• 제목/요약/키워드: Home care exercise program

검색결과 59건 처리시간 0.024초

슬관절 전치환술 환자의 조기퇴원 후 가정간호 운동 프로그램이 슬관절기능 상태와 삶의 질에 미치는 효과 (The Effects of Home Care Exercise Program on Knee Joint Function and Quality of Life in Patients with Total Knee Replacement Arthroplasty)

  • 이미경;이인희;주정혜;황문숙;서재곤;성영희
    • 근관절건강학회지
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    • 제12권2호
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    • pp.143-154
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    • 2005
  • Purpose: The aim of this study was to investigate the effects of home care exercise program on knee joint function(WOMAC) and the quality of life in patient with total knee replacement arthroplasty. Method: Forty-one subjects were sampled according to research criteria, and divided into two groups : 21 out of experimental group and 20 out of control group. The patients having treatment of total knee replacement arthroplasty were out of the hospital. After surgery executed, it took 8days for them to recovere their health conditions since 10th day, the experimental group received the home care exercise program per regularly four days interval. Results: 1) After applying home care exercise program, the total score on the WOMAC Index for the control group was $3.09{\pm}.76$. The score of the experimental group was $3.55{\pm}.55$ which is statistically higher than that of the control group. (P=.007). 2) After applying home care exercise program, the score of the quality of life for the control group was $3.09{\pm}.50$. The score of the experimental group was $3.46{\pm}.35$ Which is statistically higher than that of the control group. (P=.007). Conclusion: This figures show that home care exercise program has good results. These findings also indicate that the services of home care exercise program are alternatives for the hospitalization.

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전화코칭을 동반한 저강도 운동 프로그램이 방문건강관리 노인의 체력에 미치는 효과 (Effects of Low Intensity Exercise Program with Telephone Coaching on Physical Fitness)

  • 김상희;이지현;고광욱;하현보
    • 기본간호학회지
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    • 제15권4호
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    • pp.457-466
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    • 2008
  • Purpose: The purpose of this study was to determine the effects of low intensity exercise program with telephone coaching on the physical fitness of elderly people who are receiving home visiting nursing care. Method: This study was conducted using a non-equivalent control group pretest-posttest design. The participants were 61 elders. Elders (34) in the experimental group performed low intensity exercise and of these 16 received telephone coaching. The low intensity exercise program consisted of stretching, muscle strengthening with an elastic band, massage, and ball exercise, five days a week, for sixteen weeks. Data were collected from July 2007 to December 2007. $x^2$-test, ANCOVA with SPSS WIN 11.0 program were used to analyse the data. Results: There were statistical differences in the right grasping power in the right hand (p=0.021), Raising behind of right arm (p=0.006), Raising behind of left arm (p=0.007). Conclusion: These results indicate, that a low intensity exercise program with telephone coaching can help improve physical fitness in elders receiving served home visiting nursing care.

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유산소 걷기운동 프로그램이 재가 뇌졸중 환자의 보행, 균형, 일상활동 수행능력, 우울에 미치는 효과 (The Effect of Home stayed Stroke Patients' gait, Valance, Activities of Daily Living, Depression in the Aerobic Walking Exercise Program.)

  • 노국희
    • 재활간호학회지
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    • 제5권2호
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    • pp.193-204
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    • 2002
  • This study was a quasi-experimental study of nonequivalent control group pretest- posttest design to investigate the effect of aerobic walking exercise program on the physical & psychological functions of home stayed stroke patients. The data were collected during the period of May 20th to August 15th, 2001. The subjects for this study were 40 hemiplegic stroke patients with the experimental group consisting of 19 patients and the control group being composed of 21 patients. The patients selected for this study were: (a)living in J city who had been diagnosed with stroke and at home after being discharged from the hospital, (b)suffering from stroke for 6 months to 5 years, (c)without recognition disorder with the MMSE-K score above 25, (d)below 2 on the modified Ashworth scale, (e)free from heart and pulmonary disease (f)able to walk beyond 15 minutes for themselves. The aerobic walking exercise program for the experimental group was aerobic exercise and education and supportive care. The aerobic exercise was 8 weeks' period, three times a week, 35 to 50 minutes a day. And the education and supportive care was consisted of one home visiting and 2 times telephoning a week. The data were analysed by $X^2$-test, paired t-test and unpaired t-test and ANCOVA through SAS/PC program. The results of the study were as follows: 1. There was insignificant difference in the gait length experimental and control group. There was significant difference in the gait speed between the two groups. 2. There was significant difference in the dynamic valance between the two groups. 3. There was significant difference in ADL score between the two groups. 4. There was no significant difference in the depression between the two groups. As shown above, the results of 8 weeks' the aerobic walking exercise program for home stayed stroke patients produced positive effects on gait speed, dynamic valance, ADL score. And this program was expected that it was more effective in different intervention period, verified program. Also it was needed follow study.

