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Functional Impairment and Psychological Status in Patients with Chronic Arthritis (만성 관절염 환자의 기능적 손상과 심리적 상태 분석)

  • Lim, Nan-Young;Lee, Eun-Young
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.72-82
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    • 1998
  • The purpose of this study was to identify functional impairment and psychological status and to analyze their relationships in patients with chronic arthritis. The sample was consisted of 75 arthritic patients who visited H hospital and S welfare center. Functional impairment was measured by ADL, pain, and the number of painful joint. Psychological status was measured by depression, self-efficacy, and quality of life. Data was analyzed by frequency, mean ${\pm} SD$, Pearson's correlation coefficient, and Stepwise multiple regression. The results of this study were as follows : 1. In functional Impairment, ADL was below average which means somewhat difficult, pain was above average, and the number of painful joint was 9.20. 2. In psychological status, scores of quality of life was 97.89, depression was 41.28, self-efficacy was 895.35. 3. Pain was negatively correlated to self-efficacy, ADL and quality of life, and positively correlated to depression. 4. Self efficacy and depression explained 45% of the variance in quality of life. Therefore, it is suggested that nursing intervention improving psychological status would be useful for patients with chronic arthritis. Especially, it is very important to implement nursing intervention focused on increasing self-efficacy and decreasing depression.

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An Analysis of Health Counselling by the Internet in One Lupus Center (인터넷을 이용한 루푸스 환자의 건강상담 내용 분석)

  • Sohng, Kyeong-Yae;Paik, Seung-In;Cho, Ok-Hee
    • Journal of muscle and joint health
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    • v.11 no.1
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    • pp.42-49
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    • 2004
  • Purpose: To establish more effective health counselling system by internet and to provide basic data for developing on-line education program for lupus patients. Method: This survey analyzed the contents of health counselling cases from September, 2002 to March, 2004. Among 108 questioners visited questioning/answering(Q/A) site in one lupus center home page. Contents of Q/A were classified and analyzed using SAS program. Results: Most frequent questioners were female and twenties, they needed to know diagnosing process, treatment principles and information regarding the clinic visits. During the study period, the average number of user's questioning were 166.2 cases and answering was 171.1 cases. Conclusions: These findings suggest that computer mediated health counselling may be useful supplement of health education for lupus patients. More research is needed to develop better health counselling service and education program on the web.

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Effects of Aquatic Exercise Program on Pain, Flexibility, Grip Strength, Self-Care Activities and Helplessness in Patients having Osteoarthritis (수중운동 프로그램 참여 후 골관절염 환자의 통증과 자기간호활동, 유연성, 악력 및 무력감의 변화)

  • Kim, Young-Jae;Kim, Chang-Sook;Park, In-Hyae
    • Journal of muscle and joint health
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    • v.11 no.2
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    • pp.127-135
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    • 2004
  • Purpose: The purpose of this study was to explore the effects of aquatic exercise program on pain, flexibility, grip strength, self-care activities, helplessness in osteoarthritis patients. Methods: This program was carried out three times a week for 6 weeks by 3 groups of patients among 42 patients in regular swimming pool. Data were analysed by paired t-test for pre and post comparison. Results: There were significantly improved in pain flexibility, grip strength, self-care activities and helplessness after the program. However no significant differences were found in fatigue, difficulty of daily living activities and depression. Conclusion: Aquatic program was proved to be an effective nursing intervention to increase the self-care activities flexibility and grip strength, and to decrease pain and helplessness in osteoarthritis patients.

