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KMID : 0604720070140010026
Journal of Rheumatology Health
2007 Volume.14 No. 1 p.26 ~ p.32
Effects of the Self-Help Program on Pain, Fatigue, Difficulty in Physical Activity, Joint Stiffness, Flexibility of the Joints in Arthritis Patients
Lee Kyung-Sook

Choi Jung-Sook
Lee Eun-Hee
Suh Gil-Hee
So Ae-Young
Choi Sun-Ha
Abstract
Purpose: The purpose of this study was to determine if osteoarthritis patients would benefit in terms of pain, fatigue, difficulty with physical activity, joint stiffness, and flexibility of the joints from a structured self-help program.
Method: This self-help program was carried out 2-3 hours once a week for 6 weeks in 2005-2006, and evaluated in one group pretest-posttest pre-experimental design. The subjects of this study who were diagnosed osteoarthritis were recruited at two different Community Health Centers in Kangwon. The subjects who agreed with the purpose of this study and participated both pretest and post-test were 55 patients. Mean age is 63.48 (9.48) years, mean duration of disease is 7.95 (7.66) years. The self-help program was consisted of weekly health contract, exercise, health education, group discussion, group counseling, and recreation. At every meeting, researcher and trained public health nurse evaluated the program, and prepared the next program. The measurement tools were pain rating scale (0-10), fatigue rating scale (0-10), Korean-WOMAC (Western Ontario and McMaster University Osteoarthritis) Index, ruler, and goniometer.

Results: At the completion of 6 weeks of self-help program, the subjects reported significantly less pain and difficulty with physical activity and more flexibility in both shoulder and knee joints compared to pretest.

Conclusion: The self-help program would be helpful on pain, physical activity, and joint flexibility for arthritis patients.
KEYWORD
Arthritis, Self-help program
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