The Effect of Health Promotion Program in Vulnerable Women with Osteoarthritis

Article information

Res Community Public Health Nurs. 2011;22(3):241-251
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2011.22.3.241
1Professor, Department of Nursing, Mokpo Catholic University, Korea.
2Associate Professor, Department of Nursing, Chodang University, Korea.
3Nurse, Nursing Department, Hyemin Hospital, Korea.
Address reprint requests to: Lee, Myung Suk, Department of Nursing, Mokpo Catholic University, 854-1 Sukhyun-dong, Mokpo 530-742, Korea. Tel: 82-61-280-5122, Fax: 82-61-280-5120, mslee@mcu.ac.kr
Received 2011 May 25; Revised 2011 August 29; Accepted 2011 September 07.

Abstract

Purpose

This study was to develop and evaluate a health promotion program for women with osteoarthritis.

Methods

The research adopted the nonequivalent control group pretest-posttest design. The subjects were 34 in the experimental group and 34 in the control group sampled among vulnerable women aged over 40. The independent variable was the health promotion program, and the dependent variables were perceived health status, balance, K-WOMAC, depression, life satisfaction and health promoting behavior. The health promotion program was performed for 50minutes each session, twice a week and for 8 weeks. Data were collected from July 1 to September 11, 2010.

Results

The experimental group showed significant differences in perceived health status, balance, WOMAC pain, WOMAC difficulty of performing activity, depression, and health promoting behavior compared to the control group. There was no significant difference in WOMAC stiffness, waist, weight, and life-satisfaction.

Conclusion

The results of this study suggest that the health promotion program can be applied in degenerative arthritis education to improve self-care.

Notes

This work was supported by the Management Center Health Promotion (MCHP) grant funded by the Korea government (MOHW) (General: 2010-33).

References

1. Bruce TO. Comorbid depression in rheumatoid arthritis: Pathophysiology and clinical implications. Curr Psychiatry Rep 2008;10:258–264.
2. Burks K. Health concerns of men with osteoarthritis of knee. Orthop Nurs 2002;21(4):28–34.
3. Campbell A. Subjective measures of well-being. Am Psychol 1976;31:117–124.
4. Cheon EY. The effects of a self-management program on physical function and quality of life of patients with knee osteoarthritis. J Korean Acad Nurs 2005;35(3):514–525.
5. Choi YH. The sense of mastery and health-promoting behaviors in the vulnerable female elderly of urban areas. J Korean Acad Community Health Nurs 2009;20(3):335–342.
6. Galobardes B, Costanza MC, Bernstein MS, Delhumeau C, Morabia A. Trends in risk factors for lifestyle-related diseases by socioeconomic position in Geneva, Switzerland, 1993-2000: Health inequalities persist. Am J Public Health 2003;93:1302–1309.
7. Haber D. Health promotion and aging: Practical applications for health professionals New York: Springer Publishing Company, Inc; 2003.
8. Jeon GS, Jang SN, Lee SJ, Lee HY, Hong BK, Kim BR. Community health promotion program for vulnerable women. J Korean Soc Health Educ Promot 2007;24(3):99–118.
9. Jeon MY. Effect of the fall prevention program on gait, balance and muscle strength in elderly women at a nursing home Seoul: Seoul National University; 2001. Unpublished doctoral dissertation.
10. Kim CS, Kim R, Kim YJ, Park IS, Park MH, Park IH. Effects of self-help program in daily living and self-care activities, flexibility, grip strength and depression in patients having chronic arthritis. J Rheumatol Health 2003;10(2):131–141.
11. Kim HJ. An effect of muscle strength training program on muscle strength, muscle endurance instrumental activities of daily living and quality of life in the institutionalized elderly Seoul: Seoul National University; 1994. Unpublished doctoral dissertation.
12. Kim SS, Lee EN. Effects of the progressive exercise program on flexibility, grip strength, pain, and fatigue for osteoarthritis patients. J Muscle Joint Health 2009;16(2):184–192.
13. Lawton MP, Moss M, Fulcomer M, Kleban MH. A research and service oriental multilevel assessment instrument. J Gerontol 1982;37:91–99.
14. Lee HY. Comparison of effects among Tai-Chi exercise, aquatic exercise, and a self-help program for patients with knee osteoarthritis. J Korean Acad Nurs 2006;36(3):571–580.
15. Lee KS, Choi JS, Lee EH, Suh GH, So AY, Choi SH. Effects of the self-help program on pain, fatigue, difficulty in physical activity, joint stiffness, flexibility of the joints in arthritis patients. J Muscle Joint Health 2007;14(1):26–32.
16. Lee MS, Lim HJ, Kim KO. The effect of a health diary program in solitary elderly. J Korean Acad Nurs 2007;37(6):966–975.
17. Lee SY. The effect of children s emotional support mother-child communication on the low-income female householders life satisfaction and depression Seoul: Seoul National University; 2001. Unpublished master's theses.
18. Mackenbach JP, Bos V, Andersen O, Cardano M, Costa G, Harding S, et al. Widening socioeconomic inequalities in mortality in six Western European countries. Int J Epidemiol 2003;32:830–837.
19. Mazzuca SA. Does patient education in chronic disease have therapeutic value? J Chronic Dis 1982;35:521–529.
20. Minardi HA, Blanchard M. Older people with depression: Pilot study. J Adv Nurs 2004;46:23–32.
21. Park IH, Lee EN, Park SY. Development of a progressive exercise program for older adults with osteoarthritis. J Muscle Joint Health 2008;15(2):155–165.
22. Park JS, Oh YJ. The effects of a health promotion program in rural elderly on health promotion lifestyle and health status. J Korean Acad Nurs 2005;35(5):943–954.
23. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1977;1:385–401.
24. Rivard V, Cappeliez P. Perceived control and coping in woman faced with activity restriction due to osteoarthritis: Relations to anxious and depressive symptom. Can J Aging 2007;26:241–253.
25. Shaw M, Davey SG, Dorling D. Health inequalities and new labour: How the promises compare with real progress. BMJ 2005;330:1016–1021.
26. Shin KR, Kim JS. The effects of exercise program on knowledge and attitude of exercise and in low-income elderly women. J Korean Acad Nurs 2005;35(6):1144–1152.
27. Walker SN, Sechrist KR, Pender NJ. HPLP II Nebraska: University of Nebraska Medical Center; 1995.
28. Won JS, Kim KH. Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. J Korean Acad Nurs 2008;38(1):1–10.

Article information Continued

Funded by : Management Center Health Promotion
Award ID : 2010-33

Table 1

Overview of Health Promotion Program

Table 1

Table 2

Homogeneity Test of General Characteristics between Two Groups (N=68)

Table 2

Fisher's exact probability test; Exp.=experimental group; Cont.=control group.

Table 3

Homogeneity Test of Dependent Variables between Two Groups

Table 3

Exp.=experimental group; Cont.=control group; PHS=perceived health status; HPB=health promoting behavior; K-Womac=Korean-Western Ontario and McMaster university osteoarthritis.

Table 4

Mean Difference in Health-related Variables between Two Groups

Table 4

Exp.=experimental group; Cont.=control group; PHS=perceived health status; Womac=Western Ontario and McMaster university osteoarthritis.

Table 5

Mean Difference in Depression, Life-satisfaction and Health Promoting Behavior between Two Groups

Table 5

Exp.=experimental group; Cont.=control group; HPB=health promoting behaviors.