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Original Articles
A Structural Equation Model of Health-Related Quality of Life among Older Women Following Bilateral Total Knee Replacement
Lee, Hyun Ok , Yoo, Jae Soon
J Korean Acad Nurs 2020;50(4):554-570.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.19216
AbstractAbstract PDF
Purpose
This study aimed to develop and test a structural equation model of health-related quality of life among older women following bilateral total knee replacement based on a literature review and Wilson and Cleary’s model of health-related quality of life.
Methods
One hundred ninety three women who were diagnosed with osteoarthritis, were older than 65 years, and were between 13 weeks and 12 months of having a bilateral total knee replacement were recruited from an outpatient clinic. Data were collected from July 2017 to April 2018 using a structured questionnaire and medical records. Data were analyzed using SPSS/WIN 22.0, AMOS 22.0, and Smart PLS 3.2.4.
Results
The fitness of the hypothetical model was good, with coefficients of determination (R2 ) ranging between .28 and .75 and predictive relevance (Q2 ) between .26 and .73. The standardized root mean square residual of the model fit indices for the hypothetical model was .04; which explained 64.2% of physical and 62.5% of mental health-related quality of life. Self-efficacy, symptom status, functional status, and general health perceptions had a significant direct effect on physical health-related quality of life, while social support, symptom status, and general health perceptions had a significant direct effect on participants’ mental-health-related quality of life.
Conclusion
To improve the physical and mental quality of life of older women who receive bilateral knee replacement, nursing-based intervention strategies that reduce symptoms, improve functional status, and increase health perceptions, self-efficacy, and social support are needed. The most important factor is the symptom status.

Citations

Citations to this article as recorded by  
  • Health-related quality of life for older patients with chronic low back pain: A structural equation modeling study
    Suin Lee, Eun-Ju Lee
    Journal of Korean Gerontological Nursing.2023; 25(3): 248.     CrossRef
  • Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
    Bukyung Kim, Mi-Hae Sung
    Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
  • Effect of Oral Tranexamic Acid on the Blood Transfusion Rate and the Incidence of Deep Vein Thromboembolism in Patients after TKA
    Bingqian Chen, Xiaohong Qu, Xiaowen Fang, Xuesong Wang, Guoxiu Ke, Xiaonan Xi
    Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1.     CrossRef
  • Relationship between Uncertainty and Health-related Quality of Life in Elderly Patients Undergoing Total Knee Arthroplasty: The Mediating Effects of Sense of Coherence and Social Support
    Min-Yi Song, Min-Jeong Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 284.     CrossRef
  • The Effect of Focusing Manner on Quality of Life in Patients with Chronic Pain: The Sequential Mediating Effects of Social Support and Self-efficacy
    Song Hee Yoon, Ju Young Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 248.     CrossRef
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Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis
Kim, Jung-Suk , Kim, Chun-Ja
J Korean Acad Nurs 2020;50(2):271-285.   Published online April 30, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.2.271
AbstractAbstract PDF
Purpose
This study examined the effects of a physical activity promoting program based on the Information-Motivation-Behavioral Skills (IMB) model on physical activity and health outcomes among obese older adults with knee osteoarthritis.
Methods
This study utilized a randomized controlled trial with a convenience sample of 75 obese older adults with knee osteoarthritis in a university hospital. The older adults in the intervention group participated in a 12-week program involving weekly group sessions and monitoring calls with education booklets and video clips for exercise dances, while those in the control group received an usual care. Outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. The intervention effects were analyzed using Mann-Whitney U test and ANCOVA.
Results
The mean age of participants was 74.9 years with 84.0% women. The intervention group at 12 weeks showed significantly greater improvements in self-efficacy for physical activity (F=81.92, p <.001), physical activity amounts (Z=-2.21, p =.044), knee joint function (F=15.88, p <.001), and health-related quality of life (F=14.89, p <.001) compared to the control group. Among obese-metabolic outcomes, the intervention group at 12 weeks showed a significant decrease in visceral fat mass (F=7.57, p =.008) and improvement in high-density level cholesterol (F=9.51, p =.003) compared to the control group.
Conclusion
Study findings support the need for an IMB based physical activity program for promoting physical activity, knee function and health outcomes in obese older adults with knee osteoarthritis. Longitudinal studies are warranted to confirm the persistence of obese-metabolic effects in clinical settings.

