• 한국산학기술학회논문지
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• 제13권10호
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• pp.4588-4597
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• 2012

본 연구는 관절염 환자의 통증 및 운동 장애성 지각과 관련 요인을 파악하기 위하여 대전광역시 C대학병원에 관절염으로 내원하는 환자 중 설문에 동의한 류마티스 관절염 환자군 89명과 골관절염 환자군 51명, 총 140명을 대상으로 2011년 2월부터 9월까지 자가기입식 설문조사를 실시하여 다음과 같은 결과를 얻었다. 모든 환자군의 운동 장애성 지각 정도는 교육수준과 가구총소득(월)이 낮을수록 높았다. 류마티스 환자군의 통증 정도는 주관적 건강 상태가 나쁠수록, 운동 장애성 지각 정도는 관절염 외 다른 질환을 가지고 있는 경우와 주관적 건강 상태가 나쁠수록 높았다. 골관절염 환자군의 통증 정도는 관절염 유병기간이 길수록, 주관적 건강 상태가 나쁠수록 높았다. 모든 환자군의 운동 장애성 지각 정도는 운동단계가 계획 전 단계로 갈수록 높게 나타났다. 다중회귀분석을 실시한 결과 모든 환자군의 통증에 가장 영향력이 큰 변수는 주관적 건강 상태에서 '매우 나쁨'이었다. 다변량 회귀분석에서 운동 장애성 지각에 영향을 주는 변수는 류마티스 환자에서 운동단계, 교육수준이 있었고, 골관절염 환자는 운동단계, 가구총소득(월)이 있었다. 결론적으로 관절염 환자의 통증 및 운동 장애성 지각 정도는 교육수준, 가구총소득(월), 주관적 건강상태, 운동단계 등 여러 변수들과 관련성이 있었으며, 앞으로 운동 프로그램을 개발할 때 이런 변수를 고려할 필요가 있다는 것을 시사해 준다.

• 성인간호학회지
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• 제16권2호
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• pp.288-296
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• 2004

Purpose: Illness intrusiveness (illness induced lifestyle disruption) by symptoms was investigated in 439 patients with rheumatoid arthritis. Method: The cross-sectional and retrospective survey design was used. Fatigue, disability, pain, and depression were considered as symptoms of rheumatoid arthritis. Result: Patients were reported to perceive more illness intrusiveness than other chronic disease patients such as end stage renal disease, bipolar disorder, and peritoneal dialysis patients. They were especially intrusive into work, health, and active recreation domains. Stepwise regression analysis identified four variables counting for 26% of illness intrusiveness variances: fatigue, disability, marital status, and depression. All of the symptoms except pain were found to significantly predict illness intrusiveness. Fatigue explained 16% of illness intrusiveness variances. Conclusion: Fatigue and depression usually overlooked by health professionals must be carefully assessed and managed to reduce perceived illness for rheumatoid arthritis patients.

• 근관절건강학회지
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• 제8권1호
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• pp.5-26
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• 2001

Many studies have reported that regular aquatic exercise can lead to improvement of health for patients suffering from arthritis. In spite of these benefits, the adherence rate has shown as few as 26% of patients with arthritis who had completed the aquatic exercise education program. Moreover, when patients with arthritis begin an aquatic exercise, 47% withdraw within the first 6 month. No study has been found that constructs model to explain aquatic exercise adherence of patients with arthritis. The purpose of this study were to identify the factors influencing exercise adherence and to construct and test a structural model to explain aquatic exercise adherence of patients with arthritis. Hypothesized model was constructed on the basis of Bandura's social cognitive theory and literature review. Exogenous latent variables included in this model are group cohesion and barrier, endogenous latent variables are self-efficacy, outcome expectancy and self-evaluation. Empirical data used was collected through individual interviews with the structural questionnaire on 249 patients with arthritis who had completed the 6-week aquatic exercise education program of Korean Rheumatology Health Professionals Academy. The interviews were performed from September 6, 1999 through October 8, 1999. A model tested by the covariance structural analysis with LISREL 8.12a program and by descriptive statistics and correlation with SAS 6.12 program. The results are summarized as follows: First, hypothesized model showed a good fit to the empirical data. In the modified model added one new path showed a much better fit. Second, group cohesion had a direct, indirect positive effects, self-efficacy and self evaluation had a direct positive effects on exercise adherence. Barrier had a direct, indirect negative effects on exercise adherence. Outcome expectancy had a direct negative effect, indirect positive effects through self-evaluation on exercise adherence, but total effects was not significant. Total effect size of the variables were group cohesion, self-efficacy, barrier and self evaluation in order. All variables accounted for 54% of the total variance of exercise adherence in the model. In conclusion, this model confirmed to be proper in explaining of aquatic exercise adherence. Group cohesion, self-efficacy, outcome expectancy, self-evaluation, barrier contributed to the aquatic exercise adherence of patients with arthritis. The results of this study suggested that improvement of group cohesion, self-efficacy and self-evaluation, motivation of outcome expectancy through self-evaluation, and reduction of the barrier should be included in the strategy of nursing intervention for the aquatic exercise adherence of patients with arthritis.

