Session Title: Medical Education
Session Type: Abstract Submissions (ACR)
Most of the rehabilitation program for patients with hemophilic arthritis are focused on only the improvement of physical activities. However, the actual hemophilic arthritis patients are accompanied by mental problems as well as physical disabilities, so a rehabilitation program to improve physical and mental problems simultaneously is needed. PMHRP was developed to solve these problems through increasing the interpersonal relationship, developing each potentials, self-development and understanding others. PMHRP was analysed by two different groups to verify the clinical effectiveness.
This study used a nonequivalent control group quasi-experimental research based on data acquired through a pre-post test. The subjects for this study were a total of 53 patients with hemophilic arthritis who underwent lower extremity joint surgeries at the orthopedic. The experimental group(n=24)was attended PMHRP 5 times(4hours/time) for 4 weeks, and the control group(n=29) was not given any physical & mental health rehabilitation program. The measurement tools of this study were Numerical Rating Scale for 100mm Pain VAS, 100mm Fatigue VAS, self efficacy, self esteem, quality of life, SCL-90-R(Symptom Checklist-90-Revision) and WOMAC Scale. The data was analyzed with X²-test and t-test using SPSS/Win18.0.
After PMHRP application, self efficacy score increased significantly in the study group and self esteem score also increased (p<.001). On the contrary, these scores decreased after 4 weeks in the control group. 100mm Pain VAS & 100mm Fatigue VAS, and quality of life scores improved significantly in the study group(p<.001). SCL-90-R scores decreased significantly after the program (p<.001). Although there were no statistically significant differences in WOMAC scores between two groups, however, the average score was changed from pre-treatments(M=36.51) to post-treatment(M=30.08) and it revealed the alleviation of arthritic symptoms and improvement of activities.
In conclusion, PMHRP showed much more satisfactory results than the simple physical therapy to treat the physical and mental disabilities including psychosocial stresses in patients with hemophilic arthritis by increasing the self esteem and quality of life by themselves. These results suggest that PMHRP is highly recommended as a distinguished method of rehabilitation for patients with hemophilic arthritis.
W. S. BAK,
M. C. Yoo,
N. S. Cho,
S. H. Lee,
Y. H. Kim,
K. Y. Yoo,
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ACR Meeting Abstracts - https://acrabstracts.org/abstract/the-effects-of-physical-mental-health-rehabilitation-program-pmhrp-for-hemophilic-arthritis-patients/