Citations

Citations to this article as recorded by  
  • Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis
    Belinda J. Lawford, Rana S. Hinman, Libby Spiers, Alexander J. Kimp, Andrea Dell'Isola, Alison R. Harmer, Martin Van der Esch, Michelle Hall, Kim L. Bennell
    Arthritis Care & Research.2025; 77(4): 460.     CrossRef
  • Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis
    Sang-woo Yoon, Suhn-yeop Kim
    Journal of The Korean Society of Physical Medicine.2024; 19(1): 81.     CrossRef
  • A predictive model for medication adherence in older adults with heart failure
    Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
    European Journal of Cardiovascular Nursing.2024; 23(6): 635.     CrossRef
  • Exercise for osteoarthritis of the knee
    Belinda J Lawford, Michelle Hall, Rana S Hinman, Martin Van der Esch, Alison R Harmer, Libby Spiers, Alex Kimp, Andrea Dell'Isola, Kim L Bennell
    Cochrane Database of Systematic Reviews.2024;[Epub]     CrossRef
  • Development and Evaluation of a Web-Based Self-Management Program for Korean Adult Patients with Irritable Bowel Syndrome Based on the Information–Motivation–Behavioral Skills Model
    Seohyeon Hwang, Woori Na, Dayoung Oh, Cheongmin Sohn
    Applied Sciences.2023; 13(12): 6915.     CrossRef
  • The Information-Motivation-Behavioral Skills Model: An Examination of Snacking-Avoidance Behavior Among Elementary Schoolchildren
    Chun-Hsia Huang, Shu Yu, Caroline Chou, Tze-Fang Wang
    Child & Family Behavior Therapy.2023; 45(4): 304.     CrossRef
  • The effectiveness of exercise with behavior change techniques in people with knee osteoarthritis: A systematic review with meta‐analysis
    Takashi Ariie, Hiroshi Takasaki, Ryota Okoba, Hiroki Chiba, Yusuke Handa, Takahiro Miki, Shunsuke Taito, Yusuke Tsutsumi, Masaharu Morita
    PM&R.2023; 15(8): 1012.     CrossRef
  • Effectiveness of online caries management platform in children's caries prevention: A randomized controlled trial
    Siqi Yan, Song Luo, Xiaoxia Yang, Lidan He, Xinyi Chen, Guoying Que
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model
    Ying Wang, Xin Guo, Bo Chen, Hong Chen, Yanling Chen, Ling Ma, Huan Liu
    Patient Preference and Adherence.2023; Volume 17: 3503.     CrossRef
  • Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
    Yun Bock Kwak, Ji Young Kim
    Journal of Korean Academy of Nursing.2022; 52(3): 261.     CrossRef
  • Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map
    Isabel Galicia Ernst, Gabriel Torbahn, Lukas Schwingshackl, Helge Knüttel, Robert Kob, Wolfgang Kemmler, Cornel C. Sieber, John A. Batsis, Dennis T. Villareal, Nanette Stroebele‐Benschop, Marjolein Visser, Dorothee Volkert, Eva Kiesswetter, Daniel Schoene
    Obesity Reviews.2022;[Epub]     CrossRef
  • Given According to Knowledge, Motivation and Behavioral Skills (IMB Model) The Effect of Diabetes Education on Self-Care
    Bahar İNKAYA, Tuba YILMAZER, Hilal TÜZER, Elif Yeter ERBİL
    Turkish Journal of Diabetes and Obesity.2022; 6(3): 241.     CrossRef
  • [Retracted] Effects of Physical Exercise on Physical Fitness and Mental Health of Obese Students
    Junfang Wu, Shao Liang
    Journal of Environmental and Public Health.2022;[Epub]     CrossRef
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  • 13 Crossref
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A Structural Model for Quality of Life in Individuals with Rheumatoid Arthritis
Hyun Soo Oh, Young Ran Kim
Journal of Nurses Academic Society 1997;27(3):614-626.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.614
AbstractAbstract PDF

The main purposes of the study were to develop and test a model which explains the dynamic relationship among factors reported as affecting to the quality of life of individuals with rheumatoid arthritis and to examine the relationship between self-help response and quality of life. Data for the study were collected from March 1996 to December 1996 from 153 female patients who regularly visited a clinic for people with rheumatism. The Patients were introduced to the investigators by nurses who worked at that clinic, and then the investigator interviewed the patients for 30 to 40 minutes to collect the data. Instruments used in the study were modified self-report questionnaires from the ones which were already developed in previous studies of from related literature. Data analysis were performed using LISREL(Lineal Structural Relations) 8 Program to test whether the proposed hypothesized model fit the collected data. To test fitablity of the hypothesized model both a general fit measure and a detailed fit measure were used. Based on the test results from the various fit measures, the hypothesized model was found to be well suited to the real data. As characteristics related to illness becomes severe, the feasibility for uncertainty about the illness tend to increase, but, the direct effects from the illness characteristics(such as level of physical symptoms, sense of social-psychologic change, limitations of action) as they are related to the other intrinsic variables(self-efficacy or self-help behavior and quality of life), were found to be not significant. It was found that uncertainty had a direct effect on self-efficacy but did not have a direct effect on self-help behavior or quality of life. Also, it is noted that self-efficacy had a positive effect on self-help behavior and quality of life and there was a bilateral relationship between self-efficacy and self-help behavior. Lastly, the hypothesis proposed from the theoretical model in this study was supported basis of the results that self-help behavior provides both direct and positive effects to quality of life. Particularity, since a bilateral relationship was also found between self-help behavior and quality of life in the modified model, as self-help behavior increased, so did quality of life. And, reversely, as quality of life increased, so did self-help behavior. In conclusion, the results of this study suggest that focusing on both acquirement and reinforcement of adjustment factors or self-help behavior is more efficient than focusing on the characteristics of illness in establishing the strategies for improving quality of life of individuals with rheumatoid arthritis.

Citations

Citations to this article as recorded by  
  • Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
    Bukyung Kim, Mi-Hae Sung
    Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
  • Factors Related to Quality of Life among Older Adults who Had Arthritis: Limited Daily Activities and Physical Activity
    Jee-Seon Yi
    Physical Therapy Rehabilitation Science.2023; 12(4): 431.     CrossRef
  • Health-related Quality of Life in Korean Patients with Rheumatoid Arthritis: Association with Pain, Disease Activity, Disability in Activities of Daily Living and Depression
    Dong Choon Uhm, Eun Sook Nam, Ho Yeon Lee, Eun Bong Lee, Young Im Yoon, Gong Ju Chai
    Journal of Korean Academy of Nursing.2012; 42(3): 434.     CrossRef
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An Exploration of the Life Experiences of Patients with Chronic Pain: Women with Rheumatoid Arthritis
Hea Kyung Hur
Journal of Nurses Academic Society 1997;27(1):13-25.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.1.13
AbstractAbstract PDF

Rheumatoid Arthritis(RA), a chronic and systemic inflammatory disorder, is characterized by joint pain, swelling and stiffness. Patients with RA suffer from joint pain and overall pain. The painful and disabling consequences of RA are accompanied by a variety of affective, cognitive, and behavioral changes. The purpose of this paper was to explore and describe the life experiences of RA patients by eliciting verbal description of their experiences. Participants were nine persons who were diagnosed with RA, and had if for more than six months. They were asked open ended and descriptive questions in order for them to talk about their experiences in their own terms. Interviews were tape recorded and transcribed verbatim. The transcripts were analyzed by Colaizzi method. From the protocols, 213 significant statements about life experience were organized into 83 formulating meanings which were then grouped into five theme clusters. The major themes that emerged from the analysis were 'Emotional Disturbances', 'Trying to Adapt to the Progress of Treatment', ' Change of Role Performances', 'Experiences related to Family'. The result of this study showed that RA patients and families need nursing care based on a deep understanding of their lived experiences in everyday life. Nurses and other health workers must develop rehabilitation programs that focus on the pain control, functional independence and psychosocial factors.

