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KMID : 0604719990060020278
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Journal of Rheumatology Health
1999 Volume.6 No. 2 p.278 ~ p.294
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The Effects of PACE Program on Self-efficacy, Pain and Joint Function in Korean Immigrant Elderly with Osteoarthritis
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송경애/Kyeong Yae Sohng
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Abstract
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-Abstract-
The PACE(People with Arthritis Can Exercise) is an exercise program developed by
the Arthritis Foundation to improve muscle strength and joint flexibility for patients
with arthritis. The purpose of this study was to explore the effects of PACE program
on self-efficacy, pain, and joint function in the Korean immigrant elderly.
The PACE program was held twice a week for 6 weeks for Korean immigrant elderly
who had osteoarthritis. Twenty four subjects completed the program, who were recruited
in two places : 10 elderly in a senior residential apartment, and 14 elderly in a senior
center supported by Congregated Meal Program for Korean Elderly.
Self-efficacy(Sherer et al., 1982), pain severity(by using Visual Analogue Scale), and
number of painful joints were measured before and after the PACE program. To
examine the joint flexibility and strengthening, the followings were measured : the
extent of the upward arm reach in both sides(flexibility of shoulder), the ability to touch
fingertips of the both hands in back pat and rub(flexibility of arm), the degree of range
of motion(ROM) of both ankles in their dorsiflexion(flexibility of ankle) and
plantarflexion with standing with toe(strengthening of ankle), and the degree of knee
extension.
Wilcoxon signed rank test was used for data analysis and the significance of the
differences in the variables was examined to compare the data obtained before and after
the PACE program.
After the PACE, followings were found :
1. Self-efficacy was significantly increased.
2. Pain severity and number of painful joints was significantly decreased.
3. The flexibility of both shoulders and arms were significantly improved, but the
flexibility of knee was not changed.
4. The flexibility and strengthening of both ankle was significantly improved.
In conclusion, PACE was clearly proved to be an effective exercise program to
promote self-efficacy, to reduce pain, and to enhance joint function in the elderly with
osteoarthritis. It is a suggested that the PACE program should be recommended as one
of the useful and appropriate nursing interventions for elderly with osteoarthritis.
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