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낙상예방운동프로그램이 재가노인의 신체구성요소, 활동체력 및 허약수준에 미치는 효과 (Effects of a Fall Prevention Exercise Program on Body Composition, Muscle Strength and Balance, and Frailty in Community-Dwelling Elderly)

  • 김선희;김용순;송미숙
    • 가정간호학회지
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    • 제17권2호
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    • pp.95-103
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    • 2010
  • Purpose: To examine the effects of a fall prevention exercise program on the community-dwelling elderly. Methods: The nonequivalent control group pretest-posttest design involved 16. subjects in the experimental group and 17 in the control group. The experimental group received the fall prevention exercise program for 50 minutes, three times each week for 12 weeks. Results: After program participation, the experimental group of subjects showed significantly higher lower limb strength higher endurance, and higher balance than the control group of subjects. The danger of being injured in a fall was also significantly lower in the experimental group. However, there were no significant differences in body constituent factors, agility, and flexibility between the two groups after the intervention. Conclusion: The 12 week fall prevention exercise program was effective in increasing lower limb muscular strength, endurance, balance, and body strength, and in decreasing the danger status of fall injuries. These results suggest that this fall prevention exercise program could be utilized as an effective nursing intervention modality in elderly persons.

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가정운동 훈련프로그램이 노인의 근력증진에 미치는 영향 (Effects of Home Exercise Program on the Improvement of Muscle Strength in the Elderly)

  • 박래준;김한수;이동호
    • The Journal of Korean Physical Therapy
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    • 제14권1호
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    • pp.1-13
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    • 2002
  • The purpose of this study was to investigate the effect of home exercise program on the improvement of muscle strength in the elderly. Subjects were forty members living in Daegu (20 males, 20 females), between 65 and 81 years of age. The subjects were divided into two groups; an experimental group and a control group, and each group included 10 males and 10 females. The subjects for the experimental group were participated in the home exercise program for 8 weeks, between April 2001 and June 2001. The results of this study follow: 1.General characteristics statistically significantly affecting for knee extensor strength were weight, height, right sight vision, diastolic blood pressure, pulse rate, obesity and thigh BMD; vision and thigh BMD were for knee flexor strength 2. After the exercise program, knee extensor strength in the experimental group improved 30.8% (p<0.001), and knee flexor strength improved 23.9% (p<0.001). 3. After the exercise program, there was significant difference in knee extensor strength (p<0.05) and knee flexor strength (p<0.05) between the experimental group and the control group. As a continuous health care for the elderly using this home exercise program could be helpful to enhance health of the elderly and promote their quality of life.

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유연성 운동프로그램이 노인의 관절각도, 혈압 및 자기효능감에 미치는 효과 (The Effects of an Exercise Program on Joint Angles, Blood Pressure, and Self-efficacy in Elderly Community-dwelling Adults)

  • 유문숙;채선미;김용순
    • 가정간호학회지
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    • 제15권1호
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    • pp.29-36
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    • 2008
  • Purpose: The purpose of this study was to develop and evaluate an exercise program for elderly community-dwelling adults. The program was intended to improve joint flexibility and self-efficacy and to reduce blood pressure. Methods: A quasi-experimental, nonequivalent control group pre-post test design was used to evaluate the program. Twenty-six subjects were enrolled in the experimental group, and twenty-seven subjects were enrolled in the control group. The program was carried out between March 6 and May 4, 2006. The experimental group subjects participated in the exercise program once a week for eight weeks and received a phone call weekly to encourage self-exercise at home. Results: After program participation, the experimental group subjects showed significantly higher flexibility in the right shoulder joint and higher self-efficacy than subjects in the control group. Systolic and diastolic blood pressures were also significantly lower in the experimental group subjects. However, there were no significant differences in knee joint flexibility between the two groups after the intervention. Conclusion: The eight-week exercise program was effective in decreasing blood pressure and improving joint flexibility and self-efficacy in older adults. This study suggests that this exercise program could be utilized as an effective independent nursing intervention modality in elderly persons.

