Nursing Policy Research Institute, Korean Nurse Association, Seoul, Korea.
J Clin Nurs. 2012 Oct;21(19-20):2812-22. doi: 10.1111/j.1365-2702.2011.04058.x. Epub 2012 Jul 25.
(i) To assess the effectiveness of Tai Chi exercise in people with rheumatoid arthritis (RA). (ii) To ascertain if Tai Chi and auricular acupressure have a potentiation effect in controlling pain. (iii) To evaluate the acceptability and enjoyment of the classes.
Tai Chi has been suggested as a suitable exercise for people with arthritis and specific programmes have been developed. Auricular acupressure is a therapeutic method by which points on the ear are stimulated to treat various disorders.
A pragmatic non-randomised before/after study to compare the effects of the interventions.
People with RA (n=21) were recruited and allocated into two groups. Both groups followed a Tai Chi exercise programme, twice a week for 12 weeks, but one group (n=14) had, in addition, the auricular acupressure. Physical symptoms and function, pain, quality of life and self-efficacy were measured in both groups before and after the programme. Acceptability and enjoyment were assessed at the end.
At 12 weeks, both groups had achieved statistically significant improvements in balance, grip strength, pinch strength, 50 foot walk time self reported joint pain, swollen joint count, tender joint count and in self efficacy in relation to pain control. All participants stated that they enjoyed the classes. There was no evidence to suggest that the auricular acupressure enhanced the effects of the Tai Chi intervention.
The classes appeared to be mentally as well as physically helpful to participants.
People with a chronic debilitating disease such as RA should be encouraged to undertake gentle strengthening exercise such as Tai Chi because of its potential for physical and psychological improvements.
(i) 评估太极拳运动对类风湿关节炎（RA）患者的有效性。(ii) 确定太极拳和耳压是否对控制疼痛有增强作用。(iii) 评估课程的可接受性和趣味性。
太极拳已被认为是关节炎患者的一种合适的运动，并且已经开发出了特定的方案。耳压是一种通过刺激耳朵上的穴位来治疗各种疾病的治疗方法。
一项比较干预措施效果的实用非随机前后研究。
招募了 21 名 RA 患者，并将他们分配到两组。两组都遵循每周两次的太极拳运动计划，为期 12 周，但其中一组（n=14）还进行了耳压。在计划前后，两组都测量了身体症状和功能、疼痛、生活质量和自我效能。在结束时评估了可接受性和趣味性。
12 周后，两组在平衡、握力、捏力、50 英尺步行时间、自我报告的关节疼痛、肿胀关节计数、压痛关节计数和与疼痛控制相关的自我效能方面都取得了统计学上的显著改善。所有参与者都表示他们喜欢上课。没有证据表明耳压增强了太极拳干预的效果。
这些课程似乎对参与者的身心都有帮助。
应该鼓励患有慢性衰弱性疾病（如 RA）的人进行温和的强化运动，如太极拳，因为它有可能改善身体和心理健康。