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An Effect of Muscle Strengthening Exercise Program on Muscle Strength, Pain, Depression, Self-efficacy, and Quality of Life of Patients with Knee Osteoarthritis
Mi Ra Lee
Journal of Nurses Academic Society 1996;26(3):556-575.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.3.556
AbstractAbstract PDF

In an attempt to investigate the effect of a muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy and quality of life of patients with knee osteoarthritis, a pre-experiment, one group pre-test and post-test design, was planned. Muscle strengthening exercise was carried out from May 22 through August 14, 1995 at isokinetic exercise room in rehabilitation department of University Hospital in Taejon. The subjects were seven female clients conveniently sampled from University Hospital located in Taejon, between 39 and 61 years of age, who had a osteoarthritis in knee. Muscle strengthening exercise program was composed of three sessions per week, one isokinetic exercise at angular velocity of 60degrees and 180degrees with Cybex isokinetic dynamometer and two resistance home exercise sessions with elastic band. Data were analyzed with frequency, percentage of change, Friedman test, Duncan test using SAS program. Results were obtained as follows: 1) Flexion and extension muscle strength at angular velocity of 60degrees and 180degrees were increased after 12weeks' exercise than those of before experiment. But exept flexion muscle strength at angular velocity of 180degrees (F=3.34, P=0.0261), there was no statistically significant difference among muscle strengths, which is measured every 3 weeks. 2) Pain was decreased after 6weeks' exercise than that of before experiment, and after 12weeks' exercise than that of 6weeks' exercise. There was statistically significant difference(F=4.28, P= 0.0396). 3) Depression was increased after 6weeks' exercise than that of before experiment, and after 12weeks' execise than that of 6weeks' exercise. There was no statistically significant difference between before experiment and after 6weeks' exercise. But, there was statistically significant difference between after 6weeks' exercise and 12weeks' exercise (F=9.38, P=0.0035). 4) Self-efficacy was decreased after 6weeks' exercise than that of before exercise. But, it was increased after 12weeks' exercise than that of before exercise and after 6weeks' exercise. But there was no statistically significant difference (F=1.46, P=0.2706). 5) Quality of life was increased after Gweeks' exercise than that of before exercise, and after 6weeks' exercise than that of 12weeks' exercise. But there was no statistically significant differ-ence(F=1.06, P=0.3816). Thus, the significant of muscle strengthening exercise for the improvement of muscle strength, pain, depression, is verified. But, this study was a preexperiment with small size subjects. So, controlled experimental study is necessary to determine the effect of this muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy, and quality of life of patients with knee osteoarthritis.

Citations

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  • The effects of elastic band exercises and nutritional education on frailty, strength, and nutritional intake in elderly women
    Yena Bong, Wook Song
    Physical Activity and Nutrition.2020; 24(1): 37.     CrossRef
  • The Relationship between Job Stress and Depression in Opticians in Seoul, Korea
    Semi Kim, Jihye Ahn, Moonsung Choi
    Journal of Korean Ophthalmic Optics Society.2019; 24(3): 223.     CrossRef
  • Retracted:Effects of Exercise Program on Physical Fitness, Depression, and Self‐Efficacy of Low‐Income Elderly Women in South Korea
    Kyung Rim Shin, Younhee Kang, Hyo Jung Park, Margaret Heitkemper
    Public Health Nursing.2009; 26(6): 523.     CrossRef
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Prediction Model of Exercise Behavior in Patients with Rheumatoid Arthritis
Eun Ok Lee, In Ja Kim, Jong Im Kim, Hyun Sook Kang, Sang Cheol Bae
Journal of Korean Academy of Nursing 2001;31(4):681-691.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.681
AbstractAbstract PDF

PURPOSE: The exercise status in patients with rheumatoid arthritis, associations between exercise behavior and personal factors, and associations between exercise behavior and exercise-specific cognitions and their effects were assessed. METHOD: Four hundred thirty nine outpatients with rheumatoid arthritis were studied. The exercise status was measured by a single item. The intensity was multiplied by the frequency and duration of each exercise. The product of these intensity values for all exercises was defined as exercise behavior. Based on the Pender's revised health promotion model, exercise benefit, barrier, self-efficacy, enjoyment and social support were chosen as exercise specific cognitions and affect variables. Path analysis was used to identify the predictors of exercise behavior. Results: Compared to the duration before being diagnosed, the number of subjects who exercised regularly increased after being diagnosed. However over half of the subjects refrain from any sort of exercise and the type of exercise is very limited. Among the variables, exercise barrier, self-efficacy, and social support were found to be significant predictors of exercise behavior, and only previous exercise experience was found to be significant predictors of all behavior specific cognitions and affect variables. CONCLUSION: These findings suggest that studies should explore exercise behaviors and strategies to emphasize the cognitive-motivational messages to promote exercise behaviors.

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Pain of Elderly Women with Osteoarthritis
Jae Shin Shin, Hye Gyung An, Hyang Mi Kim, Youn Ja Yoo, Kyung Hee Kim, In Kyung Chong, Yun Mi Lee
Journal of Korean Academy of Nursing 2001;31(2):180-193.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.2.180
AbstractAbstract PDF

The purpose of this study was to determine the meaning of the pain and experiences of elderly women with osteoarthritis, by adopting Colaizzi's phenomenological method. The participants were 7 elderly women over the age of 65. They were selected using a theoretical sampling technique. The Data was collected by in-depth and open-ended interviews from Dec. 1. 1999. to Feb, 28. 2000. The length of the interviews varied from 120 minutes to 180 minutes. Data was recorded and analyzed by a constant comparative
method
. From the data, significant statements were extracted and then organized into 48 themes, which resulted in 15 clusters of themes and 6 categories. The final descriptions turned out to be valid through the interviewee' validation process. Essential themes of the pain experiences emerged : "physical discomfortness(disturbances)", "negative state of mind", "influence of the death", "positive change in life", "Cause of pain perceived", and "change of their personal relationships". From these results, it was found that elderly women need nursing care based on a deep understanding of pain, and a reflection on their past is imperative to overcome their given situations. In conclusion, it is suggested that the care givers provide more support to solve the problems experienced by the elderly. Thus the researchers expect to provide understanding of older people and give basic data of holistic care for them.

