대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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류마티스 관절염 환자의 건강관련 삶의 질 영향요인 분석: 통증, 질병활성도, 일상생활 수행능력 장애 및 우울과의 관련성

Health-related Quality of Life in Korean Patients with Rheumatoid Arthritis: Association with Pain, Disease Activity, Disability in Activities of Daily Living and Depression

  • 엄동춘 (대전대학교 응급구조학과) ;
  • 남은숙 (원대학교 간호학과.건강돌봄연구소) ;
  • 이호연 (서울의료원) ;
  • 이은봉 (서울대학교 의과대학 내과) ;
  • 윤영임 (서울대학교 병원 류마티스 교육실) ;
  • 채공주 (국립춘천병원)
  • Uhm, Dong-Choon (Department of Emergency Medical Technician, Daejeon University) ;
  • Nam, Eun-Sook (Department of Nursing, Health Care Research Center, Kangwon National University) ;
  • Lee, Ho-Yeon (Seoul Medical Center) ;
  • Lee, Eun-Bong (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Yoon, Young-Im (Seoul National University Hospital) ;
  • Chai, Gong-Ju (Chuncheon National Hospital)
  • 투고 : 2011.04.07
  • 심사 : 2012.05.30
  • 발행 : 2012.06.30
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초록

Purpose: The purpose of this predictive study was to identify factors affecting health related quality of life (HRQoL) in patients with rheumatoid arthritis (RA). Methods: The participants in this study were 131 patients with RA who were recruited from the outpatient clinic of a university hospital in Seoul. Disease activity in rheumatoid arthritis was evaluated by calculating the Disease Activity Score 28. Disability in activities of daily living (ADL) was assessed with the Korean Health Assessment Questionnaire, and depression with The Center for Epidemiologic Studies Depression Scale. HRQoL was evaluated using The Short Form 36 Health Survey. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression. Results: Pain, disability in ADL, disease activity, and depression correlated negatively with physical and mental dimensions of HRQoL. But hierachical multiple regression analysis revealed that disability in ADL and depression were the only variables negatively influencing physical and mental QoL after adjustment for influences of sociodemographic variables. Conclusion: Results of this study suggest that disability in ADL and depression, rather than disease activity and pain have profound effects on HRQoL in patients with RA. Further studies are needed to assess the predictive ability of disease activity and pain on HRQoL in this population.

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참고문헌

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  3. Evaluation of Automated Assays for Measuring Serum Hyaluronic Acid: For the Diagnosis of Rheumatoid Arthritis vol.4, pp.2, 2012, https://doi.org/10.3343/lmo.2014.4.2.98
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  9. Healthcare burden of depression in adults with arthritis vol.17, pp.1, 2012, https://doi.org/10.1080/14737167.2017.1281744
  10. 학습된 무력감이 류마티스관절염 대상자의 규칙적 운동에 미치는 영향 vol.24, pp.2, 2012, https://doi.org/10.5953/jmjh.2017.24.2.150
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  13. 만성경부통증 환자의 건강관련 삶의 질 영향요인에 대한 융합연구 vol.9, pp.6, 2018, https://doi.org/10.15207/jkcs.2018.9.6.299
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