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Effects of a Rehabilitation Nursing Program on Muscle Strength, Flexibility, Self efficacy and Health Related Quality of Life in Disabilities
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Hea Young Lee
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Journal of Korean Academy of Nursing 2006;36(3):484-492. Published online June 30, 2006
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DOI: https://doi.org/10.4040/jkan.2006.36.3.484
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Abstract
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Purpose
The purpose of this study was to investigate the effects of a rehabilitation nursing program(RNP) for persons with disabilities.
Method
a quasi-experimental pretest and post test study was used to examine the changes of patient's muscle strength, flexibility, self efficacy and health related quality of life at the completion of an 8-week education and physical exercise with a Thera-Band and Exercise Ball course. The subjects consisted of 40 adults who were disabled. Twenty-two experimental and 18 control subjects completed pre and post-test measures. Outcome variables were flexibility, hand grip, elbow flexor and extensor, knee flexor and extensor, self efficacy and quality of life. Independent t-test and ANCOVA were used to examine group differences by using SPSS 12.0
Result
Mean comparisons of the change scores revealed that the experimental group increased significantly in knee extremity flexor(p=0.035), extensor(p=0.039), flexibility(p=0.008), self efficacy(p=0.000), and quality of life(p=0.000). No significant group differences were found in each patient's hand grip, elbow flexor and extensor.
Conclusion
RNP can improve lower extremity flexibility, muscle strength, self efficacy and health related quality of life in people with disabilities. The intervention to tailor exercise and education to the unique needs of the disability was suggested for further study.
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Citations
Citations to this article as recorded by 
- Physical Fitness, Exercise Self-Efficacy, and Quality of Life in Adulthood: A Systematic Review
María del Rocio Medrano-Ureña, Rosario Ortega-Ruiz, Juan de Dios Benítez-Sillero International Journal of Environmental Research and Public Health.2020; 17(17): 6343. CrossRef - Effects of an abdominal muscle exercise program in people with intellectual disabilities residing in a residential care facility
Sungmin Son, Byoungjin Jeon Journal of Physical Therapy Science.2017; 29(7): 1196. CrossRef - Socialization and Health Experiences of Physical disabled Adults in Public Welfare Program
Jeong-Soo KIM Journal of Fisheries and Marine Sciences Education.2016; 28(1): 258. CrossRef - Life Experiences of the Disabled Adults in Public Education Yahak Program
Jeong-Soo KIM Journal of Fisheries and Marine Sciences Education.2016; 28(3): 661. CrossRef - Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty
Ji Yeong Yun, Jong Kyung Lee Journal of Korean Academy of Nursing.2015; 45(6): 823. CrossRef
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Comparison of Effects among Tai-Chi Exercise, Aquatic Exercise, and a Self-help Program for Patients with Knee Osteoarthritis
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Hea Young Lee
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Journal of Korean Academy of Nursing 2006;36(3):571-580. Published online June 30, 2006
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DOI: https://doi.org/10.4040/jkan.2006.36.3.571
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Abstract
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Purpose
This study was to compare the effects among Tai-Chi exercise, aquatic Exercise, and a self-help program for knee osteoarthritis patients on symptoms of arthritis, muscle strength, balance, and difficulty of performing activities.
Method
There were 50 final subjects50. A non-equivalent pretest-posttest design was used. The collected data was analyzed using SPSS for Window. One-way ANOVA and Scheffe's multiple comparison test were used 8weeks after each program.
Result
There were significant differences in joint pain(p=.000), stiffness (p=.001), knee extensor peak torque(p=.006), knee flexor(p=.002), and difficult of performing activity (p=.000), but there was no significant difference in balance(p=.648). The Tai-Chi group was significantly different from the self-help group for knee extensor peak torque, knee flexor and stiffness on Scheffe's multiple comparison tests. In addition, the Tai Chi group or aquatic group were significantly different from the self-help group for difficulty of performing activities(p<0.05).
Conclusion
There are significant differences in the effects of the nursing intervention among the three groups. The Tai Chi group and aquatic group were significantly different from the self-help group. However, it seems that Tai-chi exercise may be more suitable than aquatic exercise in osteoarthritis exercise programs. Further studies with a longitudinal study are necessary to confirm the longer exercise period.