Citations

Citations to this article as recorded by  
  • Factors related to Life Satisfaction in Young-Old, Old, and Oldest-Old Women
    Kae-Hwa Jo, Hyun Ji Lee
    Journal of Korean Academy of Nursing.2009; 39(1): 21.     CrossRef
  • Reconstructing a Meaning of Pain: Older Korean American Women's Experiences with the Pain of Osteoarthritis
    Geri L. Dickson, Jong Im Kim
    Qualitative Health Research.2003; 13(5): 675.     CrossRef
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Hospital Breastfeeding Policies and Practices in South Korea: A Comparison with the WHO/UNICEF Ten Steps
Andrea Crivelli Kovach, Heasook Kim
Journal of Korean Academy of Nursing 2000;30(7):1752-1767.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1752
AbstractAbstract PDF

BACKGROUND: The purpose of this study was to describe breastfeeding policies and practices among hospitals in South Korea and the degree to which the hospitals are implementing the WHO/UNICEF Baby Friendly Hospital Initiative.
METHODS
A cross-sectional survey of 34 hospitals was used to collect data. Quantitative and qualitative information and insights into current breastfeeding policies and practices were derived from responses of maternal and child health personnel at each hospital. One questionnaire per hospital was completed with personnel from all sections of maternity services, labor and delivery, nursery, and postpartum, contributing information needed to create a composite picture of the hospital's breastfeeding policies and practices.
RESULTS
Most hospitals were classified as either high or moderately high implementers on four of the Ten Steps: printed information distributed to breastfeeding mothers, oral breastfeeding instruction given to mothers, infant supplementation, and infant feeding schedules. The remaining steps, including key practices like staff instruction, breastfeeding initiation, rooming-in, and hospital postpartum support are being partially implemented by the majority of hospitals in this study.
CONCLUSIONS
Areas identified as needing the greatest attention by hospitals were health care staff training, breastfeeding initiation, supplementation, rooming-in, breastfeeding policy, and postpartum support for the breastfeeding mother.

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Preliminary Analysis for Predicting Changes in Pain and Depression after Implementing the Rheumatoid Health Promotion Program
Hyun Soo Oh, Wha Sook Seo
Journal of Korean Academy of Nursing 2000;30(7):1615-1626.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1615
AbstractAbstract PDF

This study was performed to evaluate the effect of 7-week comprehensive health promotion program for RA patients (CHPPRA) on changes in pain and depression. In addition, it was also examined that this effect was generated by changes in patients' health promoting strategies (positive self-image, positive thinking, problem solving, communication, pain management, stress management, exercise, and knowledge about RA) learned through CHPPRA. Twenty-eight out-patients of RA clinic in a university hospital participated for this study. The results are as followers. Changes in exercise, self-concept, positive thinking, problem solving, depression, and pain management were significant predictors to explain relieving pain level. Since all of these variables had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce pain improvement. Changes in positive thinking, communication skill, exercise, self-concept, pain management, and knowledge about the disease were significant predictors to explain positive change in depression. Since all of the significant variables except the change in knowledge about the disease had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce improving depression level. However, our results showed that the higher level of the knowledge about the disease was, the worse depression was.

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Development of a Health Behavior Assessment Scale of Patients with Rheumatoid Arthritis
Kae Hwa Jo, Won Oak Oh, Jung Yoon Choe
Journal of Korean Academy of Nursing 2000;30(5):1333-1346.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1333
AbstractAbstract PDF

This study is a methodical research to develop a health behavior assessment scale for patients with rheumatoid arthritis, and to test the validity and reliability of the instrument. The research procedure was as follows; 1) The first step was to develop conceptual framework based on a comprehensive review of the literature, in-depth interviews patients with rheumatoid arthritis. This conceptual framework was organized in eight dimensions; pain management, exercise, rest, diet control, active committment, self-management, positive thinking, interpersonal maintenance. Initially 56 items were selected from 164 statement. 2) These items were reviewed by panel of eight specialists and the Index of Content validity (CVI) was calculated, and forty six items were selected which met more than 70% on the CVI. 3) 174 rheumatoid arthritis pateints were interviewed, and data was gathered from Jan. 25 to Feb. 18, 1999 for test reliabilities and validities of the scale. The item analysis was carried out and 40 items were selected. Factor analysis by varimax rotation was carried out to test construct validity. The internal consistency by chronbach's alpha was calculated. The findings were as follows; 1) Item analysis and factor analysis were carried out to test the validity of the health behavior assessment scale. The item analysis was based on the corrected item`s to total correlation coefficient (.30 or more), and information about the alpha estimate. However, this was only if this item was deleted from the scale. As a result of the item analysis, forty items were selected. Thirty items were selected by a initial factor analysis by varimax rotation, and ten items were deleted because of factor complexity. In the secondary factor analysis, eight factors were labled as 'positive thinking', 'exercise', 'rest', 'pain management', 'active committment', 'self-management', 'diet control', and 'interpersonal maintenance', each similar with the conceptual framework. 2) Chronbach's alpha coefficient to test reliability of the scale was. 903 for total the thirty items. The Scale for assessing health behavior developed in this study was identified to be a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for assessment in the health behaviors of the patients with rheumatoid arthritis.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model
    Young-il Kim, Jeong Sook Park
    Journal of Korean Academy of Community Health Nursing.2017; 28(1): 55.     CrossRef
  • Self-Help Education as Outreach Program for Osteoarthritis Patients in Rural Korea
    Kyung-Sook Lee, Ae-Young So, Jennie C. De Gagne, Jung-Sook Choi, Eun-Hee Lee, Gil-Hee Suh, Sun-Ha Choi, Margaret M. Heitkemper
    Journal of muscle and joint health.2011; 18(2): 270.     CrossRef
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The Analysis of the Effects of Comprehensive Health Promotion Program for RA on Changes in Health Promotion Strategies, Knowledge, and Health Status
Hyun Soo Oh
Journal of Korean Academy of Nursing 2000;30(3):619-631.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.619
AbstractAbstract PDF