• 근관절건강학회지
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• 제6권2호
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• pp.242-252
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• 1999

The purpose of this study was to explore self management of pain by folk remedies in patient with chronic arthritis. The participant of this study were 90 volunteers who were visit C hospital and who want to counsel with researcher for their pain control by convenient sampling method. The results of this study were summarized as follows : The subjects were the 90 patients who had been diagnosed rehumatoid arthritis(52.5%)and osteoarthritis(47.8). 93.3% of participants were women. Mean age of participants was 53.7 and duration of arthritis was 7 years. Mean pain score was 5.5cm. Eighty five kinds of folk remedies were used for pain management. The mean cost for folk remedies was 3,723,207 won and the patients with rheumatoid arthritis paid to folk remedies as much as 3 times. The perceived effect score of pain management by folk remedies was 2.932(the range of perceived effect score were 0-10cm). Percentage of discontinue to use folk remedies was 82.8% and the major reason of discontinue to use folk remedies was no effect to pain control(50.4%). Some participants(30.5%) were experienced side effect such as exacerbation of pain(50.5%). In conculusion, chronic arthritis patients have been experienced various kind of folk remedies for the management of their pain. But the effect of pain control was very low. The important weakness of folk remedies were economical waste and loss of opportunity to treatment for arthritis. The nurse who care for arthritis should be teach about weakness of folk remedies for their pain control to the patients with arthritis.

• 근관절건강학회지
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• 제8권2호
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• pp.230-249
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• 2001

This study was conducted to investigate the affecting factors on the adaptation to uncertainty in patients having rheumatoid arthritis. Subjects of the study constituted 222 patients who visited outpatient of rheumatic center in Seoul. Self report questionnaires were used to measure the variables affecting the adaptation to uncertainty. The variables affecting the adaptation to uncertainty were uncertainty, mastery, appraisal of danger, appraisal of opportunity, emotion focused coping, problem focused coping, pain, depression and activity of daily life(ADL). Reliability coefficients of these instruments were found Cronbach's $Alpha\;=\;.70{\sim}.94$. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics, Pearson's correlation, and multiple regression analysis. The results were as follows. 1) The range of total pain scores was from 0 to 147 and the mean score of the pain in rheumatoid arthritis patients was 72.64. 2) The range of total depression scores was from 20 to 72 and the mean score of the depression in rheumatoid arthritis patients was 39.86. 3) The range of total ADL scores was from 22 to 80 and the mean score of the ADL in rheumatoid arthritis patients was 72.56. 4) Among the independent variables, significant factors to explain the adaptation to pain in patients were danger appraisal of uncertainty(p<.05) and emotion focused coping(p<.05). 5) Among the independent variables, significant factors to explain the adaptation to depression in patients were danger appraisal of uncertainty(p<.001), opportunity appraisal of uncertainty(p<.001) and mastery(p<.005). 6) Among the independent variables, significant factors to explain the adaptation to ADL in patients were mastery(p<.001) and danger appraisal of uncertainty(p<.05).

• 대한간호학회지
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• 제36권2호
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• pp.278-285
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• 2006

Purpose: This study was performed to verify the effect of Tai Chi exercise on patients with rheumatoid arthritis particularly their level of pain, fatigue, sense of balance and daily lift performance(ADL). Method: It employed a non-equivalent control group pre- and post-test design. The research instruments used in this study were pain, fatigue, sense of balance and ADL. Thirty-two patients in the experimental group carried out 50 minutes of Tai Chi exercise for 12 weeks, and 29 patients in the control group did not. Before and after the experiment, both groups were tested for pain, fatigue, sense of balance and ADL. Collected data were processed using the SPSS/WIN 10.0 program analyzed by the frequency, percentage, $x^2-test$, and t-test. Results: Pain and fatigue significantly decreased in the experimental group. However the improvement in ADL of the rheumatoid arthritis patients was not statistically significant but their sense of balance was enhanced significantly. Conclusion: Tai Chi exercise is an effective nursing intervention that can be used for rheumatoid arthritis patients.