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The Influence of Family Support on the Activities of Daily Living & Quality of Life among the Patients with Rheumatoid Arthritis (류마티스 관절염 환자가 받는 가족지지 정도에 따른 일상활동과 삶의 질 차이)

  • Park, Sun-Young;Park, Jeong-Sook
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.63-76
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    • 2000
  • The aim of this study was to investigate the difference in the level of ADL & QOL by family support in the patients with rheumatoid arthritis. The subjects of the study consisted of fifty-six outpatients with rheumatoid arthritis at a university hospital in Taegu. The instrument used in this study were the family support scale developed by Kang(1984), the ADL scale by Katz et al.(1970) and Barthel(1973), the QOL scale developed by Jo(1993). Data was analysed using descriptive statistics, Pearson Correlation, Chi-square, ANOVA with SPSS program. The major findings are as follows : 1. There was not significant differences in the level of ADL by family support in the patients with rheumatoid arthritis(F=.436, p=.649). 2. There was significant differences in the level of QOL by family support in the patients with rheumatoid arthritis(F=3.782, p=.029). This study showed that the higher level of family support contributed to the better level of QOL in the patients with rheumatoid arthritis. It is recommended to promote the level of family support of rheumatoid arthritis patients with low family support QOL.

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Rheumatoid Arthritis and Exercise (류마티스 관절염과 운동)

  • Kim, Eun-Hee;Lim, Nan-Young;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.110-119
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    • 1998
  • In an effort to obtain preventive, diagnostic and therpeutic medical and exercise training information of rheumatoid arthritis as well as to provide pertinent data to be used in development of exercise program for the management of rheumatoid arthritis, this study was conducted by using literature review. Because RA is a disease that involves both joints and muscles, its activity in the different functional classes influences the patient's ability to exercise. A patient in Functional Class 1 may perform any type of exercise because the disease involvement has not yet reached major importance. Exceptions may include hard physical exercise, running, and individual racket sports. In almost all cases, bicycle exercise is possible. Patients in Functional Class 2 and a few in Class 3 can perform most types of exercise (especially cycling, walking, heated pool exercise and even jogging) in low activity phases of RA. Although a few patients in Functional Class 3 can walk, jog, and perform similar types of exercise, most persons in this class can swim or exercise on a bicycle if the type of exercise, its intensity, and its range of motion are modified according to the patient's anatomic and pathologic conditions. Most patients in Functional Class 4 are not able to carry out complicated movements. We conclude that physical training for persons with RA has physical, psychological, and social consequences that are clearly beneficial. We recommend training be one part of the many involved in the complicated treatment of RA.

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A Comparative Study on Symptoms, Living Activities, Self-efficacy and Family Support between Rheumatoid Arthritis Patients and Fibromyalgia Patients (류마티스관절염과 섬유조직염환자의 증상, 일상생활, 자기효능 및 가족지지 비교 연구)

  • Kang, Hyun-Sook;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.25-39
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    • 2000
  • This study was conducted to compare symptoms, living activities, self-efficacy and family support between rheumatoid arthritis patients and fibromyalgia patients. The subjects were consisted of 150 rheumatoid arthritis patients and 125 fibromyalgia patients at H Rheumatism Clinic. Data were collected by means of structured interview with questionnaires. The results were as follows: 1. Fibromyalgia patients have more symptoms than rheumatoid arthritis patients have. But the latter has more difficulties concerning living activities. 2. Self-efficacy score of fibromyalgia arthritis patients was higher than that of rheumatoid arthritis patients, but both the scores were at moderate level. 3. The level of family support of rheumatoid arthritis patients was moderate, similar as that of fibromyalgia patients. As self-efficacy and family support are important factors to relieve symptoms of both diseases, their promotion holds a key post.

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Factors Influencing Illness Intrusiveness of the Sexual Life in Women with Overactive Bladder (과민성방광 여성 환자의 성생활에 관한 지각된 질병의거변화의 영향요인)

  • Cho, Jeong Lim;Lee, Eun Nam
    • Journal of muscle and joint health
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    • v.20 no.1
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    • pp.62-71
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    • 2013
  • Purpose: This study was conducted to explore factors that influence illness intrusiveness of the sexual life in women with overactive bladder. Methods: Ninety-two women diagnosed with overactive bladder, from D University Hospital and three private urology hospitals in B region, participated in a survey between April 7 and August 7, 2012. The Overactive Bladder-questionnaire (OAB-q), the Marital Intimacy Tool, the Center for Epidemiologic Studies Depression (CES-D), and 1 question to ask illness intrusiveness of the sexual life were used in the study. Results: The illness intrusiveness score of the sexual life in women with overactive bladder was 2.22 out of 5. There were no significant differences of illness intrusiveness by demographic and disease related characteristics. The predictor were the clinical symptom score and depression, accounting for 13% of the variance of the illness intrusiveness of the sexual life in the women with overactive bladder. Conclusion: Effective nursing intervention to relieve clinical signs of overactive bladder and reduce depression can improve quality of sexual life in women with overactive bladder.