This study was conducted to test whether a comprehensive health promotion program for rheumatoid arthritis (CHPRRA) affected patients' health promotion strategies and knowledge about the disease, thus leading to the improvement of health status by using repeated measure of quasi- experiment design. Eighteen RA patients who visited the RA clinic of an university hospital located in Inchon were invited to participate in the CHPPRA. According to the study results, it was shown that the CHPPRA had significant effects on the patients' health status such as pain, depression, and functional disability. Also, that the improvement of health status was achieved by a positive change in the four health promotion strategies, which consisted of goal setting, positive thinking, exercise, and knowledge about the disease. Goal setting, positive thinking, and knowledge about the disease could also affect the patients' depression. Thus it can be interpreted that the improvement of these strategies may result in a remarkable decrease of depression. In addition, alleviation of functional disability may be due to increase of exercise. However although the strategies which were directly associated with pain management were not significantly improved, pain was significantly reduced. On the other hand, the study result showed that the other health promotion strategies included in CHPPRA such as pain management, positive thinking, stress management, asking for assistance and communication were not significantly increased. although the health status such as pain, depression, and functional disability, which are final goals of the program, were significantly improved through the exposition of patients to those health promotion strategies.

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An Inquiry to the Casual Perceptions and Health seeking Behaviors of Rheumatoid Arthritis Patients
Boon Han Kim, Hung Kyu Kim, Jung Yun, Jeong Hwa Kang
Journal of Korean Academy of Nursing 1999;29(5):1001-1010.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.5.1001
AbstractAbstract PDF

This study was undertaken to investigate the casual perceptions and health seeking behaviors of Rheumatoid arthritis patients, define and understand the typology, and find the relationship between causal perceptions and health seeking behavioral types. There were six types(Physical Fatigue, Dispensation of Nature, Causality to Environment, Conscience of Guilty, Rationally perceiving, Psychological Stress) of subjective opinion about Causal Perceptions of Rheumatoid Arthritis Patients. And there were four types(Oriental medical Treatment, Information Seeking Dietary Control, Western Medical Treatment) of subjective opinion about Health Seeking Behaviors. In the relationship between types of the causal perceptions and health seeking behaviors, oriental medical treatment and information seeking type were common health seeking behaviors of all six causal perception types, Only difference for internal causal perception types was related to hospital instructions and external causal perception types were related to dietary control. The result of this study can help health care provides, especially nurses to understand the types of causal perceptions and health seeking behaviors of Rheumatoid arthritis patients to gain treatment educational nursing intervention to aid health care.

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Development of health Promotion Program for Individuals With Arthritis: Application of holistic Model
Hyun Soo Oh, Young Ran Kim
Journal of Korean Academy of Nursing 1999;29(2):314-327.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.2.314
AbstractAbstract PDF

In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior, and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program. According to the study results, target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior, and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical, psychological, and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management, skill for problem solving, skill for setting goals, skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as "joint protection, and maintenance of pain management behavior", "maintenance of regular exercise", and "promotion of coping skill in psychosocial dimension" are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives, the final objectives such as "minimization of physical symptoms and signs", "maximization of psychological function", and "maximization of role performance in social domain" could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.

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The Comparison Between the Effects of Integrated Arthritis Self-help Programs and the Effects of Arthritis Exercise Programs Through Meta-analysis
Hyun Soo Oh, Seo Yeon Ok
Journal of Korean Academy of Nursing 1998;28(4):941-957.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.941
AbstractAbstract PDF

The purpose of this study was to use meta-analysis to analyze result of 17 studies which investigated the effects of integrated programs, and 11 studies which examined the effects of exercise programs on pain, depression, and disability. The 28 studies analyzed in this work were selected from the following sources: MEDLINE Search, bibliographies of related studies, main academic journals of nursing in Korea, and journals on arthritis issues. For the analysis of the data, homogeneity of effect sizes which were calculated based on data in the 28 studies was tested and its average effect size was computed by using meta analysis software package which was developed by Song(1992, 1998). the results can be summarized as follows: 1) Homogeneity tests were conducted on integrated programs on pain. In the preliminary homogeneity tests on effect size of all 17 studies, no homogeneity was found. When homogeneity tests on the effect size of the remaining 15 studies were performed, excluding two studies which had extremely larger effect size compared to other studies, the 15 studies were found to be homogeneous(Q=16.38, p=.23). The obtained average effect size, D(Mean Standardized Difference Between Means), was .25. When homogeneity tests on effect size on pain was conducted for the exercise programs, effect size for all nine studies wee found to be homogeneous(Q=7.42, p=.49) and the average effect size D=.30. Therefore, Hypothesis 1 was rejected from the results, that an average effect size of the integrated programs in pain was not significantly different from that of the exercise programs in pain. 2) Since only two studies investigated the effect of exercise programs n depression, comparison between the average effect size of integrated programs on depression could not be tested. Thereby, only the average effect size of integrated programs in depression was obtained. Eight studies wee tested to be positive on the homogeneity of effect sizes(Q=18.31, p=.02) at alpha <.01 and its average effect size was D=.11. 3) For the analysis of integrated program on disability, 13 studies, except for four which had an extremely large effect size compared to the others were found to be homogeneous at alpha <.01(Q=22.30, p=.04) and the average effect size on disability was D=.16. for analysis of the exercise programs on disability, eight studies, except for one which had an extremely large effect size compared to others, were found to be homogeneous(Q=7.87, p=.34) and the average effect size on disability was D=.60. Therefore, Hypothesis 3 was accepted from the results that an average effect size of exercise programs n disability was significantly larger than that of integrated programs in disability.

