• 한국산학기술학회논문지
• /
• 제13권9호
• /
• pp.4073-4081
• /
• 2012

우리나라 성인의 관절염 유병률 수준을 제시하고, 높은 유병율을 보이는 하위집단을 파악하고자 국민건강영양조사 제4기(2007년-2009년) 자료를 이용하여 고유병률 관련 요인을 분석하였다. 통계분석은 국민건강영양조사의 복합표본설계를 반영한 가중치를 적용하기 위해 SAS 9.2 survey procedure로 실시하였다. 19세 이상 성인 18,406명을 대상으로 '연간 본인 인지 관절염'(이하 관절염) 유병률과 사회인구학적 또는 건강행태 요인별 유병교차비를 분석한 결과는 다음과 같다. 관절염 조유병률은 11.7%였고, 이것의 세부 분류인 골관절염은 10.2%, 류마티스관절염은 1.7%의 유병률을 보였다. 19-44세 연령층에서 2.4%, 45-64세 층이 16.4%, 65세 이상에서 38.3%로 연령층 증가에 따라 급격히 증가하였다. 사회인구학적 측면에서 연령보정 관절염 유병률이 상대적으로 높은 집단은 여성, 비아파트 거주자, 이혼 사별 별거 상태인 경우, 낮은 교육년수, 특정직업군(농림어업 종사자, 단순노무종사자, 무직), 낮은 가구총소득, 의료보호 대상자 집단 등이었다. 건강행태 측면에서 연령보정 관절염 유병률이 상대적으로 높은 집단은 체질량지수(BMI)가 높은 집단이었고, 연령, 성, BMI를 보정한 경우 매일 음주군의 유병률이 상대적으로 높았다. 본 연구에서 파악된 고유병률 집단들은 지역사회 관절염 관리사업의 목표집단으로 고려되어야 할 것이다.

• 근관절건강학회지
• /
• 제24권2호
• /
• pp.150-158
• /
• 2017

Purpose: Regular physical activity is beneficial in reducing disease activity and morbidity in patients with rheumatoid arthritis (RA). The purposes of this study were to examine the levels of regular physical activity and learned helplessness and to identify factors influencing in participation in regular physical activity in RA patients. Methods: This cross-sectional study was conducted with 210 RA patients in a university-affiliated hospital. Participants completed a questionnaire including demographic and disease-related characteristics, physical activity and learned helplessness. Data were analyzed with descriptive statistics, $x^2$ tests, t-tests, and multivariate logistic regression analyses. Results: About 23% of RA patients engaged in at least 30 minutes of regular physical activity per week. Patients with being older (OR=1.09, 95%CI=1.03~1.14), no employment status (OR=0.17, 95% CI=0.07~0.42), and lower levels of learned helplessness (OR=0.58, 95% CI=0.34~0.96) had significantly higher chance of engaging in regular physical activity. Conclusion: In developing nursing interventions to promote regular physical activity in RA patients, their learned helplessness should be considered.

• 대한간호학회지
• /
• 제27권1호
• /
• pp.13-25
• /
• 1997

Rheumatoid Arthritis(RA), a chronic and systemic inflammatory disorder, is characterized by joint pain, swelling and stiffness. Patients with RA suffer from joint pain and overall pain. The painful and disabling consequences of RA are accompanied by a variety of affective, cognitive, and behavioral changes. The purpose of this paper was to explore and describe the life experiences of RA patients by eliciting verbal description of their experiences. Participants were nine persons who were diagnosed with RA, and had had it for more than six months. They were asked open ended and descriptive questions in order for them to talk about their experiences in their on terms. Interviews were tape recorded and transcribed verbatim. The transcripts were analyzed by Colaizzi method. From the protocols, 213 significant statements about life experience were organized into 83 formulating meanings which were then grouped into five theme clusters. The major themes that emgerged from the analysis were' Emotional Disturbances', 'Trying to Adapt to the Progress of Disease', 'Progress of Treatment'. 'Change of Role Performances', 'Experiences related to Family'. The result of this study showed that RA patients and families need nursing care based on a deep understanding of their lived experiences in everyday life. Nurses and other health workers must develop rehabilitation programs that focus on the pain control, functional independence and psychosocial factors.

• 근관절건강학회지
• /
• 제3권2호
• /
• pp.151-165
• /
• 1996

The purpose of this study is to describe the acknowledgement of the cause of the illness in the patients with RA. I used naturalistic inquiry as a research methodology. The purposive sampling was conducted. 23 subjects who experienced RA, lived in middle-sized city in Korea, and 19 women and 4 men. I collected data using indepth structured interview, "What is the acknowledgement of the cause of the illness?" I used inductive data analysis-such as unitizing and categorizing. This process is used constant comparative method. Summerising the results of this study, the acknowledgement of the cause of the illness are composed of physical constitution, fatalism, the attribution of physical overload, the attribution of stress, the lack of nutrition. The factors which affect the acknowledgement of the cause of the illness are composed of internal factors, external factors, environmental factors. The internal factors are the weakness of the childhood, the illness experience in the family members, juvenile rheumatoid arthritis, personality, lack of nutrition. The external factors are pregnancy, delivery, role burden and conflict, economic problem. The environmental factors are humid condition, abrupt environmental change. It is needed to explaine the coping pattern according to the acknowledgement of the cause of the illness in the next research.

