뇌교육 기반 운동 및 KPEM도수치료 통합 프로그램이 암환자의 수면과 삶의 질에 미치는 영향 (The effect of brain education-based exercise and KPEM manual therapy integrated program on sleep and quality of life in cancer patients)

서지정보

· 발행기관 : 대한물리치료과학회
· 수록지 정보 : 대한물리치료과학회지 / 30권 / 1호 / 10 ~ 22페이지
· 저자명 : 김병관, 성민규, 양현정

초록

Background: The purpose of this study was to investigate the effect of brain education-based exercise and KPEM manual therapy integrated program on the sleep and quality of life of cancer patients.
Design: Seventy subjects who were diagnosed with cancer and were undergoing treatment volunteered to participate in this study. All subjects used a non- equivalent control group pretest-posttest design for either the experimental group or the control group. In the final analysis, there were 25 subjects in the ex- perimental group and 18 subjects in the control group.
Methods: For 12 weeks, the experimental group per formed brain education-based exercise (20 minutes) and KPEM manual therapy (50 minutes), and the control group performed basic physical therapy and autonomous exercise. For evaluation, the Korean version of the Pittsburgh Sleep Quality Index (PSQI-K) and the quality of life index were measured after inter- vention using the European Organization for Research and Treatment of Cancer (EORTC-3.0Ver). Effect be tween groups, time effect over time, and group*time interaction were analyzed through a pre-test before and after the 12-week intervention period, and re- peated measure ANOVA after 12 weeks of the integrated program intervention. All statistical sig- nificance levels were set at α=.05.
Results: The PSQI in the time effect (p=.001) and the group*time interaction (p<.001) were statistically significant. In terms of EORTC, QL2 and PF2 were significant in time effect (p=.024; p=.021) and group*time interaction (p=.007; p=.021), whereas in RF2, significance was only found in group*time inter- action (p=.028). In symptom indicators, time effect was the only significant factor in FA, SL, AP, and CO, respectively (p=.002; p=.028; p=.041; p =.005) and in DY, there were significant differences in the time effect (p=.016) and group*time interaction (p=.002).
Conclusion: The brain education-based exercise and KPEM manual therapy integrated program effectively improves the sleep and quality of life of cancer patients. It is considered that this exercise and therapy can be actively used as a psychological, emotional, and physically complementary physical therapy inter- vention to improve the quality of life of cancer patients.

영어초록

Background: The purpose of this study was to investigate the effect of brain education-based exercise and KPEM manual therapy integrated program on the sleep and quality of life of cancer patients.
Design: Seventy subjects who were diagnosed with cancer and were undergoing treatment volunteered to participate in this study. All subjects used a non- equivalent control group pretest-posttest design for either the experimental group or the control group. In the final analysis, there were 25 subjects in the ex- perimental group and 18 subjects in the control group.
Methods: For 12 weeks, the experimental group per formed brain education-based exercise (20 minutes) and KPEM manual therapy (50 minutes), and the control group performed basic physical therapy and autonomous exercise. For evaluation, the Korean version of the Pittsburgh Sleep Quality Index (PSQI-K) and the quality of life index were measured after inter- vention using the European Organization for Research and Treatment of Cancer (EORTC-3.0Ver). Effect be tween groups, time effect over time, and group*time interaction were analyzed through a pre-test before and after the 12-week intervention period, and re- peated measure ANOVA after 12 weeks of the integrated program intervention. All statistical sig- nificance levels were set at α=.05.
Results: The PSQI in the time effect (p=.001) and the group*time interaction (p<.001) were statistically significant. In terms of EORTC, QL2 and PF2 were significant in time effect (p=.024; p=.021) and group*time interaction (p=.007; p=.021), whereas in RF2, significance was only found in group*time inter- action (p=.028). In symptom indicators, time effect was the only significant factor in FA, SL, AP, and CO, respectively (p=.002; p=.028; p=.041; p =.005) and in DY, there were significant differences in the time effect (p=.016) and group*time interaction (p=.002).
Conclusion: The brain education-based exercise and KPEM manual therapy integrated program effectively improves the sleep and quality of life of cancer patients. It is considered that this exercise and therapy can be actively used as a psychological, emotional, and physically complementary physical therapy inter- vention to improve the quality of life of cancer patients.

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