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  • The Effects of Exercise Intervention for Fall Prevention in Persons with Arthritis: A Meta Analysis
    Chun Hee Lee, Heeok Park
    Korean Journal of Adult Nursing.2017; 29(6): 587.     CrossRef
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Effects of a Sun-style Tai Chi Exercise on Arthritic Symptoms, Motivation and the Performance of Health Behaviors in Women with Osteoarthritis
Rhayun Song, Eun Ok Lee, Paul Lam, Sang Cheol Bae
Journal of Korean Academy of Nursing 2007;37(2):249-256.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.2.249
AbstractAbstract PDF
Purpose

Tai Chi exercise, an ancient Chinese martial art, has drawn more and more attention for its health benefits. The purpose of the study was to identify the effects of a Sun-style Tai Chi exercise on arthritic symptoms (joint pain and stiffness), motivation for performing health behaviors, and the performance of health behaviors among older women with osteoarthritis.

Methods

Total of 72 women with the mean age of 63 years old were recruited from outpatients clinic or public health centers according to the inclusion criteria and assigned randomly to either the Tai Chi exercise group or the control. A Sun-style Tai Chi exercise has been provided three times a week for the first two weeks, and then once a week for another 10 weeks. In 12 weeks of study period, 22 subjects in the Tai Chi exercise group and 21 subjects in the control group completed the posttest measure with the dropout rate of 41%. Outcome variables included arthritic symptoms measured by K-WOMAC, motivation for health behavior, and health behaviors.

Results

At the completion of the 12 week Tai Chi exercise, the Tai Chi group perceived significantly less joint pain (t=-2.19, p=0.03) and stiffness (t=-2.24, p=0.03), perceived more health benefits (t=2.67, p=0.01), and performed better health behaviors (t=2.35, p=0.02), specifically for diet behavior (t=2.06, p=0.04) and stress management (t=2.97, p=0.005).

Conclusion

A Sun-style Tai Chi exercise was found as beneficial for women with osteoarthritis to reduce their perceived arthritic symptoms, improve their perception of health benefits to perform better health behaviors.

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    Wen Qi, David Alarcón, María José Arenilla, Hongli Yu, José Carlos Jaenes, Manuel Trujillo, Dominika Wilczyńska
    Journal of Aging and Physical Activity.2025; : 1.     CrossRef
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    Min Liu, Dong-hui Mei, Ya-lu Zhang, Ning Kang, Dong-min Wang, Gong Chen
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    International Journal of Sport and Exercise Psychology.2023; 21(5): 807.     CrossRef
  • The effects of Tai Chi on physical function and safety in patients with rheumatoid arthritis: A systematic review and meta-analysis
    Haiyang Wu, Qiang Wang, Guowei Wen, Junhao Wu, Yiru Wang
    Frontiers in Physiology.2023;[Epub]     CrossRef
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    Christian Fazekas, Dennis Linder, Franziska Matzer, Josef Jenewein, Barbara Hanfstingl
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    Ju Young Park, Jung Tae Son
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    Jiafu Huang, Dandan Wang, Jinghao Wang, Swee Keong Yeap
    Evidence-Based Complementary and Alternative Medicine.2021; 2021: 1.     CrossRef
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    Ruojin Li, Hongwei Chen, Jiahao Feng, Ying Xiao, Haoyang Zhang, Christopher Wai-Kei Lam, Hong Xiao
    International Journal of Environmental Research and Public Health.2020; 17(21): 7873.     CrossRef
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    Kim E. Innes, Terry Kit Selfe, Sahiti Kandati, Sijin Wen, Zenzi Huysmans, Mark Moss
    Evidence-Based Complementary and Alternative Medicine.2018;[Epub]     CrossRef
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    Wen-Dien Chang, Shuya Chen, Chia-Lun Lee, Hung-Yu Lin, Ping-Tung Lai, Yongtai Wang
    Evidence-Based Complementary and Alternative Medicine.2016;[Epub]     CrossRef
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    Eun Nam Lee, Kyung-Sook Lee, Inok Lee, Won-Sook Bak, Hee Kwon Choi, Kyung-Sook Cho, Young Eun, Mi-Kyung Choi, Hye Sook Min, Rhayun Song, Gyeyoung Shin, Minju Kim, Myung Sook Lee, Ju Sung Kim, Yeo Sook Chung
    Journal of muscle and joint health.2015; 22(2): 105.     CrossRef
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    Pedro Jesús Jiménez-Martín, Agustín Meléndez-Ortega, Ulrike Albers, Diane Schofield
    European Journal of Integrative Medicine.2013; 5(6): 469.     CrossRef
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    P.J. Jimenez, A. Melendez, U. Albers
    Archives of Gerontology and Geriatrics.2012; 55(2): 460.     CrossRef
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    Ming-Chien Chyu, Vera von Bergen, Jean-Michel Brismée, Yan Zhang, James K. Yeh, Chwan-Li Shen
    Arthritis.2011; 2011: 1.     CrossRef
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    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
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    Rhayun Song, Beverly L. Roberts, Eun-Ok Lee, Paul Lam, Sang-Cheol Bae
    The Journal of Alternative and Complementary Medicine.2010; 16(3): 227.     CrossRef
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    In Sook Park, Rhayun Song, Kyong Ok Oh, Hee Young So, Dal Sook Kim, Jong Im Kim, Tae Sook Kim, Hyun Li Kim, Suk Hee Ahn
    Journal of Advanced Nursing.2010; 66(2): 282.     CrossRef
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    Alexa K. Stuifbergen, Marian Morris, Jae Hak Jung, Diana Pierini, Stephanie Morgan
    Disability and Health Journal.2010; 3(3): 133.     CrossRef
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    Eunhee Lee
    Korean Journal of Women Health Nursing.2010; 16(1): 87.     CrossRef
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    Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
    The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120.     CrossRef
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    Myeong Soo Lee, Max H. Pittler, Edzard Ernst
    Clinical Rheumatology.2008; 27(2): 211.     CrossRef
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The Effect of Tai Chi Movement in Patients with Rheumatoid Arthritis
Kang Yi Lee, Ok Yeon Jeong
Journal of Korean Academy of Nursing 2006;36(2):278-285.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.278
AbstractAbstract PDF
Purpose

This study was performed to verify the effect of Tai Chi exercise on patients with rheumatoid arthritis particularly their level of pain, fatigue, sense of balance and daily life performance (ADL).

