This study was designed to investigate the effects of exercise therapy on joint mobility, daily activity, pain and depression of patients with ankylosing spondylitis. 25 persons with the experimental group and 25 persons with the control group were conveniently sampled among out-patients diagnosed with ankylosing spondylitis at the rheumatism center of H University Medical Center. The control patients were matched to the experimental group and they were selected considering sex and age. The exercise therapy was developed by the author with the assistance of exercise specialists. The program includes muscle relaxation, flexibility, muscle strengths, breathing strengths and straight posture exercises. The 20-minute exercise therapy was carried out to the experimental group once a day for eight weeks from October, 1997 to February, 1998. Before and after the experiments, joint mobility, daily activity, pain and depression were measured respectively. Data were analyzed by x2-test, t-test, paired t-test and unpaired t-test. The results were as follows : Joint mobility(cervical flexion, extension, shoulder flexion, abduction, hip abduction, knee flexion and fingertip to floor distance) and daily activity in the experimental group after the exercise were significantly increased than that in the control group. The pain and depression score in the experimental group after the exercise were significantly decreased than that in the control group. These findings may indicate that the exercise therapy is effective in increasing the joint mobility and daily activity, and also effective in decreasing pain and depression in patients with ankylosing spondylitis. Accordingly, the exercise therapy can be adopted as an effective nursing intervention for ankylosing spondylitis.

This study was designed to identify the relationship between perceived pain, family support and quality of life in patients with ankylosing spondylitis. The purpose of this study was to contribute to the theoretical understanding of the relationship of these three variables and eventually to more effective adaptation of patients to their situation. The subjects for this study were the 68 patients who had been diagnosed with ankylsing spondylitis and registered as out-patients in the Rheumatism Center of one university hospital in Seoul. The data were collected during the period from October 10, 1997 to December 20, 1997. Pain was measured using the perceived pain scale(VAS: Visual Analog Scale)developed by Calin(1993), family support using the scale developed by Kang Hyun Suk(1985) and Quality of Life using the scale developed by Ro Yoo Ja(1988). The data were analyzed by descriptive statistics, Frequencies, Pearson correlation, using the SPSS program. The results of this can be summarized as followings. 1. The mean perceived pain score was 5.13 with a range of 2 to 10. 2. The mean perceived family support score was 41.08+/-5.34 with a range of 20 to 50. 3. The mean perceived quality of life score was 134.07+/-19.82 with a range of 83 to 176. 4. Significant statistical difference was found between family support and quality of life(r=.331, p<0.001). A significant negative statistical difference was found between the family support and quality of life and pain(r=-.250, p<0.05, r=-.460, p<0.001). 5. General characteristics related to pain were exercise(t=4.72, p<0.0006). 6. General characteristics related to family support were age(F=2.65, p<0.0246), educational level(F=2.84, p<0.0282) and exercise(t=3.24, p<0.0452). 7. General characteristics related to quality of life were educational level(F=3.03, p<0.0392) and exercise(t=3.12, p<0.0465). It was found that the higher the level perceived pain, the lower the degree of perceived family support and the quality of life. It was also fund that the higher the degree of perceived family support the higher the degree of perceived quality of life. Accordingly, the conclusions from this study are that reduction of pain is achieved through the family support. Therefore, it is proposed that family support is an appropriate nursing intervention to improve the quality of life of patients with anklosing spondylitis.