자조관리 과정에서 관절염 환자의 사정 및 평가

김종임 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.2

인터넷을 이용한 관절염 환자의 건강상담 내용분석 : 대한류마티스 건강전문학회 홈페이지를 대상으로

이은옥,이영숙 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

Recently with the development in computer technology and its communication system, many changes in medical informatics enable us to use various medical information regardless of time or place. There are many home pages on the web, which provide medical counseling and hospital information. On May 11th 1999, Korean Rheumatology Health Professions Society began its new service as a home page on the web with various rheumatologic health information, questioning/answering, and so on. This study was undertaken to examine the content and the purpose of health counseling on the web. The data was collected from 173 questioners who visited questioning/answering site in the KRHPS home page for May 11th, 1999 through November 10th, 1999. Most of the questioners consulted the health problems of their or their families. Over two thirds of them were already diagnosed medically. Rheumatoid arthritis was the most frequent one. Other diseases, such as, osteoarthritis, ankylosing spondylitis. Still's disease were also on the list. Most of the questioners wanted to know treatment strategies, to consult about their symptoms, and to make diagnosis. And many questioners wanted detailed explanations about their diseases or the informations regarding the hospital. These findings suggest that the health counseling on the web supplement the lack of direct medical interviews with doctors. It also is expected to guide the patients to the right direction.

류마티스관절염과 섬유조직염환자의 증상, 일상생활, 자기효능 및 가족지지 비교 연구

강현숙,한상숙 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

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.

만성관절염과 루푸스의 피로, 통증, 및 통증효능감에 관한 연구

임난영,이은영,양용숙,정순애,차경옥,이여진 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

This study was designed to distinguish by the characteristic difference and the degree of symptoms such as fatigue, pain, coping to pain, and efficacy on pain, and to offer descriptive data for nursing intervention for improving coping ability to pain along each characteristics of disease in chronic arthritis and systemic lupus erythematosus. The subjects were 135 outpatients in the hospital for rheumatic disease in H-University, Seoul. The data were collected by structural questionnaire, from April 29 to June 29, 1999. The results were that the fatigue score was high in the OA patients while the RA patients and SLE patients experienced middle range of fatigue score, but which was not statistically different. Although the RA patients felt higher pain than other diseases, they have well coped with their pain than the others. In efficacy on pain the SLE patients had higher score than others but all of the disease showed lower score. No statistically significant difference among the three croup was recorded in efficacy on pain. Therefore, pain management in the RA patients was primary nursing intervention because they felt severe pain and have well coped with pain while they had lower pain efficacy score than the others. It is also important that fatigue management and coping strategies on pain for the OA patients and SLE patients are specially supportive in the nursing intervention.

만성관절염 환자의 자가운동에 따른 통증, 피로, 유연성, 건강상태의 비교연구

김선애,김종임 대한류마티스 건강전문학회 2002 근관절건강학회지 Vol.9 No.2

The purpose of this study was examine the effect of self-exercise on patients with chronic arthritis. This study was performed from 1999 to 2001 with 107 subjects. Pain, Fatigue, Flexibility and Health status were measured Data were analysed by SPSSWIN 10. 0 Package program, frequency, independent t-test and One Way ANOVA. The results were as follows : Of the 107 patients who were studied, mean age was 62 years and most of common disease were osteoarthritis. 67.4%was doing self-exercise and self-exercise consisted of 17 types of exercise. Fatigue was statistically different by disease type, duration of disease, education respectively. And fatigue, left shoulder flexibility were significantly different by duration of disease. There weren't significant differences between patient with self-exercise and patient without self-exercise on pain, fatigue, flexibility and halth status. These findings confirms that self-exercise do not effective in increasing health improvment for the patients with osteoarthritis. From results of this study indicate that patients with arthritis should have taken systematic exercise such as the self-help education program, aquatic exercise program for arthritis patient.

여대생의 골다공증 관련 생활습관과 건강증진 행위에 관한 조사연구

김영미,김명희 대한류마티스 건강전문학회 2002 근관절건강학회지 Vol.9 No.1

Osteoporosis is a age-related metabolic disorder. Currently there is no cure, but there are measures that can prevent or deter the development of osteoporosis. Futhermore lifestyle among risk factors of osteoporosis may be modifiable. Osteoporotic preventive health promotion behavior may be more effective at early adult when make formation of peak bone mass. The purpose of this study was to identify of relation between the demographic variable, osteoporosis-related lifestyles and the health promotion behavior of University and College Female Students. The results were followed: 1. Demographic variables according to the health promotion behavior were significantly difference with age, body height, religion and income. 2. Osteoporosis-related lifestyles according to the health promotion behavior were significantly difference with element school milk intake, current milk intake, exercise and caffeine intake. 3. Health promotion behavior was positively correlation with age, body weight, height income. element school and current milk intake and exercise.

