만성 요통환자의 수지요법 적용에 대한 효과

The Effects of Koryo Hand-Acupuncture on the Patients with Chronic Low Back Pain

  • 발행 : 2003.02.01

초록

Purpose: The purpose of this study was to identify the effects of Koryo Hand-Acupuncture on health status(pain, trunk flexion, IADL, depression) of patients with chronic low back pain. Method: This study used a quasi experimental pre-test and post-test design. Data were collected from December 1st, 2000 to December 20th, 2001. 63 chronic low back pain patients(35 experimental group, 28 control group) admitted to the Back-School and consented to this study. The experimental group participated in treatment: Koryo Hand-Acupuncture and AB-Bong. Two groups was homogeneity. After 4 weeks the effects of treatment on the health status was measured between experimental and control group. Data were analyzed using SPSSWIN 10.0 with crosstab, t-test, and paired t-test. Result: In the experimental group, pain(t=4.85, p=.000) and IADL difficulty(t=2.05, p=.045) was significantly lower than those in the control group. It makes no difference trunk flexion(t=-1.60, p=.114) and depression(t=1.50, p=.138) between experimental and control group. Conclusion: These findings indicate that Koryo-Hand Acupuncture is an effective method for reducing pain and IADL difficulty in patients with chronic low back pain, and is considered as a independent nursing intervention for chronic low back pain.

키워드

참고문헌

  1. Cho, K. J., Moon, H. J., Park, S. A., Kang, H. S., Shin, H. S., Chung, S. J., Lee, E. M. (200I). Effect of Hand Acupuncture on Easing Dysmenorrhea. East-West Nursing Research Institute, Kyung Hee University, 6(1), 37-45
  2. Chung, H. M. (1994). Efficts of Muscle Relaxation Training on Adaptation in Patients with Rheumatoid Arthritis. Unpublished doctoral dissertation, The Pusan University of Korea, Pusan
  3. Eun, Y. (1995). Chronic Pain Control in Patients with Rheumatoid Arthritis. The Journal of Rheumatology Health, 2(1), 17-40
  4. Hyun, K. S. (1998). The Analysis of Research Trend about Management of Low Back Pain. The Korean Journal of Rehabilitation Nursing, 1(1), 51-60
  5. Kim, N. H. (1992). Orthopedic Treatment for Low Back Pain. Journal of the Korean Association, 35(8), 952-961
  6. Korean Academy of Nursing (1998). Development of Nursing Intervention II, 38-49
  7. Kraus, H., Nagler, W., Melleby, A. (1983). Evaluation of an Exercise Program for Back Pain. American Family physician, 28(3), 153-158
  8. Lee, J. K. (1997). Prediction Model of Exercise Behavior in Patients with Low Back Pain. Unpublished doctoral dissertation. The Yonsei University of Korea, Seoul
  9. Lee, K. W. (1995). Therapeutic Exercise in Low Back Pain. The Journal of Korean Academy of Rehabilitation Medicine, 19(2), 203-208
  10. Lee, K. H., & Kang, H. S. (1996). The Effect of Yoga Exercise on the Relieve of Chronic Low Back Pain. The Journal of Rheumatology Health, 3(2), 177-193
  11. Lee, S. H., & Kim, S. J. (1994). Isokinetic Evaluation of the Trunk Flexor and Extensors in Chronic Low Back Pain. The Journal of Korean Academy of Rehabilitation Medicine, 18(2), 248-255
  12. Moon, J. H., Baek, S. K., Kim, S. W., & Park, J. H. (1996). New Trends of Aggravating Factors in Low Back Pain and Neck Pain and Importance of Patient Education. The Journal of Korean Academy of Rehabilitation Medicine, 20(2), 339-346
  13. Moore, S. M., Ruland, C. M., Pashkow, F. J., Blackburn, G. G. (1998). Women's Patterns of Exercise Following Cardiac Rehabilitation. Nursing Research, 47(6), 318-324
  14. Research institute of Nursing Development Hanyang University (1999). Rehabilitation Management
  15. Risch, S. V., Norvell, N. K., Pollock, M. L. (1993). Lumbar Strengthening in Chronic Low Back Pain, Spine, 18, 232-238
  16. Schlager, A., Boehler, M., Puhringer, F. (2000). Korean hand Acupressure Reduces Postoperative Vomiting in children after Strabismus Surgery. British Journal of Anaesthesia, 85(2), 267-70
  17. Selby, P. J., Chapman, J. W., Etazadi-Amoli, J., Dalley, D., & Boyd, N. F. (1984). The Development of a Method for Assessing the Quality of Life Cancer Patients. British Journal of Cancer, 50, 13-22
  18. Shin, K. R., Kwak, S. A., Shin, S. J. (2001). The Effects of Hand Moxibustion Therapy on Decreasing Pain and Relieving Coldness of Women with a Hysterectomy. Journal of Korean Academy of Adults Nursing, 13(1),159-170
  19. Suh, D. W., Kim, M. O., & Kwon, H. K. (1995). Effect of Isokinetic Back Training for Patients with Chronic Low Back Pain. The Journal of Korean Academy of Rehabilitation Medicine. 19(4), 853-859
  20. Yoo, T. W. (1993). Koryo Hand Acupuncture Therapy. Seoul: EumYangMaekJin Publishing Co