• Title/Summary/Keyword: Arthritis patients

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The case-control study of rheumatoid arthritis by sasang typology (사상체질에 따른 류마티스 관절염 환자 대조군 연구)

  • Kim, Su-young;Lee, Sang-hoon;Lee, Hyun-jong;Lee, Doo-ik;Lee, Yun-ho;Lee, Jae-dong
    • Journal of Acupuncture Research
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    • v.21 no.1
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    • pp.86-98
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    • 2004
  • Objective: The purpose of this study is to examine the susceptibility of the patients diagnosed by rheumatoid arthritis to Sasang Typology. Methods: This study are planned to detect the susceptibility of the patients diagnosed by rheumatoid arthritis to Sasang Typology. In order to analyze the susceptibility of rheumatoid arthritis to Sasang Typology, 147 rheumatoid arthritis patients and 147 matched controls are assessed with QSCC II question for Sasang Typology. Then the frequencies of patients by Sasang constitution are compared to those of control, which are statistically analyzed and adjusted by age, sex, smoking status, alchol intake, BMI, and economic status. Results: The demographic characteristics of the study population are similar in sex and age distribution, smoking status, and alcohol intake(p>0.05). 147 rheumatoid arthritis patients and 147 matched controls are assessed with QSCC II question for Sasang constitution. Soeumin is the most susceptible to rheumatoid arthritis compared to Taeumin or Soyangin(Crude OR[95% CI]; 3.82 [2.19-6.64]). It is statistically significant after adjusting age, sex, smoking status, alcohol intake, BMI, and economic status(Adjusted OR[95% CI]; 3.01[1.47-6.15]). Conclusions: It is suggested that the specific Sasang Typology associated with rheumatoid arthritis is used as its susceptibility marker and further as basic data to prevent the risk factors for rheumatoid arthritis.

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Physical Activity and Prevalence of Rheumatoid Arthritis in Korean Adults with Prediabetes in the 2009-2013 National Health Cohort Study (당뇨병전기 성인의 신체운동과 류마티스 발생률)

  • Sin, Hye Yeon
    • Korean Journal of Clinical Pharmacy
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    • v.29 no.4
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    • pp.278-285
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    • 2019
  • Background: Rheumatoid arthritis is highly prevalent in overweight patients with type 2 diabetes mellitus and can be reduced by physical activity via altered proinflammatory parameters. However, the association between the frequency of physical activity and the prevalence of rheumatoid arthritis in prediabetic patients remains unclear and was evaluated in this study. Methods: Utilizing the Korean National Health Insurance Sharing Service database, 58,391 adults, who met the research criteria and underwent a general medical check-up between 2009 and 2013, were selected for this study. To analyze the data, a logistic regression with a proc survey logistic procedure was used. Results: The study revealed that the cumulative rheumatoid arthritis prevalence was lower in prediabetic patients compared to that in the control group (OR, 0.64; 95% CI, 0.483-0.840; p=0.001). More frequent physical activity (≥3 days/week) was significantly associated with a reduced rheumatoid arthritis prevalence in both groups (OR, 0.28; 95% CI, 0.039-0.521; p=0.044 vs. OR, 0.15; 95% CI, 0.063-0.237; p=0.007). Additionally, a 3.8-fold higher risk of rheumatoid arthritis development was observed in prediabetic adults with less frequent baseline physical activity (≤2 days/week). Overall, in prediabetes, the prevalence of rheumatoid arthritis was associated with the frequency of physical activity and not with the fasting plasma glucose levels. Conclusion: More frequent physical activity is associated with a low risk of developing rheumatoid arthritis in prediabetic patients. Thus, further studies are needed to confirm the clinical outcomes of frequent physical activity in rheumatoid arthritis prevention and control.

A Study on the Relationship between the Meaning of life and Spiritual distress in Arthritis (관절염 환자의 삶의 의미와 영적고통과의 관계)

  • Han, Joo-Eun;Kang, Kyoung-Ah
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.77-88
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    • 2000
  • The arthritis patients suffer from psychological, social and spiritual problems as well as physical problems because the arthritis is not curable and has chronic pain, joint deformity, limitation of activity and physical dysfunction for all of his life. Especially if they do not find the meaning in their lives, they will experience spiritual distress seriously. Therefore, it is important that nurses help the patients to find the meaning in their lives and to reduce spiritual distress. The purpose of this study is to provide a basis for nursing intervention strategies to minimize the arthritis patients' spiritual distress and understand the relationship between the meaning of life and the spiritual distress in arthritis patients. The samples were composed of 157 arthritis patients. Data collection was carried out from October 1, 1998 to February 28, 1999. Data were analyzed using a SAS program for descriptive statistic, Pearson correlation, t-test, ANOVA, linear regression. The results were as follow; 1. The scores on the meaning of life scale ranged from 51 to 130 with a mean of 93. 2. The scores on the spiritual distress scale ranged from 26 to 91 with a mean of 60. 3. There were significant correlations between the meaning of life and the spiritual distress(r=.53, p=.00). 4. The linear regression analysis showed that the meaning of life explained 13% of the spiritual distress. 5. In the degree of the meaning of life and the spiritual distress according to the general characteristics, the level of the meaning of life in arthritis patients was different by the duration of incidence(F=2.71, p=.03). In conclusion, the nursing intervention strategies to reduce the spiritual distress in arthritis patients must take into account the meaning of life.