The Effects of Self-help Management Program on Knowledge about Stroke, Self-efficacy and Self-esteem in People with Stroke (뇌졸중 자조교실 프로그램이 재가 뇌졸중 환자의 질병 관련 지식, 자기효능감 및 자아존중감에 미치는 효과)

  • Chang, Koung-Oh;Park, Jung Yeon
    • Journal of muscle and joint health
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    • v.20 no.1
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    • pp.1-9
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of self-help management program on knowledge about stroke, self-efficacy, self-esteem and family support in people with stroke. Methods: With a quasi-experimental design, 44 persons with stroke were assigned into an experimental group (n=21) or a control group (n=23). The knowledge about stroke, self-efficacy and self-esteem were measured at both before and after the self-help management program. Date were analyzed with SPSS/WIN using descriptive statistics, t-test, and $x^2$-test. Results: There was a significant increase in knowledge about stroke, self-efficacy and self-esteem in the experimental group. Conclusion: Self-help management program can be an effective nursing intervention to improve the knowledge about stroke, self-efficacy and self-esteem for patients with stroke.

The Effects of the Education about New Pressure Ulcer Classification and Incontinence-associated Dermatitis on Knowledge and Self-efficacy in Pressure Ulcer among Nurses (새로운 욕창분류와 실금관련피부염에 대한 교육이 간호사의 욕창 지식 및 효능감에 미치는 효과)

  • Park, Seungmi;Cha, Sun Kyung;Kim, Chul-Gyu
    • Journal of muscle and joint health
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    • v.20 no.1
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    • pp.52-61
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    • 2013
  • Purpose: This study was conducted to evaluate the effects of education about pressure ulcer classification and incontinence-associated dermatitis on knowledge and self-efficacy in pressure ulcer among nurses. Methods: One group pretest-posttest design was used. Participants were 41 nurses in a tertiary hospital in Seoul. A 90 minutes lecture was delivered. The self-reported-questionnaire on knowledge and self-efficacy and photograph test for knowledge were done at pre- and post-education. Results: After education, there was significant increase in the score of knowledge measured by questionnaire (mean 1.76, p<.001), in the score of knowledge measured by photographs (mean 2.00, p<.001) and in the score of self-efficacy (mean 5.17, p<.001). Conclusion: This study showed that knowledge and self-efficacy in pressure ulcer were improved by the education about pressure ulcer classification and incontinence-associated dermatitis. This program may be used for enhancing nurses' abilities of caring pressure ulcer.

Affecting Factors of New Nurse's Intention to Retention in Hospitals (신규간호사의 재직의도 영향요인)

  • Son, Haeng-Mi;Lee, Eun Hee;Cho, Kyung Sook
    • Journal of muscle and joint health
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    • v.24 no.3
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    • pp.205-216
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    • 2017
  • Purpose: The purpose of this study is to investigate relationship among intention to retention, role conflicts, psychosocial job conditions and job satisfaction of new nurses, and identify affecting factors for intention to retention. Methods: Data were collected from 136 new nurses who were graduated at 2016 and working now in general hospitals by self-reported questionnaire. The relationship among variables were analyzed with Pearson's coefficient correlation and affecting factors for intention to retention were identified by using multiple linear regression analysis. Results: The mean score of intention to retention was $2.63{\pm}0.28$. Intention to retention was significantly different by the working ward, hope period for work, and reason for retention. Intention to retention had positive relationships with work organization and job contents, and job satisfaction, but negative relationships with frequency of role conflict, demands at work. Job satisfaction and meaning of work identified as influencing factors inn intention to retention. Conclusion: It is needed a positive hospital environment to improve adaptation in clinical nursing practice and to emphasize professionalism including value of nursing and meaning of nurses' work for new nurses.