• Journal of muscle and joint health
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• v.6 no.1
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• pp.136-152
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• 1999

The purposes of this study were to identify the prevalence of fatigue. and factors influencing fatigue in women with rheumatoid arthritis. The subjects were 124 patients with rheumatoid arthritis. Most of all patients felt fatigue and mean score measured by Multidimensional Assessment of Fatigue was relatirely high. Fatigue was positively correlated with pain intensity, the number of pain sites, functional disability, depression. and sleep quality. A hierachical regression model was used to determine the variance which accounts for fatigue. Pain intensity, depression. sleep quality accounted for fatigue significantly. This finding indicates that pain influences fatigue through depression and sleep quality ; depression through sleep quality. The causative factors could be identified by further study of structural eqation model.

• Journal of muscle and joint health
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• v.2 no.2
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• pp.160-167
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• 1995

An aquatic exercise program is one of the nursing intervention for the patients having rheumatoid arthritis. The purpose of this study was to obtain the effect of aquatic exercise program on depression and helplessness in the rheumatoid arthritis patients. Thirty five patients with rheumatoid arthritis were the subjects of this study. who were treated to the rheumatism center at a hospital in Seoul from December 1992 to April 1993. The data were collected before and after aguatic excercise. All data collected were analyzed using percent, t-test, ANCOVA with SPSS $pc^+$ program. The findings of this study were as follows : 1. The score of depression was not different between experimental group and control group(P=0.178). 2. There was significant difference in the helplessness score between experimental group and control group(F=4.60, P=0.039).

• Journal of muscle and joint health
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• v.21 no.2
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• pp.145-152
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• 2014

Purpose: The purpose of this study was to investigate the influencing factors on the social support perceived by patients with rheumatoid arthritis. Methods: The subjects for this study were 468 patients registered in 2 general hospitals and the period of data collection was from October 20, 2013 to February 20, 2014. The data were analyzed with t-test, ANOVA and Pearson's correlation coefficients. Results: The mean of item of social support was 3.31 in patients. For social support, there were significant differences by gender and economics in patients with rheumatoid arthritis. Conclusion: Managing social support was important for patients with rheumatoid arthritis to promote health. To enhance social support of patients with rheumatoid arthritis, nursing intervention strategies must be developed for increasing economics or giving information about their activity of daily living.

• Journal of muscle and joint health
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• v.3 no.2
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• pp.209-215
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• 1996

The purpose of this study was to explore the demand of rheumatoid arthritic patients for medical facilities. The survey using open-ended question and interview was used to serve this purpose. Data was collected from 27 inpatients and outpatients of one university hospital in Seoul. The results were as follows ; The hospital facilities they wanted were categorized as space for patients & their family members (15 items), convenient facilities(14 items), facilities for their family members & visitors (4 items) and others (2 items). They mostly needed as following order ; shower room, parking place, supermarket, no charge of TV subscription fee and rest place. Also they especially wanted sports facilities & recreation room.

• Journal of muscle and joint health
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• v.25 no.3
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• pp.240-249
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• 2018

Purpose: This study was to identify the attributes, antecedents, their consequences, and empirical indicators of rehabilitation motivation in rheumatoid arthritis patients. Methods: Walker and Avant's method was used to analyze the concept. Articles published after 1990 were searched in Medline, CINAHL, NSDL, and RISS databases using "rehabilitation", "motivation" and their combination as keywords. Results: The attributes of rehabilitation motivation are: 1) certitude and trust toward rehabilitation treatment; 2) confidence in the rehabilitation process; 3) efforts and commitments to achieve health goals; 4) psychological needs to act toward health recovery. Its antecedents include: 1) rights of self-determination; 2) goal setting and goal-oriented attitude; 3) personal needs; 4) getting rewards; 5) social and family support; 6) professional behavior of healthcare providers; and 7) least risks or costs for actions taken. Conclusion: The study results could be used as a conceptual framework for developing tools to measure the motivation of rheumatoid arthritis patients.

• Journal of agricultural medicine and community health
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• v.25 no.2
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• pp.275-292
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• 2000

