재가 무릎 골관절염 환자의 관절건강 자가관리 프로그램 개발 및 효과: IMB 모델 적용 = Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities. Methods: This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education. Results: Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group. Conclusion: The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients’ procedures.

참고문헌 (Reference)

1 김숙영, "한국인의 골관절염 위험요인 분석" 한국재활간호학회 14 (14): 111-117, 2011

2 이명숙, "취약계층 골관절염 여성의 건강증진 프로그램 효과" 한국지역사회간호학회 22 (22): 241-251, 2011

3 심강희, "자가혈당 측정결과기반 당뇨교육프로그램이 제2형 당뇨병환자의 혈당조절에 미치는 효과" 한국간호교육학회 19 (19): 127-136, 2013

4 이형대, "만성퇴행성관절염 여성노인의 유형별 수중운동이 하지 근 기능 및 슬관절 ROM에 미치는 효과" 한국체육과학회 19 (19): 1129-1139, 2010

5 김진순, "농촌 지역 퇴행성 관절염 노인을 대상으로 한 운동수행 의도 증진프로그램의 효과" 기초간호학회 17 (17): 1-10, 2015

6 전은영, "남성노인과 여성노인의 골관절염 관련 건강행태 비교" 한국데이터정보과학회 26 (26): 1453-1463, 2015

7 윤종현, "골관절염의 최신지견" 대한내과학회 82 (82): 170-174, 2012

8 이은남, "‘골관절염 환자를 위한 스스로 관절관리’ 프로그램의 효과검증" 대한근관절건강학회 22 (22): 105-113, 2015

9 Bellamy N, "Validation study of a computerized version of the Western Ontario and McMaster universities VA3.0 osteoarthritis index" 24 (24): 2413-2415, 1997

10 Ajzen I, "Understanding attitudes and predicting social behavior" Prentice-Hall 278-, 1980

11 Kim JI, "The nurse's role of exercise intervention in patients having arthritis" 33 (33): 28-32, 1994

12 Cho SJ, "The effect of a self-efficacy reinforcement stretching exercise program for elderly patients with osteoarthritis" Korea University 2012

13 Dorothea V. Atkins, "The Effects of Self-Massage on Osteoarthritis of the Knee: a Randomized, Controlled Trial" Massage Therapy Foundation 6 (6): 4-14, 2013

14 Kate R. Lorig, "Self-management education: History, definition, outcomes, and mechanisms" Oxford University Press (OUP) 26 (26): 1-7, 2003

15 Janice Chaim Alves, "Quality of life and functional capacity of elderly women with knee osteoarthritis" FapUNIFESP (SciELO) 11 (11): 209-215, 2013

16 inistry of Health and Welfare, "Korea health statistics 2012:Korea National Health and Nutrition Examination Survey (KNHANESV-3)" Ministry of Health and Welfare 2013

17 Seels B, "Instructional technology: The definition and domains of the field" Association for Educational Communications and Technology 208-, 1994

18 Park SY, "Effect of self help program or pain, ADL, exercise self-efficacy, and knowledge about arthritis in patients with osteoarthritis" 11 (11): 31-41, 2004

19 Jo KH, "Development of a health behavior assessments scale of patients with rheumatoid arthritis" 30 (30): 1333-1346, 2000

20 Kate Lorig, "Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis" Wiley 32 (32): 37-44, 1989

21 S.-C. Bae, "Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne Osteoarthritis Indices for Clinical Research" Elsevier BV 9 (9): 746-750, 2001

22 Francis JJ, "Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers" University of Newcastle 42-, 2004

23 Sheikh JI, "Clinical gerontology: A guide to assessment and intervention" Haworth Press, Inc 165-173, 1986

24 Lee EO, "Arthritis, self-management of patients" Shinguang 451-, 1999

25 Jeffrey D. Fisher, "An information-motivation-behavioral skills model of adherence to antiretroviral therapy." American Psychological Association (APA) 25 (25): 462-473, 2006

26 G. A. Brown, "AAOS Clinical Practice Guideline: Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition" Ovid Technologies (Wolters Kluwer Health) 21 (21): 577-579, 2013

27 Kee BS, "A preliminary study for the standardization of geriatric depression scale short form-Korea version" 35 (35): 298-307, 1996