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骨关节炎患者的水上运动计划:疼痛、僵硬、身体功能、自我效能感

Aquatic Exercise Program for Individuals With Osteoarthritis: Pain, Stiffness, Physical Function, Self-Efficacy.

作者信息

Kars Fertelli Tülay, Mollaoglu Mukadder, Sahin Ozlem

机构信息

Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.

Physical Medicine and Rehabilitation Department, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.

出版信息

Rehabil Nurs. 2019 Sep/Oct;44(5):290-299. doi: 10.1097/rnj.0000000000000142.

DOI:10.1097/rnj.0000000000000142
PMID:29613876
Abstract

PURPOSE

This research was conducted to determine the effects of an aquatic exercise program on pain, stiffness, physical function, and self-efficacy in individuals with osteoarthritis.

DESIGN

A randomized controlled trial.

METHODS

Participants in the experimental group participated in the aquatic exercise program three times a week for 8 weeks; participants in the control group did not.

FINDINGS

The mean scores of the experimental group on the pain, stiffness, and difficulty in carrying out physical functions subscales of the Western Ontario and McMaster Universities Osteoarthritis Index decreased significantly, whereas those of the control group decreased very little. The mean scores of the experimental group on the Arthritis Self-Efficacy Scale and the isokinetic muscle strength measurements increased, but those of the control group did not change in the final measurements. The difference between the groups was statistically significant.

CONCLUSIONS

Through the study, it was determined that the aquatic exercise program decreased pain, stiffness, and difficulty in carrying out physical functions and increased self-efficacy and muscle strength of individuals with osteoarthritis.

CLINICAL RELEVANCE

The aquatic exercise program can be used by nurses as a reference in the management of osteoarthritic patients' health status.

摘要

目的

本研究旨在确定水上运动计划对骨关节炎患者疼痛、僵硬、身体功能和自我效能的影响。

设计

一项随机对照试验。

方法

实验组参与者每周参加三次水上运动计划,持续8周;对照组参与者不参加。

结果

实验组在西安大略和麦克马斯特大学骨关节炎指数的疼痛、僵硬和身体功能执行困难分量表上的平均得分显著下降,而对照组的得分下降很少。实验组在关节炎自我效能量表和等速肌力测量上的平均得分增加,但对照组在最终测量中没有变化。两组之间的差异具有统计学意义。

结论

通过该研究确定,水上运动计划可减轻骨关节炎患者的疼痛、僵硬和身体功能执行困难,并提高其自我效能和肌肉力量。

临床意义

护士可将水上运动计划作为管理骨关节炎患者健康状况的参考。

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