Method

It employed a non-equivalent control group pre- and post-test design. The research instruments used in this study were pain, fatigue, sense of balance and ADL. Thirty-two patients in the experimental group carried out 50 minutes of Tai Chi exercise for 12 weeks, and 29 patients in the control group did not. Before and after the experiment, both groups were tested for pain, fatigue, sense of balance and ADL. Collected data were processed using the SPSS/WIN 10.0 program analyzed by the frequency, percentage, χ2-test, and t-test.

Results

Pain and fatigue significantly decreased in the experimental group. However the improvement in ADL of the rheumatoid arthritis patients was not statistically significant but their sense of balance was enhanced significantly.

Conclusion

Tai Chi exercise is an effective nursing intervention that can be used for rheumatoid arthritis patients.

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  • The effects of Tai Chi on physical function and safety in patients with rheumatoid arthritis: A systematic review and meta-analysis
    Haiyang Wu, Qiang Wang, Guowei Wen, Junhao Wu, Yiru Wang
    Frontiers in Physiology.2023;[Epub]     CrossRef
  • The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Liye Zou, Chaoyi Wang, Kevin Chen, Yankai Shu, Xiaoan Chen, Lin Luo, Xitang Zhao
    International Journal of Environmental Research and Public Health.2017; 14(9): 1000.     CrossRef
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    Seong Kyong Kim, Hee Seung Kim
    Journal of Korean Academy of Fundamentals of Nursing.2014; 21(1): 7.     CrossRef
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    Young Sun Ha, Yeon Hee Choi
    Journal of Korean Academy of Nursing.2012; 42(1): 19.     CrossRef
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    Eunhee Lee
    Korean Journal of Women Health Nursing.2010; 16(1): 87.     CrossRef
  • EFFECTS OF TAI CHI ON FUNCTIONAL FITNESS AND SUBJECTIVE HEALTH STATUS IN OLDER JAPANESE RETURNEES FROM CHINA : A RANDOMIZED CONTROLLED TRIAL
    XIUYING HU
    Japanese Journal of Physical Fitness and Sports Medicine.2007; 56(4): 409.     CrossRef
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The Effects of Aromatherapy on Pain, Depression, and Life Satisfaction of Arthritis Patients
Myung Ja Kim, Eun Sook Nam, Seun In Paik
Journal of Korean Academy of Nursing 2005;35(1):186-194.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.186
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effect of aromatherapy on pain, depression, and feelings of satisfaction in life of arthritis patients.

Method

This study used a quasi-experimental design with a non-equivalent control group, pre-and post-test. The sample consisted of 40 patients, enrolled in the Rheumatics Center, Kangnam St. Mary's Hospital, South Korea. The essential oils used were lavender, marjoram, eucalyptus, rosemary, and peppermint blended in proportions of 2:1:2:1:1. They were mixed with a carrier oil composed of almond (45%), apricot(45%), and jojoba oil(10%) and they were diluted to 1.5% after blending. The data were analyzed using an 2-test, Fisher's exact test, t-test and paired t-test.

Result

Aromatherapy significantly decreased both the pain score and the depression score of the experimental group compared with the control group. However, aromatherapy didn't increase the feeling of satisfaction in life of the experimental group compared with the control group.

Conclusion

The result of this study clearly shows that aromatherapy has major effects on decreasing pain and depression levels. Based on our experiment's findings, we suggest that aromatherapy can be a useful nursing intervention for arthritis patients.

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    Barış SAYLAM, Ozan EFESOY, Erdem AKBAY, Erim ERDEM
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    Divya Raj, Subramaniam Santhi, G. J. Sara Sapharina
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    Vivian Ya-Wen Cheng, Chiu-Mieh Huang, Jung-Yu Liao, Hsiao-Pei Hsu, Shih-Wen Wang, Su-Fei Huang, Jong-Long Guo
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    A Jafari-Koulaee, F Khenarinezhad, A Sharifi Razavi, M Bagheri-Nesami
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    Emad N Zikri
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    Hye-Kyung Lee
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Structural Equation Modeling on Quality of Life in Older Adults with Osteoarthritis
Jihyun Oh, Myungsun Yi
J Korean Acad Nurs 2014;44(1):75-85.   Published online February 28, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.1.75
AbstractAbstract PDF
Purpose

The aim of this study was to explore how individual factors, physiologic factors, symptoms, environmental factors, functional status and health perception predict the quality of life (QOL) for older adults with osteoarthritis and to provide guidelines for interventions and strategies to improve QOL in these patients. The conceptual model was based on the Wilson and Cleary's Model.

Methods

Data were analyzed using SPSS WIN 20.0 and AMOS 19.0 program.

Results

The proposed model was a good fit for the data based on the model fit indices. Based on the constructed model, individual factors, social support, functional status and health perception were founded to have direct effects on QOL. Symptom had a indirect effect on QOL. Social support had a significant effect on QOL, and this model explained 63.6% of the variance in QOL.

Conclusion

The results of this study suggest that nursing strategies to increase QOL in this population should contain social support to promote QOL and manage functional limitations and health perception.