• 동아시아식생활학회:학술대회논문집
• /
• 동아시아식생활학회 2003년도 춘계학술대회: 동아시아의 주식문화
• /
• pp.81-82
• /
• 2003

국민소득 증대에 따른 사회경제 수준의 향상과 의학발달에 의해 평균 수명이 연장되었다. 이로 인한 인구의 노령화로 노인관련 질환 즉, 류마티스성 관절염, 심장질환 등과 같은 만성 퇴행성질환과 암 등 영양섭취의 불균형과 관련된 질병이 급증되었다. 최근 ROS(reactive oxygen species), PGs(prostaglandins), 및 NO(nitric oxide)가 각종 염증성 질환, 순환계 질환 및 암화 과정에 밀접한 연관이 있기 때문에 이들을 조절할 수 있는 식품류가 각종 질환의 예방을 목적으로 각광을 받고 있다.(중략)

• 셀메드
• /
• 제13권11호
• /
• pp.39.1-39.3
• /
• 2023

Objective: A case report on the improvement of rheumatoid arthritis using Ortho-Cellular Nutrition Therapy (OCNT) Methods: A Korean woman in her 50s is suffering from rheumatoid arthritis. Results: Rheumatoid arthritis improved after performing OCNT. Conclusion: OCNT can be helpful in the treatment of patients with rheumatoid arthritis.

• 셀메드
• /
• 제13권9호
• /
• pp.36.1-36.4
• /
• 2023

Objective: A case report on the improvement of rheumatoid arthritis using Ortho-Cellular Nutrition Therapy (OCNT). Methods: A Korean woman in her 60s, suffering from rheumatoid arthritis. Results: Rheumatoid arthritis improved after performing OCNT. Conclusion: OCNT can be helpful in the treatment of patients with rheumatoid arthritis.

• 근관절건강학회지
• /
• 제10권2호
• /
• pp.119-130
• /
• 2003

Illness intrusiveness(illness induced lifestyle disruption) was investigated in 902 patients with arthritis and compared between rheumatoid arthritis(N=439) and osteoarthritis(N=463) patients. Arthritis patients were reported to perceive illness intrusiveness similar to patients with ESRD(end stage renal disease), bipolar disorder and peritoneal dialysis. Especially they were intrusive into health, work, and active recreation domains. And patients with rheumatoid arthritis were significantly more intrusive into activities, especially in diet, financial situation, family relations, other social relations, self-expression/self improvement, religious expression, and community and civic involvement. Differences in treatment regimens and age were hypothesized to account for these differences in illness intrusiveness.

• Clinical and Experimental Pediatrics
• /
• 제51권8호
• /
• pp.886-891
• /
• 2008

복합 교원성 질환은 류마티스 관절염, 경피증, 전신성 홍반성 낭창, 다발성 근염의 다양한 임상양상을 나타내면서 혈청학적 검사에서 항 ENA 항체를 갖는 질환이다. 성인에서 1972년 25례의 복합 교원성 질환의 첫 보고 이래 국내에서 성인에서 발생한 복합 교원성 질환에 대한 몇몇 보고가 있었지만, 소아에서는 복합 교원성 질환의 보고가 드물다. 7세 여아가 내원 3개월 전부터 시작된 양 손가락에, 글쓰기 및 한랭노출에 의해 유발되는, 가역적인 색깔변화와 차가움을 주소로 내원하였다. 신체 검사에서 양측 손가락들의 부종 및 오른쪽 집게손가락 끝에 궤양이 관찰되었다. 혈청학적 검사에서 다른 교원성 질환의 증거 없이 높은 역가의 ANA와 항 ENA 항체 중 항 RNP 항체가 고역가로 검출되었다. Raynaud 현상과 궤양에 대해 slow releasing nifedipin을 사용하였으나 호전 보이지 않아 스테로이드를 투약 하였고, 이후 궤양은 치유 되었으며, Raynaud 현상의 빈도도 현저히 감소하였다. 그러나 steroid를 점차 감량하는 동안 탈모 및 관절염 증상이 새로 발현되었으며, 현재 겨울에 악화되는 Raynaud 증상과 관절염으로 추적 관찰 중이다. 이에 본 저자들은 Raynaud 현상으로 발현되고 추적 동안에 탈모와 관절염이 나타난 복합 교원성 질환의 드문 소아 증례를 보고하는 바이다.

• 기본간호학회지
• /
• 제6권2호
• /
• pp.198-210
• /
• 1999

This study is to investigate sleep patterns of rheumatoid arthritis patients through a survey research. The subjects for this study were 97 patients registered in Hanyang University Hospital Rheumatoid Arthritis Center, and the period of data collection was from July 15, 1998 to August 30, 1998. The research instruments used in this study were the measures of sleep, pain, and fatigue, and SPSSWIN 8.0 Program was used for data analysis. The research results are as follows ; The patients went to bed between 11 and 12 p.m., but many of them found difficulty in falling asleep within 5 minutes. They woke up quite early at around 4 to 6 o'clock in the morning and remained in bed about 1 hour. Only 39 percent of the subjects reported satisfaction with their sleep. Fifty six percent of the subjects took a nap, generally did in the afternoon and 22.7 percent of them napped for half an hour. They suffered sleep disturbance, but their sleep environments were calm and comfortable, and they turn off the light when they went to sleep. As for the quality of sleep, over 50 percent of the subjects reported not being able to sleep deeply, 30 percent of the subjects woke up frequently during sleep, 60 percent experienced frequent arousal after sleep onset. Over 90 subjects slept for 6 to 8 hours. This shows that even though they had rheumatoid arthritis, the patients remained in bed for a sufficient period of time. They also reported waking up or turning frequently during sleep. The sense of fatigue from sleep disturbance scored a relatively high 35.84 points on average against the possible score of 64 points. Behavior for sleep promotion was very active. Sleep disturbance occurred in proportion to the sense of fatigue and pain, and was negatively correlated with quality of sleep. The pain had positive correlations with the illness duration, sleep disturbance and had a negative correlation with the quality of sleep.