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Arthritis Patients' Knowledge Level and It's Related Factors (관절염 환자의 관절염 관련 지식수준과 관련요인)

  • 정승기;남철현;김상수;전봉천;김기열;하은필;문기내
    • Korean Journal of Health Education and Promotion
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    • v.19 no.1
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    • pp.31-44
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    • 2002
  • This study was conducted to examine arthritis patients' knowledge level and its related factors. Data were collected from 100 people who suffered from arthritis in Seoul, Busan, Daegu, Daejun, Junjoo, and Pohang from June 1, 2000 to August 31, 2000. The results of this study are summarized as follows. 1. 61.0% of the subjects was female. The incidence rate of arthritis was higher in the higher age group, lower educated group, and thinner group. In the case of male, the incidence rate was higher in the groups of single, residents in big cities, and technicians. In the case of female, it was higher in the groups of the married, residents in towns or villages, and housewives. 2. Among the sources of obtaining the knowledge related to arthritis, 38.0% of the respondents obtained the knowledge from physicians and 24.1 % got it from TV or Radio. 14.6% of them obtained it from family members, neighbors, and friends and 14.3% got it from newspapers, magazines, and pamphlets. Only 5.8% of them obtained the knowledge from pharmacists. The sources showed significant difference in the variables of age, occupation, marital status, religion, place of residence, and education level. 3. 47.2% of them thought that education related to arthritis was needed without fail, while 12.5% thought that it was not necessary. In the question related to concern about arthritis, ‘no concern’ was 31.2%, while ‘concern’ was 7.8% and ‘a little concern’ was 45.1 %. 4. The knowledge level of arthritis was 7.35 ± 1.51 points on the basis of 11 points. It showed significant difference in the variables of age, occupation, education level, and economic status. 5. The knowledge was influenced by the variables of economic status, necessity of publicity, treatment period, occupation, education level, and age. The arthritis patients did not have enough knowledge of arthritis because the education was not provided well for them. Therefore, related professionals and organizations must develop education program of arthritis in order to educate them.

Effect of Program for Pain Reduction in Patients with Rheumatoid Arthritis: A Systematic Review (류마티스 관절염 환자의 통증 감소를 위한 프로그램의 효과: 체계적 문헌고찰)

  • Jeon, Byeonghyeon;Lee, Chang Hoon;Chung, Chong Hyuk;Lee, Myeung Su
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.200-208
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    • 2021
  • Purpose: The purpose of this study was to establish the foundations for the application of appropriate programs for pain reduction in patients with rheumatoid arthritis. Methods: The literature on patients with rheumatoid arthritis were found on an electronic search site for South Korean academic papers. The search terms "rheumatism" and "rheumatoid arthritis" were used independently. The combined terms "rheumatism and pain" and "rheumatoid arthritis and pain" were also used. For the meta-analysis, the R version 3.5.1 program was utilized. Results: The meta-analysis of eight papers showed a large effect size of -4.11. The programs were most effective in the order of aquatic exercise, aromatherapy, self-help education, muscle strength exercises, and tai chi. Conclusion: This study could provide the basis for presenting appropriate programs for pain management in patients with rheumatoid arthritis.

Effect of Moxibustion Therapy on Ryodoraku Score of the Patients with Degenerative Arthritis of Knee Joint (퇴행성 슬관절염 환자의 뜸 치료가 양도락 점수에 미치는 영향)

  • Oh, Myung Jin;Song, Ho Sueb
    • Journal of Acupuncture Research
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    • v.30 no.2
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    • pp.9-15
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    • 2013
  • Objectives : This study was done for reporting the effect of moxibustion therapy on Ryodoraku score of the patients with degenerative arthritis of knee joint. Methods : We investigated 65 cases of patients with degenerative arthritis of knee joint, and devided patients into two groups : One group treated by moxibustion therapy, which was not applied to the other group we analyzed of each group the Ryodoraku score(F1, F6) of each group before and after moxibustion therapy and compared it. Results : 1. In moxibustion therapy group compared with baseline, at final, Ryodoraku score(F1, F6) was significantly increased. 2. At final, moxibustion therapy group showed significant increase on Ryodoraku score(F1, F6) score compared with non moxibustion therapy group. Conclusions : It is suggested that Ryodoraku score(F1, F6) should be available for diagnosing degenerative arthritis of knee joint.

