• 대한간호학회지
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• 제38권4호
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• pp.620-628
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• 2008

Purpose: The purpose was to identify the effects of a Tai Chi exercise program on physical fitness, fall related perception and health status among institutionalized elderly. Methods: A quasi-experimental research was carried out with a nonequivalent control group pretest-posttest design. There were 23 subjects in the experimental group and 24 in the control group. The data was gathered by structured questionnaires about fall related perception, and health status. Physical fitness was measured by an exercise therapist with a blind principle. Results: At the completion of the 12 weeks Tai Chi exercise program, flexibility (F=4.50, p=.00), and ability to balance (F=3.27, p=.00) had increased significantly. Fall related perception showed significant improvement in the fear of falling (F=-3.52, p=.00). Physical functioning (F=3.38, p=.00), role limitation-physical (F=2.67, p=.01), role limitation-emotional (F=2.47, p=.02). and general health (F=3.88, p=.00) in health status showed significant differences between the two groups. Conclusion: The study findings revealed Tai Chi exercise as a useful nursing intervention for elderly that enhances flexibility and balance, decreases fall related perception and also increases the health status. Further research is warranted to compare the potential effects of Tai Chi exercise and its health benefits from other types of exercise or martial arts.

• 재활간호학회지
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• 제17권1호
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• pp.38-47
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• 2014

Purpose: This study was performed to investigate the effects of Tai Chi exercise on physical fitness and quality of life (QOL) in elderly women. Methods: This study was designed as a quasi-experimental, nonequivalent control group pre-post test design. The subjects were elderly women over 60 years old who enrolled senior citizen centers and elderly welfare center. Thirty-three people were conveniently assigned to an experimental group (n=15) or a control group (n=18). The data were collected from September 2009 to May 2010. The experimental group was trained Tai Chi exercise for 8 weeks (one hour Tai Chi classes twice a week and once a week by themselves at home). Data were analyzed by Fisher's exact test, ${\chi}^2$-test and independent t-test. Results: The experimental group experienced significant improvements in flexibility. The experimental group experienced significant improvements in physical component summary (p=.017) and mental component summary (p=.027) of QOL. Conclusion: Tai Chi exercise can be used as a nursing intervention for improvement of physical fitness and QOL in elderly women.

• 재활간호학회지
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• 제14권2호
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• pp.129-135
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• 2011

Purpose: This study was done to examine the effects of Tai Chi exercise program on BMI, positive and negative psychiatric symptoms in patient with schizophrenia. Methods: The participants were patient with schizophrenia in S psychiatric hospital in D city. Twenty five patients were assigned to experimental group, and 26 patients were assigned to control group. Data were collected from May 9, to July 8, 2011. The Tai Chi exercise program was conducted with a duration of 60 minutes, 2 times a week for 8 weeks (a total 8 times). Measures were BMI, positive and negative psychiatric symptoms. Data were analyzed using descriptive statistics, chi-square test and t-test with SPSS/WIN 19.0 version. Result: The experimental group received Tai Chi exercise program had a significant changes in BMI, positive and negative psychiatric symptoms. Conclusion: The results of this study indicate that Tai Chi exercise program is an effective intervention program to improve the BMI, positive and negative psychiatric symptoms of patients with schizophrenia.

• 근관절건강학회지
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• 제17권2호
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• pp.151-161
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• 2010

Purpose: The purpose of this study was to identify the effect of Tai Chi exercise on loneliness, sleep pattern, and instrumental activities of daily living in elderly women. Methods: A quasi-experimental design, a nonequivalent control group pretest-posttest was used. Elderly women who agreed to participated in the study were assigned into an experimental group (n=20) or a control group (n=20). The experimental group participated in Tai Chi exercise program (Sun-style 12 forms) for 50 minutes per session, 2 times a week for 8 weeks. Tai Chi exercise program consisted of 10 minutes for warm-up, 35 minutes for main session, and 5 minutes for cooling down. Study outcomes were measured through study questionnaires. Data were analyzed using Chi-square test, t-test and Mann-Whitney test by SPSS WIN 14.0 program. Results: Compared with the control group, the experimental group showed significant improvement in loneliness (t=-2.733, p=.009), sleep pattern (t=2.552, p=.015), and instrumental activities of daily living (z=-2.171, p=.030). Conclusion: Tai Chi exercise program may be an effective nursing intervention for elderly women.