• 대한근관절건강학회:학술대회논문집
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• 대한근관절건강학회 1997년도 제6회 춘계학술대회
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• pp.134-146
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• 1997

Sixty-nine articles were reviewed to understand the depression in patients with rheumatoid arthritis. Among these articles, forty seven were the studies that dealt with depression in rheumatoid disease, nineteen studied the depression in patients with other chronic disease or in normals, and three were the studies that compared the depression in the patients with rheumatic disease and in the other subjects. Specifically, the articles were analyzed (1) to determine whether the patients with rheumatic arthritis were more depressed than normal population or subjects with other chronic diseases ; (2) to test whether the measurement problems exit ; (3) to identify the disease related, personal, psychologic, and demographic variables to affect the depression and (4) to identify the nursing interventions which improve the depression in rheumatoid arthritis. Based upon these results, some suggestion were made for future research and practice.

• The Journal of Korean Physical Therapy
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• 제31권5호
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• pp.317-321
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• 2019

Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.

• 기본간호학회지
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• 제10권2호
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• pp.206-213
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• 2003

Purpose: This study was designed to explore pain and self-care behaviors and identify related variables in patients with chronic arthritis. Method: One hundred fifty patients with arthritis were recruited from two university based arthritis centers according to selection criteria. Collected data were analyzed using the SAS program to analyze the responses to the structured questionnaires of the study. Result: Most of the participants expressed pain and the intensity of the pain was moderate. There were significant differences according to age, educational level, diagnosis, duration of illness, number of affected joint, and use of complementary therapy. Self-care behavior scores were moderately high. The highest practice was for 'regular visits to the hospital', and the lowest for 'applying physical therapy at home'. The mean self-care behavior scores showed significant differences according to economic status and educational level. Pain scores showed no correlation with self-care behavior. Conclusion: Developing self-management programs for patients with chronic arthritis should focus on self-care skills which are applicable in the relief of pain and enhancement of knowledge. The skills are recommended not only for better health practices but also for enhancing the level of well-being and life satisfaction.

• 근관절건강학회지
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• 제11권1호
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• pp.50-60
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• 2004

Purpose: The purpose of this study was to examine the relationships among the health promoting behavior, pain, self-esteem, family support, self-efficacy in patients with chronic arthritis. Method: The data for this study were collected from February 19, 2003 to April 7, 2003. The subjects were 150 chronic arthritis patients who visited University Hospital in D City. The research instruments used in this study were HPLP II, Visual analogue scale, Self-esteem scale, Family support scale, Self-efficacy scale. In data analysis, SPSS PC ver 10.0 program was utilized and data were analyzed using descriptive statistics and t-test, ANOVA, Multiple Stepwise Regression and Pearson's correlation coefficient. Result: The average score of the pain, self-esteem, family support, self-efficacy, health promoting behavior was 5.38, 3.37, 4.29, 70.30, 2.68, respectively and the variable with the highest degree of it's subscale was interpersonal support(3.08), whereas the one with the lowest degree was exercise(1.66). There was a positive correlation(r=.327, p=.000) between the self-esteem and health promoting behavior. There was a positive correlation(r=.540, p=.000) between the family support and the self-efficacy and health promoting behavior. Family support, self-efficacy and marital status were significant factors to explain a variance of health promoting behavior in patients with chronic arthritis(51.6%). health promoting behavior. There was a positive correlation(r=.477, p= .000) between Conclusion: The health promoting behavior were positively correlated with self-esteem, family support and self-efficacy. These findings help to understand relationships among self-esteem, family support and self-efficacy in chronic arthritis patients. In addition, family support, self-efficacy and marital status were the mainly influencing factors of health promoting behavior. Among these variables family support was the most significant factor to predict a health promoting behavior. According to the results of this study, family support must be considered as a main factor in the nursing strategy for health promoting behavior of chronic arthritis patients.