Influencing Factors for Fear of Falling in Degenerative Arthritis Patients (퇴행성관절염 환자의 낙상공포에 영향을 미치는 요인)

  • Kim, Jeong-Sun
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1184-1192
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    • 2007
  • Purpose: The purpose of this study was to examine the relationship among fear of falling, pain, anxiety and depression, and to identify influencing factors in elderly women patients with degenerative arthritis living in the community. Method: The subjects of this study were 297 elderly women patients with degenerative arthritis. Data was collected by personal interviews using questionnaires. Data was analyzed by the SPSS(version 12.0) computer program, and it included descriptive statistics, one-way ANOVA, Pearson correlation coefficient, and Stepwise multiple regression. Results: There was a significant difference (p= .000) in fear of falling according to the level of pain, anxiety, and depression. There was a significant positive correlation among fear of falling, pain, anxiety and depression. Depression, pain, number of medication, age, and anxiety showed significant predictors (43.5%) for fear of falling. Conclusion: This study suggested that thoroughly assessing predictors making an impact on fear of falling in the initial nursing assessment is the most important for falls prevention of elderly women patients with degenerative arthritis in the community.

A Comparative Study between Rheumatoid Arthritis Patients and Healthy Persons on Activities of Daily Living, Fatigue and Depression (류마티스 관절염환자와 일반인의 일상활동, 피로 및 우울에 관한 비교연구)

  • Cho, Hyea-Myung;Park, Jeong-Sook;Park, Myung-Hwa
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.247-261
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    • 2001
  • This study was conducted to compare activities of daily living, fatigue and depression between rheumatoid arthritis patients and healthy persons. The subjects consisted of 53 rheumatoid arthritis patients and 53 healthy persons at a university hospital in Daegu City. Data were collected by means of structured interviews with questionnaires from July 20, 1999 to August 25, 1999. The instrument used in this study were the activities of daily living scale developed by Katz et al. (1970) and Barthel(1973), Multidimensional Assessment of Fatigue by Belza et al.(1995) and CES-D(Center for Epidemiologic Studies-Depression) scale. Analysis of data was done by use of descriptive statistics, Pearson Correlation, Chi-square test, t-test, ANOVA, MANCOVA and Duncan with the SPSS program. The major findings are summarized as follows : 1. The first hypothesis that the rheumatoid arthritis patients will have a lower degree of activities of daily living than the healthy persons was supported (F=4.584, p=.035). 2. The second hypothesis that the rheumatoid arthritis patient will have a higher degree of fatigue than the healthy persons was supported (F=7.799, p=.006). 3. The third hypothesis that the rheumatoid arthritis patients will have a higher degree of depression than the healthy persons was supported (F=4.768, p=.031). With the above results, it can be concluded that rheumatoid arthritis patients had a lower degree of activities of daily living and a higher degree of fatigue and depression than the healthy persons. Therefore, by providing appropriate nursing intervention, activities of daily living would be much better and fatigue and depression would be alleviated.

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The Relationship between Self-efficacy and Aquatic Exercise Adherence in Patients with Chronic Arthritis (만성 관절염 환자의 자기효능과 수중 운동지속과의 관계)

  • Kang, Hyun-Sook;Kim, Jong-Im;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.317-324
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    • 1999
  • The purpose of this study was to identify the relationship between self-efficacy and adherence of aquatic exercise in patients with chronic arthritis. Subjects were 54 patients with rheumatoid arthritis and osteoarthritis who had participated in the 6-week aquatic exercise program. The results indicated that the relationship between self-efficacy and aquatic exercise adherence in patients with chronic arthritis was statistically significant. A significant difference of self-efficacy was found between adherers and non-adherers and self-efficacy of adherer was higher than that of non-adherer(t=5.21, p=.000). Self-efficacy was significantly associated with the total duration of an aquatic exercise adherence(r=.44, p=.001). Based on these results, self-efficacy was the important factor which affect adherence of aquatic exercise in patients with chronic arthritis. Further study was suggested to identify the relationships among self-efficacy, exercise barrier and other possible factors.

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ROENTGENOGRAPHIC STUDY OF THE TEMPOROMANDIBULAR JOINT IN RHEUMATOID ARTHRITIS (악관절에 이환된 류마티양관절염에 관한 방사선학적 연구)

  • Yun Ho Jung;You Dong Su
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.14 no.1
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    • pp.61-69
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    • 1984
  • For the study of the temporomandibular joint in rheumatoid arthritis 30 patients were selected who were diagnosed as rheumatoid arthritis through the clinical, radiographic examination and laboratory findings. Temporomandibular joint involvement was evaluated through the clinical, radiographic examination. The results were as follows; 1. TMJ was involved in 15 patients of 30 patients with rheumatoid arthritis. (50% involvement). 2. Duration of rheumatoid arthritis was more longer in patients with TMJ involvement than in patients without TMJ involvement. 3. Osseous changes in TMJ were in order of frequency erosion, flattening, osteophyte, sclerosis, deformity, and most common involved site was mandibular condyle. 4. Most common positional change of condyle was forward position in centric occlusion, and restricted movement of condyle in 1inch mouth opening. 5. TMJ involvement of rheumatoid arthritis was almost bilateral. 6. Main symptoms of TMJ were pain, stiffness, tenderness, limitation of mouth opening, crepitation 7. There was not the case of ankylosis. 8. There was statistically insignificant correlation between mandibular deviation and TMJ involvement, but some cases showed severe deviation on mouth opening.

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