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가정간호 시범사업을 통한 류마티스 관절염 환자의 수중운동의 효과 (An Effect of Aquatic Exercise through Home Nursing Care Demonstration Program for Patients having Rheumatoid Arthritis)

  • 김종임
    • 근관절건강학회지
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    • 제3권1호
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    • pp.23-36
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    • 1996
  • This study was undertaken to evaluate the effect of long-term(6 Month) aquatic exercise through home nursing care demonstration on body weight, body fat, pain, muscle strength, self-efficacy and quality of life. Twenty-one women with rheumatoid arthritis were enrolled in the study. The sample was restricted to women in order to increase homogeneity. All patients were stable medication regimens in rheumatism center. The data was collected from October, 1994 to November, 1995. The data were analyzed Mean, Standard Deviation, $x^2$ Test, Mann-Whitney U-Wilcoxon Rank Sum W Test, Wilcoxon Matched-pairs signed-ranks test using SPSS $pc^+$ program. The results of this study were as follows : 1. There was no significant difference between the control and the experimental group on body weight. 2. There was no significant difference between the control and the experimental group on body fat. 3. There was no significant difference between the control and the experimental group on pain(RAI). 4. There was no significant difference between the control and the experimental group on muscle strength. 5. There was no significant difference between the control and the experimental group on quality of life. But in the experimental group, finding from additional analysis showed significant difference in the score of quality of life between pre and post experiment. 6. There was no significant difference between the control and the experimental group on self-efficacy. The findings in this study were not support the positive effect of long-term aquatic exercise in women with rheumatoid arthritis. A further study is necessary to determine the pure effect of aquatic exercise except the effect of home nursing care.

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보건소에서 실시한 당뇨병 환자 방문간호 프로그램의 효과 (Effects of Home Visiting Care Program for Patients with Diabetes Mellitus Provided by Public Health Center)

  • 박경민;김정남;박명화;김혜련;신아미
    • 한국보건간호학회지
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    • 제24권1호
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    • pp.71-81
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    • 2010
  • Purpose: The aim of this study was to identify the effects of home visiting care program provided by public health center in control of blood sugar for patients with diabetes mellitus who were cared for at home. Method: The subjects were 50 randomly selected diabetics registered at S-Gu Public Health Center. The program comprised in-person education and home visitations; and telephone contact to educate, monitor diet, exercise, blood sugar, and provide consultation. The control group was provided home visitation by only home calls nurses. The program ran from July 7. 2008 to September 12. 2008. Result: After the program, glycated hemoglobin was decreased in the experimental and control groups; the difference in those receiving home care was not statistically significant. Changes on blood cholesterol in experimental group and control groups were not statistically different. Self-efficacy and self-care performance were increased in those receiving home care. Conclusion: While not statistically significant in this small-scale study, home care for diabetes mellitus patients may promote an increased patient responsibility for self-care that is important in their long-term health.

만성 골관절염 노인을 위한 지역사회 간호사 주도 복합운동 프로그램의 효과 (Effect of Nurse-led Community Comprehensive Exercise Program for Elderly with Chronic Osteoarthritis)

  • 백희정;임원지
    • 가정간호학회지
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    • 제26권1호
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    • pp.102-110
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    • 2019
  • Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

무릎의 신체 기능 개선을 위한 생활방식 중재 재활 전략 (Rehabilitation Strategies in Lifestyle Intervention for Improving the Physical Function of the Knee)

  • 임종민;윤범철
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.65-72
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    • 2018
  • Purpose: Lifestyle intervention (LSI) provides basic recommendations that improve the quality of life and health of patients with minor disabilities. The LSI intervention strategies are associated with active living, healthy weight, healthy eating, and emotional stability. These intervention strategies can change an unhealthy lifestyle to a healthy lifestyle and provide important health care information. Main issue: This study focused on a new LSI-based knee rehabilitation protocol and proved the effect of exercise prescription on the knee. The clinical significance of this study demonstrated that continuous rehabilitation, effective rehabilitation, and recurrence prevention can be achieved by prescribing the appropriate exercise for patients after discharge. Therefore, practical lifestyle medicine knowledge and information are provided by the home-based rehabilitation self-exercise program with the new LSI-based knee rehabilitation protocol. Conclusions: The LSI-based protocol can improve and maintain health conditions and knee function. With the aim of improving self-care abilities, this program is expected to make significant contributions recurrence prevention, reduced mortality, and improved quality of life, physical function, and fitness.