Jeon Eun Ju, Cha Nam Hyun
Department of Nursing, College of Health Welfare, Gyeongkuk National University, Andong, Korea.
J Exerc Rehabil. 2025 Apr 30;21(2):92-101. doi: 10.12965/jer.2550112.056. eCollection 2025 Apr.
This study examined the effects of a self-management program (exercise therapy, dietary education, and aromatherapy) on physical symptoms (pain, daily living function, exercise function), quality of life, and sleep disturbances in knee osteoarthritis patients at a clinic in Andong city. A total of 66 patients (33 experimental, 33 control) with stage 2 or higher knee osteoarthritis participated. Data were analyzed using a statistical program, including descriptive statistics, frequencies, percentages, means, χ test, -test, and Fisher exact test and Bonferroni, and analysis of variance to examine the research objectives and measurement variables. Significant improvements were observed in the experimental group for pain, daily living functions, exercise functions, and quality of life (=62.73, <0.001; =22.68, <0.001; =8.19, =0.006; =14.02, <0.001, respectively). Additionally, significant interactions between time points and group effects were found, indicating differences in the patterns of change in physical symptoms, daily living functions, exercise functions, and quality of life between the groups (=34.56, <0.001; =15.42, <0.001; =5.82, =0.019; =11.77, =0.001). For sleep disturbances improved in the experimental group (=16.79, <0.001), but no significant group-time interactions were found (=0.01, =0.920). These findings suggest that self-management program effectively reduce pain and enhance physical function, quality of life, and sleep, emphasizing the need for structured, ongoing educational interventions for knee osteoarthritis patients.
本研究在安东市一家诊所，考察了自我管理项目（运动疗法、饮食教育和芳香疗法）对膝骨关节炎患者身体症状（疼痛、日常生活功能、运动功能）、生活质量和睡眠障碍的影响。共有66例2期或更高阶段膝骨关节炎患者参与（33例实验组，33例对照组）。使用统计程序对数据进行分析，包括描述性统计、频数、百分比、均值、χ检验、t检验、Fisher精确检验和Bonferroni检验以及方差分析，以检验研究目标和测量变量。实验组在疼痛、日常生活功能、运动功能和生活质量方面有显著改善（分别为F = 62.73，P < 0.001；F = 22.68，P < 0.001；F = 8.19，P = 0.006；F = 14.02，P < 0.001）。此外，发现时间点和组效应之间存在显著交互作用，表明两组在身体症状、日常生活功能、运动功能和生活质量的变化模式上存在差异（F = 34.56，P < 0.001；F = 15.42，P < 0.001；F = 5.82，P = 0.019；F = 11.77，P = 0.001）。实验组睡眠障碍有所改善（F = 16.79，P < 0.001），但未发现显著的组 - 时间交互作用（F = 0.01，P = 0.920）。这些发现表明，自我管理项目能有效减轻疼痛，增强身体功能、生活质量和睡眠，强调了对膝骨关节炎患者进行结构化、持续教育干预的必要性。