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Citations
Citations to this article as recorded by 
- How Do Muscle Function and Quality Affect the Progression of KOA? A Narrative Review
Lei Chen, Haojing Zhou, Yichen Gong, Yi Tang, Hai Su, Zhaokai Jin, Guoqian Chen, Peijian Tong Orthopaedic Surgery.2024; 16(4): 802. CrossRef - Effects of a Physical Activity Program based on Social Cognitive Theory for Old-Old Women with Knee Osteoarthritis
Soon Rim Suh, Jeong Hwa Lee Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(3): 278. CrossRef - The Effects of Baduanjin Qigong on Postural Stability, Proprioception, and Symptoms of Patients With Knee Osteoarthritis: A Randomized Controlled Trial
Jiajia Ye, Michael William Simpson, Yang Liu, Wei Lin, Weihong Zhong, Shuhe Cai, Liye Zou Frontiers in Medicine.2020;[Epub] CrossRef - Evaluation of the Interaction Model of Client Health Behavior‐based multifaceted intervention on patient activation and osteoarthritis symptoms
Yang Heui Ahn, Ok Kyung Ham Japan Journal of Nursing Science.2020;[Epub] CrossRef - Development and Validity Testing of an Arthritis Self-Management Assessment Tool
HyunSoo Oh, SunYoung Han, SooHyun Kim, WhaSook Seo Orthopaedic Nursing.2018; 37(1): 24. CrossRef - Trend Analysis of Water-based Exercise on Pain and Physical Function in Older, Community-dwelling Women with Osteoarthritis in South Korea : A Systematic Review
SeJun Oh, Minhee Kim, Minyoung Lee, Jun-Woo Yeom, Jaehyuk Lee, BumChul Yoon Archives of Orthopedic and Sports Physical Therapy.2017; 13(1): 1. CrossRef - The Effects of Isokinetic Exercise on Knee Joint Combined Russian Current Stimulation
Dong-Hoon Kim, Ho-Bal Jung The Journal of Korean Physical Therapy.2015; 27(5): 351. CrossRef - The effects of t’ai chi on muscle activity, pain, and balance in females in their 20s with acute low back pain
Jee-Hun Jang, Tae-Yong Cho, Yong-Ho Cho Journal of Physical Therapy Science.2015; 27(3): 725. CrossRef - The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis
Soon-Ok Yang, Myung Soon Kwon, Yong-Jun Choi, Seung-Hee Lee Journal of Korean Academy of Community Health Nursing.2011; 22(2): 151. CrossRef - Analysis of Studies on the Effect of Aquatic Exercise Program
Jong-Im Kim, Kyung-Sook Cho, Hee-Sook Sim, Eun-Nam Lee, In-Ok Lee, Young Eun, Dong-Suk Lee, Hyun-Sook Kang, Won-Sook Bak, Ji-Hyun Lee Journal of muscle and joint health.2011; 18(2): 257. CrossRef - The Effect of Health Promotion Program in Vulnerable Women with Osteoarthritis
Myung Suk Lee, Hyun JA Lim, Jung Suk Kim Journal of Korean Academy of Community Health Nursing.2011; 22(3): 241. CrossRef - Effects of Tai Chi Exercise and Auricular Acupressure in Patients with Rheumatoid Arthritis
Hea-Young Lee, Claire Hale Journal of muscle and joint health.2011; 18(1): 103. CrossRef - The Effect of Self-help Tai Chi Over 16 Weeks in Community Program for Older Adults Korean American Women
Eunhee Lee Korean Journal of Women Health Nursing.2010; 16(1): 87. CrossRef - Effectiveness of Aquatic Exercise for Obese Patients with Knee Osteoarthritis: A Randomized Controlled Trial
Jae‐Young Lim, Esther Tchai, Soong‐Nang Jang PM&R.2010; 2(8): 723. CrossRef - The Effects of a Tai Chi Exercise Program for Patients with Arthritis in Rural Areas
Aeyoung So, Kyung-Sook Lee, Jung Sook Choi, Eun Hee Lee Journal of Korean Academy of Community Health Nursing.2010; 21(1): 118. CrossRef - Effects of Tai-Chi Exercise and Self-help Management Program Applying Laughter Therapy in Patients with Osteoarthritis
Keum-Soon Kim, Jeong-A Yu, Jin-A Kim, Yim-Sun Lee, In-Ok Lee Journal of muscle and joint health.2010; 17(1): 68. CrossRef - Effects of Tai Chi Exercise Program on Physical Fitness, Fall related Perception and Health Status in Institutionalized Elders
MingRen Liu, Heeyoung So Journal of Korean Academy of Nursing.2008; 38(4): 620. CrossRef
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Health Related Quality of Life of Women with Disabilities and Its Affecting Factors
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Hea Young Lee, Moon Ja Suh, Se An Kim
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Journal of Korean Academy of Nursing 2005;35(3):575-584. Published online June 30, 2005
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DOI: https://doi.org/10.4040/jkan.2005.35.3.575
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Abstract
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Purpose
The purpose of this study was to investigate the factors that influenced health related quality of life in women with disabilities. The other purpose was to examine the correlations of activities of these women's daily life, self esteem, and health promoting behavior with health related quality of life.
Method
The subjects consisted of120 adult disabled women. Data was collected from February to June2004 using structured questionnaires. Spearman's correlation, and multiple regression were used to test the quality of life with K-ADL, self esteem, and health promoting behaviors by using SPSS 12.0 for windows.
Result
The health related quality of life of women with disabilities was related to educational level, marital status, residential type, cause of acquired disability and disability of spouse. In addition, it was related to self esteem (r=.385, p=0.00), health promoting behaviors(r=.428, p=0.00), K-ADL(r=-.419, p=0.00) and K-IADL(r=-.439, p=0.00). Activities of daily life, self esteem and health promoting behaviors were significant predictors 37.3% (=0.212, p=0.000) to explain quality of life in disabled women.
Conclusion
The more self esteem, health promoting behaviors, K-ADL and K-IADL are positive, the more the health related quality of life is good. Further studies need to be done to investigate additional effects of health related quality of life and to investigate nursing approaches to improve their health related quality of life with significant predictors.
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Citations
Citations to this article as recorded by 
- Age categories differences in subjective quality of life of women with physical disabilities
Dagmar Nemček, Patrícia Shtin Baňárová, Petra Kurková Slovenian Journal of Public Health.2021; 60(2): 124. CrossRef - Factors influencing Health-related Quality of Life in Korean Medicaid Beneficiaries
Sun-Woo Hong Journal of Korean Academy of Nursing.2009; 39(4): 480. CrossRef
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