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엄동춘 ( Uhm Dong-Choon ) - 대전대학교 응급구조학과 교수
남은숙 ( Nam Un-Suk ) - 강원대학교 간호학과 건강돌봄연구소
이호연 ( Lee Ho Yeon ) - 서울의료원 수간호사
이은봉 ( Lee Eun-Bong ) - 서울대학교 의과대학 내과
윤영임 ( Yoon Young-Im ) - 서울대학교병원 류마티스 교육실 간호사
채공주 ( Chai Gong-Ju ) - 국립춘천병원 정신전문간호사
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Abstract
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Purpose: The purpose of this predictive study was to identify factors affecting health related quality of life (HRQoL) in patients with rheumatoid arthritis (RA).
Methods: The participants in this study were 131 patients with RA who were recruited from the outpatient clinic of a university hospital in Seoul. Disease activity in rheumatoid arthritis was evaluated by calculating the Disease Activity Score 28. Disability in activities of daily living (ADL) was assessed with the Korean Health Assessment Questionnaire, and depression with The Center for Epidemiologic Studies Depression Scale. HRQoL was evaluated using The Short Form 36 Health Survey. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression.
Results: Pain, disability in ADL, disease activity, and depression correlated negatively with physical and mental dimensions of HRQoL. But hierachical multiple regression analysis revealed that disability in ADL and depression were the only variables negatively influencing physical and mental QoL after adjustment for influences of sociodemographic variables.
Conclusion: Results of this study suggest that disability in ADL and depression, rather than disease activity and pain have profound effects on HRQoL in patients with RA. Further studies are needed to assess the predictive ability of disease activity and pain on HRQoL in this population.
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KeyWords
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Rheumatoid arthritis, Health related quality of life, Pain, Disability in ADL, Depression.
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원문 및 링크아웃 정보
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등재저널 정보
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