• 근관절건강학회지
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• 제23권1호
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• pp.61-69
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• 2016

Purpose: The purpose of this study was to determine the effect of the Tai Chi exercise program (Sun style 31 forms) on fatigue, anxiety, and sleep patterns in nursing students. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Nursing students who participated in this study were assigned to an experimental group (n=24), and a control group (n=26). The experimental group participated in Tai Chi exercise program for 60 minutes per session, and 3 times a week for 7 weeks. The Tai Chi exercise program consisted of 10 minutes for warm-up, 45 minutes for main session, and 5 minutes for cooling down exercises. The data were collected prior and after the intervention using self-administered questionnaires. Data were analyzed using descriptive statistics, $x^2$-test, Fisher's exact probability, t -test, and the general linear model. Results: After the application of the program, the experimental group showed a significant difference in fatigue (F=20.62, p<.001), anxiety (F=16.96, p<.001), and sleep pattern (F=15.70, p<.001) scores. Conclusion: These findings show that the Tai Chi exercise program can be an effective nursing intervention to improve sleep pattern and to reduce fatigue and anxiety in nursing students.

• 성인간호학회지
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• 제16권3호
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• pp.409-420
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• 2004

Purpose: This study aims to analyze the effectiveness of Tai chi exercise for improving balance and its tendency and helps to identify directions for future research. Method: 19 articles from Medline search of foreign journals(1981-2003) and 5 from Korean nursing journals (1981-2003) were surveyed. The contents analyses were focused on outcome measures and relative factors regarding balance. Result: Variable measures for balance were used in Tai Chi studies relating to balance. They included the functional measures such as 14 single-leg stance, 7 walking in physiological measures and 7 laboratory-based balance measures were done with platform stability test. The measure of effective Tai Chi exercise depended on the health status of subjects and the methods. Health status of subjects were only on physically inactive older adults in 17 articles and arthritis patients in 7 articles in the Tai Chi study. The significant effects of Tai Chi exercise on balance was revealed after 10weeks duration. Conclusion: Considering the results, Tai Chi exercise is more effective than any other studies for walking balance. But the reports on the outcome are inconsistent with wide variations in the choice of balance measures. It is suggested that future studies analyze systemic change through meta analysis and have a wide variety of subjects who need postural control and balance control. The methods of measures should be distinct from the balance state of subjects for the effectiveness of Tai chi exercise.

• 근관절건강학회지
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• 제9권1호
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• pp.28-39
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• 2002

Objective. The 12 forms of Sun-style Tai Chi exercise has been developed specifically for arthritis patients in order to reduce their symptoms and to improve physical functioning. This quasi-experimental study examined the changes in pain, balance, muscle strength and physical functioning in women with osteoarthritis at the completion of the 12 week Tai Chi exercise program. Methods. The patients with osteoarthritis who signed the consent form were screened by their primary physician according to the inclusion criteria and invited to the study. Total of 66 osteoarthritis women with an average age of 63 years were participated in the Tai Chi exercise. At the completion of 12 weeks, 34 patients completed both pretest and posttest measures with 48% of overall dropout rate. Outcome measures were physical symptoms, balance, muscle strength, physical functioning, and depression. Paired t-test was utilized to examine differences between pre and post-measures. Results. After participating in the Tai Chi exercise program, the women with osteoarthritis showed significant improvements in their physical fitness measures, and consequently in their physical functioning. In physical fitness test, there were significant improvements in balance, flexibility, muscle strengths of knee, grip, and back muscles after the Tai Chi exercise. However, No significant differences were found in pain and stiffness of their knee joints and depression measure. Conclusion. The 12 forms of Tai Chi exercise has been found safely applicable to the older women with osteoarthritis for 12 weeks, and effective in improving balance, flexibility, and muscle strengths, and consequently lessening difficulties of performing their activities of daily life.

