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Factors Influencing Depression Among Patients with Chronic Degenerative Arthritis after Total Knee Arthroplasty

인공슬관절 전치환술을 받은 만성 퇴행성관절염 환자의 우울 영향요인

  • Ju, Yeong-Ju (Department of Nursing, Woosong College) ;
  • Kim, Hee-Kyung (Department of Nursing, College of Nursing & Health, Kongju National University, Center for Health Industry Research)
  • 주영주 (우송정보대학 간호과) ;
  • 김희경 (공주대학교 간호보건대학 간호학과, 건강산업연구센터)
  • Received : 2012.07.02
  • Accepted : 2012.08.14
  • Published : 2012.08.31

Abstract

Purpose: This study was to identify the factors influencing depression among patients with degenerative arthritis after total knee arthroplasty. Methods: The subjects were 108 patients who admitted or visited K hospital in K city after total knee arthroplasty. Data were analyzed using SPSS WIN 18.0 program. Results: The level of depression was 2.72 with a possible range of 1 to 5. Social support was 3.71 out of a total score 5. Self-efficacy was 64.47 ranged from 10 to 100. Self-esteem was 2.59 ranged from 1 to 5. The associated factors with depression were marital status, length of illness, perceived health status, pain, social support, self-efficacy, and self-esteem. Marital status, length of illness, and perceived health status accounted for 5.8% of depression. Next, all variables including pain, social support, self-efficacy and self-esteem accounted for 66.4% of depression. Conclusion: The level of depression among the subjects significantly be related to marital status, length of illness, perceived health status, pain, social support, self-efficacy and self-esteem. It indicates a need to develop nursing interventions for them to decrease depression and develop quality of life during recovery.

Keywords

References

  1. Chang, S. O., Park. Y. J., & Yoon, J. W. (2003). Attributions of somatic symptoms, fatigue, chronic pain and depression in the elderly. Journal of Korean Academy of Nursing, 33(1), 26-33. https://doi.org/10.4040/jkan.2003.33.1.26
  2. Cho, Y. H. (2004). Pain, depression and anxiety of the older adults with operation. Unpublished master's thesis, Daejeon University, Daejeon.
  3. Choi, Y. H., Shin, K. R., Ko, S. H., Kong, S. J., Kong, E. S., Kim, M. A., et al. (2009). Elderly and health. Seoul: Hyunmoonsa.
  4. Chon, K. K., & Rhee, M. K. (1992). Preliminary development of Korean version of CES-D. The Korean Journal of Clinical Psychology, 11(1), 65-76.
  5. Dexter, P., & Brandt, K. (1994). Distribution and predictors of depressive symptoms in osteoarthritis. The Journal of Rheumatology, 21(2), 279-286.
  6. Dirik, G., & Karanci, A. N. (2010). Psychological distress in rheumatoid arthritis patients: An evaluation within the conservation of resources theory. Psychology & Health, 25(5), 617-632. https://doi.org/10.1080/08870440902721818
  7. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  8. Hong, J. W. (1999). The effect of self-esteem and social support on the mental health of the elderly. Unpublished master's thesis, Ewha Womans University, Seoul.
  9. Hur, H. K. (1997). An exploration of the life experiences of patients with chronic pain: Women with rheumatoid arthritis. Journal of Korean Academy of Nursing, 27(1), 13-25.
  10. Hwang, I. O. (2004). A comparative study on BMI, pain, depression, self esteem and self efficacy between rheumatoid arthritis patients and osteoarthritis patients. Unpublished master's thesis, Chungnam National University, Daejeon.
  11. Jeon, B. J. (1974). Self-esteem: A test of its measurability. General Studies of Yonsei, 11, 107-129.
  12. Jeon, S. J., Kim, K. M. J., Kim, H. K., Park, S. O., Bae, Y. S., Cho, K. S., et al. (2009). Medical surgical nursing (5th ed.) Seoul: Hyunmoonsa.
  13. Jung, H. S. (2007). A study on the influencing factors of depression in the elderly. Unpublished master's thesis, Kongju National University, Kongju.
  14. Kim, C. K. (2007). The relationship of family support, health perception, nutritional status and depression in elders. Journal of Korean Gerontological Nursing, 9(1), 14-21.
  15. Kim, J. H., & Kim, G. B. (2008). Comparative study of perceived health status, self-esteem, depression, and life satisfaction between institutionalized elders and elders living home. Journal of Korean Gerontological Nursing, 10(2), 182-192.
  16. Kim, J. I. (1994). An effect of aquatic exercise program with self-help group activites and strategies for promoting self-efficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis. The Journal of Rheumatology Health, 1(1), 1-30.
  17. Lee, E. O., Suh, M. J., Kim, I. J., Kang, H. S., Kim, M. S., Kim, M. J., et al. (1996). The relationship among self efficacy, pain, depression, and ADL in chronic arthritis, Journal of Muscle and Joint Health, 3(2), 194-208.
  18. Lee, M. K., Lee, I. H., Ju, J. H., Hwang, M. S., Seo, J. G., & Sung, Y. H. (2005). The effects of home care exercise program on knee joint function and quality of life in patients with total replacement arthroplasty. Journal of Muscle and Joint Health, 12(2), 143-154.
  19. Lee, S. O. (2003). Influence of the social support on their mental health of the rheumatoid arthritis patients. The Journal of Korean Academic Society of Nursing Education, 9(2), 253-263.
  20. Lorig, K., & Holman, H. R. (1989). Long-term outcomes of an arthritis self-management study: Effects of reinforcement efforts. Social Science and Medicine, 29(2), 221-224. https://doi.org/10.1016/0277-9536(89)90170-6
  21. Ministry of Health & Welfare (2011, December). 2010 National health statistics. Retrieved June 10, 2012 from http://www.mw.go.kr/index.jsp
  22. Moon, M. J. (2010). Factors influencing depression in elderly people living at home. Journal of Korean Academy Nursing, 40(4), 542-550. https://doi.org/10.4040/jkan.2010.40.4.542
  23. Newman, S. P., Fitzpatrick, R., Lamb, R., & Shipley, M. (1989). The origins of depressed mood in rheumatoid arthritis. The Journal of Rheumatology, 16(6), 740-744.
  24. Oh, H. A. (2004). Relationships among the health promoting behavior, pain, self-esteem, family support and self-efficacy in patients with chronic arthritis. Unpublished master's thesis, Chungnam National University, Daejeon.
  25. Park, J. W. (1985). A study for the development of social support. Unpublished doctoral dissertation, Yonsei University, Seoul.
  26. Rogenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
  27. Shin, K. R., Kang, Y. H., Jung, D. Y., & Choi, K. A. (2007). A study on the depression, somatic symptom, activities of daily living for the elderly women in an urban area. Journal of Korean Academy Nursing, 37(7), 1131-1138. https://doi.org/10.4040/jkan.2007.37.7.1131
  28. Suh, M. J., Kim, K. S., Kim, I. J., Noh, K. H., Jung, S. H., & Kim, E. M. (2002). Life stress, social support, and depression of arthritis patients living in a rural town. Journal of Muscle and Joint Health, 9(1), 68-81.
  29. Yoo, M. C. (1995). New perspectives of treatment of osteoarthritis. The Journal of Rheumatology Health, 2(2), 227-229.
  30. Yoon, M. N. (2008). A study on the effects of exercise program for total knee arthroplasty patients. Unpublished master's thesis, Kyunghee University, Seoul.

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