류마티스 관절염 치료의 최신 동향

송영욱,김현아 대한류마티스 건강전문학회 1995 근관절건강학회지 Vol.2 No.1

류마티스 관절염은 관절의 심한 염증을 일으켜 관절의 파괴와 변형을 초래할 수 있는 질환이다. 아직까지 그 발병원인이 불분명하지만 아마도 면역학적 이상이 그 중요한 발병 기전이 된다고 생각되고 있다. 과거 류마티스 관절염을 정형외과에서 치료하였으나 이 질환이 전신적인 질환이고 그 발병에 면역 기전의 관여가 알려짐에 따라 구미 선진국에서는 질환의 말기에 관절의 파괴가 심한 국소관절의 수술 치료 외에는 진단시부터 류마티스 전문의가 환자의 치료를 전임한다.

류마티스 관절염 환자의 원인지각, 대응양상, 사회심리적 적응과의 관계

장세영,박상연 대한류마티스 건강전문학회 2002 근관절건강학회지 Vol.9 No.2

This study was aim to provide rheumatoid arthritis patients the basic data of development of nursing intervention to help psychosocial adaptation of rheumatoid arthritis patients as exploring the relationship among causal perception, coping pattern, psychosocial adaptation of rheumatoid arthritis. As the results of this study the mean score of causal perception of the subjects was 3.37. The score of the internal-unstable was the highest, which was followed by extra-stable, internal factor, internal-stable, external factor and external-unstable in order among the factor of causal perception. The mean score of coping pattern was 2.64. The type of coping patterns the score of the receptive coping was the highest, which was followed by wishful coping, active coping and negative coping in order among the type of coping pattern. The mean score of psychosocial adaptation was 3.28. The subconcept of psychosocial adaptation the score for personal relationship was the highest, which was followed by role function and mental state in order among the psychosocial adaptation. The analysis of the relation among causal perception, coping pattern and psychosocial adaptation showed significant negative correlation between causal perception and psychosocial adaptation(r=-0.3219, P=0.002). The analysis of the relation between the type of coping pattern and psychosocial adaptation showed significant negative correlation between psychosocial adaptation and active coping(r=-0 3210. P=0.002), negative coping(r=-0.2296, P=0.032). Only causal perception(-.36) and period of illness(-.26) effected on the psychosocial adaptation were shown to the negative direction significantly. The psychosocial adaptation was explained the 17% by these two variables. Based on this study results the factor of causal perception and the type of coping pattern of rheumatoid arthritis were shown significant relations between psychosocial adaptation. We suggests that nurses in practice apply to assessing the factor of causal perception of individuals illness and the type of coping patterns when nursing interventions in rheumatoid arthritis patients.

관절염 대상자의 건강상태 조사 : 일개 도ㆍ농 복합시를 중심으로

이은희,최선하,서길희,소애영,이경숙,최정숙,고경덕,김명천,박현자,백승리,유보비,윤현숙,이애란,이명희,이은숙,임영옥,정복녀,이영숙 대한류마티스 건강전문학회 2001 근관절건강학회지 Vol.8 No.2

The Purpose of this study was to investigate the health status and to examine the relationship between health related variables of the clients with arthritis. This descriptive-correlational study was measured physical health status(pain, fatigue, physical disability, joint flexibility) and psycho-social health status(social function disability, self-efficacy, depression) . The clients were consisted of 127 arthritis clients who were randomly selected from health center, 2 sub health center and 6 primary health care center in Wonju City. The data was collected from November 2000 to January 2001. The results of the study analyzed using a SPSS win were as follows : 1) The subjects' average age was 64.81 years old(female : 86.6%, male : 13.4%). 2) In physical health status, the average score of fatigue was 63 scores and pain was 69.77 Physical disability score was higher than total disability score. In psycho-social disability, housekeeping management disability score was higher than social function disability score. In psycho-social health status, the average score of self-efficacy was 70.86 and the subjects have higher level of depression, more than 20 scores. 3) On Pain sites, almost of subjects complained of a knee joint pain. The waist, wrist, and shoulder joint Pain were followed. The numbers of Pain site were 8.3 Per individuals 4) The flexibility of knee and shoulder joint were lower than another joints. 5) Correlation with fatigue, pain, physical disability, social disability, self-efficacy and depression was revealed highly significant. We suggest that health Promotion program considering our research results should be provided for arthritis clients in community level .

류마티스 관절염 환자가 받는 가족지지 정도에 따른 일상활동과 삶의 질 차이

박선영,박정숙 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

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 at.(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.