng Tsai, "A supplemental report to a randomized cluster trial of a 20-week Sun-style Tai Chi for osteoarthritic knee pain in elders with cognitive impairment" Elsevier BV 23 (23): 570-576, 2015

39 Beak, M. W., "A study on effects of Tai chi exercise program on pain, flexibility, perceived health statue and instrumental activities of daily living for osteoarthritis patients" 12 (12): 119-132, 2005

40 Rhayun Song, "A Randomized Study of the Effects ofT'ai Chion Muscle Strength, Bone Mineral Density, and Fear of Falling in Women with Osteoarthritis" Mary Ann Liebert Inc 16 (16): 227-233, 2010