• 지역사회간호학회지
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• 제21권1호
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• pp.118-127
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• 2010

Purpose: The purpose of this study was to evaluate the effects of a Tai-Chi exercise program on subjective health and physiological function index. Methods: This study was designed as non-equivalent control group pretestposttest research. Eighteen women in each group completed the posttest with an attendance rate of 78.3 % after 12 weeks. The Tai Chi exercise program was provided two times a week over three months for the experimental group, but no program for the control group. A questionnaire was used for subjective health index, which consisted of Korean-WOMAC Index for joint stiffness, K-HAQ for physical disability, EQ-5D for quality of life and perceived health status, and CES-D for depression. To measure the effect on the physiological function index, femoral muscle strength, shoulder joint and back flexibility were measured. Results: All variables except left anterior femoral muscle strength had significant homogeneity between the two groups. There were statistically significant differences between the experimental group and the control group in joint stiffness (t=-2.165, p=.03), physical disability (t=-2.231, p=.038), EQ-5D index (t=3.783, p=.001), perceived health status (t=-2.349, p=.025) and femoral posterior muscle strength (t=2.487, p=.038). Conclusion: The Tai-Chi exercise program was beneficial for women with arthritis in rural communities.

• 근관절건강학회지
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• 제15권1호
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• pp.62-72
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• 2008

Purpose: There has been a need to integrating the self-help program for arthritis with the Tai Chi for arthritis(SHTCA). The purpose of this study was to develop and to examine the effect of SHTCA for arthritis applying the nine movement Tai Chi. Method: This study was designed the pre-post test, quasi-experimental design. A total 47 participants were recruited in W-city in Korea, an experimental group(26) and a control group(21) at pre-test, but after the eight weeks the composition of the groups were changed to 22 experimental group and 15 control group. The experimental group participated in the SHTCA once a week for eight weeks. SHTCA program consisted of understanding of the arthritis, contracting of the promise, exercise for muscle strength and joint flexibility and the nine movements of Tai Chi exercise. The measures used to examine the effect of the SHTCA were shoulder flexibility, back flexibility, grasping power, balance, abdominal obesity rates, perception of health status, and EQ-5D standardized five dimensions, mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Results: At The completion of the eight weeks of SHTCA applying the nine movement Tai Chi, the experimental group reported a significance in a number of variables compared to those of the control group: the right shoulder flexibility(p=.018), left shoulder flexibility(p=.031), right grasping power(p=.014), left grasping power(p=.024), the perception of health status(p=.005) and abdominal obesity rates(p=.027). Conclusion: This SHTCA applying the nine movement Tai Chi would be helpful on right shoulder flexibility, left shoulder flexibility, right grasping power, left grasping power, abdominal obesity rates and the perception of health status for arthritis patients.

• 근관절건강학회지
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• 제17권1호
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• pp.58-67
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• 2010

Purpose: The purpose of this study was to examine the effect of the Tai chi exercise program on the physical function, self-esteem and social behavior in patients with chronic schizophrenia. Methods: This study utilized a nonequivalent control group with pretest-posttest design. The 45 subjects were recruited from a mental health care facility in D city and randomly assigned either to the experimental group (n=23) or to the control group (n=22). The experimental group participated in the Tai chi exercise program, twice a week for 12 weeks. Data were analyzed with SPSSWIN V. 11.5 program, using $X^2$-test and t-test. Results: After 12 weeks, there were significant differences in flexibility (p=.027), balance (p=.011), self-esteem (p=.005) and social behavior (p=.003) between the experimental and the control groups. Conclusion: The findings of this study revealed the positive effects of Tai-Chi exercise program in patients with schizophrenia. Further studies are required to determine the effects on physical and social variables.