The purpose of this study was to analyze the relationship between knowledge, self-efficacy and quality of life of patients suffering from rheumatic arthritis. The data were collected from 100 rheumatic arthritis patients 1 university hospital, K rheumatic clinic in kwang-ju city for 20 days from March 2 to March 22, 1999, by means of questionnaires. The instruments used in this study were the knowledge scale developed by Kim, the self-efficacy scale developed by Long et al and the quality of life scale developed by Rho. The data were analyzed by t-test, ANOVA, Pearson's Correlation Coefficient, and Stepwise Multiple Regression by using the SAS program. The results of this study were summarized as follows : 1. The total mean score of knowledge was 15.01(SD${\pm}$3.08), In self-efficacy, the total mean score was 1030.40(SD${\pm}$233.42), In quality of life, the total mean score was 135.19(SD${\pm}$11.07). 2. The relationship between general characteristics and knowledge were significant difference in sex(t=19.03, p=.00), occupation(F=2.34, p=.03), types of exercise (F=2.95, p=.0.3), and time of exercise(F=3.20, p.=02). 3. The relationship between general characteristics and self-efficacy were significant difference in religion(F=2.75, p=.04), in monthly salary(F=3.64, p=.01), in occupation(F=2.30, p=.03), in period of rheumatic arthritis(F=2.70, F=.03), in time of exercise(F=3.77, P=.01), and in effectiveness of exercise (F=4.56, p= .02). 4. The relationship between general characteristics and quality of life were significant difference in age(F=3.36, p=.01), monthly income(F=3.11, p=.02), types of housing(t=4.93, p=.02), arid time of exercise(F=3.03, p=.03). 5. There was not significant correlation between the subjects knowledge and quality of life. 6. There was significant correlation between the self-efficacy and quality of life(r=462, p<.011). 7. The main factor influencing on quality of life was self-efficacy(21.4%).

• Clinical and Experimental Pediatrics
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• v.53 no.2
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• pp.262-266
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• 2010

Tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$) is a major proinflammatory cytokine involved in the pathophysiology of juvenile rheumatoid arthritis. Etanercept is an effective inhibitor of $TNF-{\alpha}$ and has shown a beneficial effect in patients with JRA. However, the most important cause of concern related to etanercept administration is infection. We report a case of encephalitis in a JRA patient receiving long-term treatment with etanercept. The patient was a 4-year-old boy with refractory JRA, and he received etanercept subcutaneously at a dose of $0.4\;mg\;kg^{-1}\;day^{-1}$ twice a week for 14 months, along with non-steroidal anti-inflammatory drugs, methotrexate, oral steroids, and sulfasalazine. The patient presented with sudden fever, headache, vomiting, a generalized tonic seizure, and changes in mental status. We suspected a central nervous system infection, and simultaneously administered antibiotics, an antiviral agent, and steroids. After 2 days of hospitalization, his mental function returned to normal, and he showed no further seizure-like movements. Brain magnetic resonance imaging scan of the patient showed a multifocal cortical lesion on both sides of the temporoparietooccipital lobe, which indicated encephalitis. Although we were unable to identify the causative organism of encephalitis, we think that the encephalitis may be attributed to infection, and the use of etanercept may have increased the risk of severe infection. Therefore, etanercept was discontinued and the patient recovered shortly after. To the best of our knowledge, this is the first case of encephalitis in a juvenile rheumatoid arthritis patient treated with etanercept.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.331-338
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• 2020

This study examined factors affecting the stages of exercise behavior among patients with rheumatoid arthritis. The analysis was based on data collected from 238 patients who enrolled at the medical center of D university. The participants showed 5 stages of exercise behavior: pre-contemplation 23.9%, contemplation 23.0%, preparation 33.2%, action 5.0%, and maintenance 29.0%. There were statistically significant differences in perceived barriers of exercise, exercise self-efficacy, and perceived health status according to the stage of exercise behavior of the subjects. It was found that among the barriers to exercise, physical and cognitive psychological factors significantly influenced the stages of exercise behavior. Also, exercise self-efficacy significantly affected the stages of exercise behavior. Thus, for rheumatoid arthritis patients to practice and maintain proper exercise behavior, the nursing staff should continue to assess and reduce the barriers to exercise. Exercise programs should enhance self-efficacy to achieve long-term exercise behavior.

• Journal of muscle and joint health
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• v.5 no.2
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• pp.206-221
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• 1998

The purpose of this study was to validate translated Multidimensional Assessment of Fatigue(MAF) scale. The scale is a 16-item scale that measures four dimensions of fatigue : severity, distress, impact, timing. Fourteen items are numerical rating scales and 2 items have multiple choice responses. Data were collected from the 137 patients with rheumatoid arthritis after content validation. Criterion validity was tested by correlation coefficient with Piper Fatigue Scale, which resulted in 0.7573(p<.0000). Construct validity was tested by item analysis and factor analysis. Corrected item-total correlation coefficients were 0.63-0.88. And factor analysis showed 2 factors : fatigue degree factor and fatigue impact factor. These two factors explained 73.5% of total variance. Reliability of internal consistency was 0.96 in Cronbach's alpha. Further validation study is necessary in each factor in other settings with other subjects.

• 건강소식
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• v.27 no.12 s.301
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• pp.33-33
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• 2003