통풍 환자를 위한 웹기반 자가-관리 중재 프로그램이 통풍 관련 지식, 치료제 복용 순응도 및 자가-관리에 미치는 효과 = Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Selfmanagement

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence,and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention. Methods: A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group,were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3months, and 6 months after the intervention. Results: According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant. Conclusion: The results indicate that the webbased self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.

참고문헌 (Reference)

1 송태민, "인터넷 건강정보 수요분석" 대한의료정보학회 8 (8): 1-17, 2002

2 이찬희, "국민건강보험공단 자료를 이용한 국내 거주 통풍 환자의 유병률과 특성에 관한 연구" 대한류마티스학회 18 (18): 94-100, 2011

3 Rha, I. J, "Web-based education" Kyoyookbook 1999

4 Helft, P. R., "Use of the internet to obtain cancer information among cancer patients at an urban county hospital" 23 (23): 4954-4962, 2005

5 Reach, G, "Treatment adherence in patients with gout" 78 (78): 456-459, 2011

6 Schumacher, H. R., "The practical management of gout" 75 (75): S22-S25, 2008

7 Battersby, M. W., "The partners in health scale: The development and psychometric properties of a generic assessment scale for chronic condition selfmanagement" 9 (9): 41-52, 2003

8 Wantland, D. J., "The effectiveness of web-based vs. non-web-based interventions: A meta-analysis of behavioral change outcomes" 6 (6): e40-, 2004

9 Conn, D. L, "The effect of the arthritis self-management program on outcome in African Americans with rheumatoid arthritis served by a public hospital" 32 (32): 49-59, 2013

10 Roddy, E, "Prescription and comorbidity screening following consultation for acute gout in primary care" 49 (49): 105-111, 2010

11 Morisky, D. E., "Predictive validity of a medication adherence measure in an outpatient setting" 10 (10): 348-354, 2008

12 Harrold, L. R, "Patients' knowledge and beliefs concerning gout and its treatment: A population based study" 13 : 180-, 2012

13 Holman, H., "Patients as partners in managing chronic disease. Partnership is a prerequisite for effective and efficient health care" 320 (320): 526-527, 2000

14 Spencer, K, "Patient and provider barriers to effective management of gout in general practice: A qualitative study" 71 (71): 1490-1495, 2012

15 Patrick, K, "Outcomes of a 12-month web-based intervention for overweight and obese men" 42 (42): 391-401, 2011

16 Prochaska, J. O., "In search of how people change. Applications to addictive behaviors" 47 (47): 1102-1114, 1992

17 Meiner, S. E, "Gouty arthritis: Not just a big toe problem" 22 (22): 132-134, 2001

18 Neogi, T., "Frequency and predictors of inappropriate management of recurrent gout attacks in a longitudinal study" 33 (33): 104-109, 2006

19 Arvidsson, S., "Effects of a self-care promoting problem-based learning programme in people with rheumatic diseases: A randomized controlled study" 69 (69): 1500-1514, 2013

20 Oh, H. S, "Development of a web-based gout self-management program" 30 (30): 333-341, 2011

21 Choi, H. K, "Coffee, tea, and caffeine consumption and serum uric acid level: The Third National Health and Nutrition Examination Survey" 57 (57): 816-821, 2007

22 Kim, D. Y., "Assessing cancer treatment related information online: Unintended retrieval of complementary and alternative medicine web sites" 18 (18): 64-68, 2009

23 El Miedany, Y., "Arthritis education : The integration of patient-reported outcome measures and patient self-management" 30 (30): 899-904, 2012

24 Nolte, S, "A systematic review of outcomes of chronic disease self-management interventions" Quality of Life Research

25 Arem, H, "A review of web-based weight loss interventions in adults" 12 (12): e236-e243, 2011

26 Insel, K. C, "A multifaceted prospective memory intervention to improve medication adherence: Design of a randomized control trial" 34 (34): 45-52, 2013

27 Kim, K. Y., "A literature review of the epidemiology and treatment of acute gout" 25 (25): 1593-1617, 2003