earticle

영어

Objective: This study was conducted to check the effect of occupational therapy intervention on the physical function, muscle activity, and quality of life of breast cancer patients. Methods: The subjects of this study were 15 mastectomy patients, and an occupational therapy intervention program consisting of stretching was applied as the therapeutic activity. The trial was applied for 40 min per day, twice a week for 12 weeks. The physical function was checked using Korean version of Brief Fatigue Inventory (BFI-K) and Baseline Dyspnea Index(BDI) the muscle activity was checked using surface Electromyographic (sEMG), and the quality of life was checked using Functional Assessment Cancer Therapy-Breast(FACT-B). Results: The degree of fatigue was improved after intervention, dyspnea significantly decreased after intervention (p<.01), and the muscle activity showed a statistically significant difference only in pectoralis major (sternocostal head), anterior deltoid, middle deltoid, and infrasupinatus(p<.05). The quality of life after intervention showed that the total score of life quality, Physical Well-Being(PWB), Functional Well-Being(FWB), Breast Cancer Subscale (BCS), and significantly improve(p<.001). Conclusion: We can conclude from the above that the occupational therapy intervention was effective on breast cancer patient recover.

한국어

목적 : 작업치료중재를 통한 유방암 환자의 신체기능과 근 활성도 및 삶의 질에 미치는 효과를 알아보고자 하였다. 연구방법 : 본 연구는 유방암 환자 15명을 대상으로 스트레칭, 치료적 활동 및 일상생활활동으로 구성된 작업 치료중재 프로그램을 40분씩 주 2회 총 12주 동안 실시하였다. 신체기능은 한국판 간이 피로 평가지 (Korean version of Brief Fatigue Inventory; BFI-K), 기본 호흡곤란 지표(Baseline Dyspnea Index; BDI)를, 근 활성도는 surface Electromyoghraphic (sEMG)를, 그리고 암 치료 관련 기능적 평가 - 유방 암(Functional Assessment Cancer Therapy-Breast; FACT-B)를 통하여 삶의 질을 측정하였다. 결과 : 신체기능에서 피로도와 호흡곤란 정도는 감소하였으며(p<.01), 근 활성도는 앞쪽․중간 어깨세모근, 큰가슴 근의 복장갈비머리 부분, 가시아래근에서 유의하게 증가하였다(p<.05). 삶의 질은 총점과 하위 영역 중 Physical Well-Being(PWB), Functional Well-Being(FWB), Breast Cancer Subscale(BCS)가 통계적 으로 유의한 차이를 나타냈다 (p<.001). 결론 : 중재 후 신체기능과 근 활성도, 삶의 질 모두에서 향상을 보였으며 이는 작업치료 중재가 유방절제 술 환자의 회복에 도움이 될 것으로 생각된다.