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Evaluation of a Community Health Practitioner Self-care Program for Rural Korean Patients with Osteoarthritis
Chung Yul Lee, Yoon Hee Cho
J Korean Acad Nurs 2012;42(7):965-973.   Published online December 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.965
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea.

Methods

The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables.

Results

The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group.

Conclusion

Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.

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Health-related Quality of Life in Korean Patients with Rheumatoid Arthritis: Association with Pain, Disease Activity, Disability in Activities of Daily Living and Depression
Dong Choon Uhm, Eun Sook Nam, Ho Yeon Lee, Eun Bong Lee, Young Im Yoon, Gong Ju Chai
J Korean Acad Nurs 2012;42(3):434-442.   Published online June 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.3.434
AbstractAbstract PDF
Purpose

The purpose of this predictive study was to identify factors affecting health related quality of life (HRQoL) in patients with rheumatoid arthritis (RA).

Methods

The participants in this study were 131 patients with RA who were recruited from the outpatient clinic of a university hospital in Seoul. Disease activity in rheumatoid arthritis was evaluated by calculating the Disease Activity Score 28. Disability in activities of daily living (ADL) was assessed with the Korean Health Assessment Questionnaire, and depression with The Center for Epidemiologic Studies Depression Scale. HRQoL was evaluated using The Short Form 36 Health Survey. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression.

Results

Pain, disability in ADL, disease activity, and depression correlated negatively with physical and mental dimensions of HRQoL. But hierachical multiple regression analysis revealed that disability in ADL and depression were the only variables negatively influencing physical and mental QoL after adjustment for influences of sociodemographic variables.

Conclusion

Results of this study suggest that disability in ADL and depression, rather than disease activity and pain have profound effects on HRQoL in patients with RA. Further studies are needed to assess the predictive ability of disease activity and pain on HRQoL in this population.

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Effect of an Integral Care System: a Combination of Oriental and Western Care for Older Adults with Degenerative Arthritis
Jia Lee, Eun Sun Ji
J Korean Acad Nurs 2011;41(1):18-25.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.18
AbstractAbstract PDF
Purpose

This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis.

Methods

A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks.

Results

Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035).

Conclusion

The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

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Depressive Symptoms and Related Risk Factors in Old and Oldest-old Elderly People with Arthritis
Ji-Yeon An, Young-Ran Tak
J Korean Acad Nurs 2009;39(1):72-83.   Published online February 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.1.72
AbstractAbstract PDF
Purpose

This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis.

Methods

The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above.

Results

We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms.

Conclusion

The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

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Effects of Tai Chi Exercise in Elderly with Knee Osteoarthritis
Hea-Young Lee, Keum Jae Lee
Journal of Korean Academy of Nursing 2008;38(1):11-18.   Published online February 29, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.1.11
AbstractAbstract PDF
Purpose

This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability, knee joint motion, mobility, balance or falling.

Methods

Forty-six community-dwelling elderly subjects (mean age, 75.46±6.28) voluntarily participated in an intervention group of either 24 forms of Sun-style Tai Chi for 60 min, 2 times per week for 12 weeks or a control group. A on-equivalent pretest-posttest design was used. Independent t-test and ANCOVA were used to examine group differences by using SPSS12.0.

Results

The experimental group had significantly less pain (F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences were found in disability and falls efficacy.

Conclusion

The Sun-style 24 forms Tai Chi exercise is effective in decreasing pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long term intervention to decrease disability and increase efficacy concerning falls.

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Influencing Factors for Fear of Falling in Degenerative Arthritis Patients
Jeong Sun Kim
Journal of Korean Academy of Nursing 2007;37(7):1184-1192.   Published online December 31, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.7.1184
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the relationship among fear of falling, pain, anxiety and depression, and to identify influencing factors in elderly women patients with degenerative arthritis living in the community.

Method

The subjects of this study were 297 elderly women patients with degenerative arthritis. Data was collected by personal interviews using questionnaires. Data was analyzed by the SPSS(version 12.0) computer program, and it included descriptive statistics, one-way ANOVA, Pearson correlation coefficient, and Stepwise multiple regression.

Results

There was a significant difference (p= .000) in fear of falling according to the level of pain, anxiety, and depression. There was a significant positive correlation among fear of falling, pain, anxiety and depression. Depression, pain, number of medication, age, and anxiety showed significant predictors (43.5%) for fear of falling.

Conclusion

This study suggested that thoroughly assessing predictors making an impact on fear of falling in the initial nursing assessment is the most important for falls prevention of elderly women patients with degenerative arthritis in the community.

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    Hee Seung Song, Hyun Jung Lee
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    Eun-Suk Yun
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(4): 2142.     CrossRef
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    Eun-Suk Yun, Jisook An
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(10): 6242.     CrossRef
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    Myungsuk Lee, Yunbok Lee
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    Seonho Kim, Wi-Young So
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    Myung-Suk Lee
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    Sukhee Ahn, Huynli Kim, Heeyoung So, Rhayun Song
    Korean Journal of Women Health Nursing.2009; 15(4): 344.     CrossRef
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Comparison of Effects among Tai-Chi Exercise, Aquatic Exercise, and a Self-help Program for Patients with Knee Osteoarthritis
Hea Young Lee
Journal of Korean Academy of Nursing 2006;36(3):571-580.   Published online June 30, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.3.571
AbstractAbstract PDF
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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    Jiajia Ye, Michael William Simpson, Yang Liu, Wei Lin, Weihong Zhong, Shuhe Cai, Liye Zou
    Frontiers in Medicine.2020;[Epub]     CrossRef
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    HyunSoo Oh, SunYoung Han, SooHyun Kim, WhaSook Seo
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    SeJun Oh, Minhee Kim, Minyoung Lee, Jun-Woo Yeom, Jaehyuk Lee, BumChul Yoon
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    Jee-Hun Jang, Tae-Yong Cho, Yong-Ho Cho
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    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
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    Myung Suk Lee, Hyun JA Lim, Jung Suk Kim
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    Hea-Young Lee, Claire Hale
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    Eunhee Lee
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    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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