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Comparable Influencing Factors for Quality of Health-Life in Osteoarthritis Patients in Urban and Rural Areas

도시와 농촌의 골관절염 환자의 건강관련 삶의 질에 영향을 미치는 융합적 요인 비교

  • Song, Hye Young (Doctoral Candidate of Division of Nursing, Ewha Womans University) ;
  • Park, Min Hee (2Department of Nursing, Wonkwang University)
  • 송혜영 (이화여자대학교 일반대학원 간호학과) ;
  • 박민희 (원광대학교 의과대학 간호학과)
  • Published : 2017.06.28

Abstract

The purpose of this study is to compare factors influencing the quality of life of osteoarthritis patients in urban and rural areas. The data were derived from the sixth Korea national health and nutrition examination survey in 2014 and analyzed using the IBM SPSS Statistics version 21.0 software package considering complex samples analysis. The subjects of study were 599 adults with osteoarthritis over 50 years. The results of the study show that the factors affecting the urban patients' quality of life are healthcare coverage types, knee joint pain, knee ankylosis, hip joint pain, low back pain, limited activities, and subjective health status. The rural patients' quality of life are influenced by knee joint pain, limited activities, and alcohol consumptions. Therefore, the government should create differentiating strategies and approaches, including community rehabilitation programs, to improve the quality of life of urban and rural patients with osteoarthritis.

본 연구는 2014년도에 질병관리본부가 직접 자료 수집한, 제6기 국민건강영양조사의 2차 년도 원시자료를 이용한 2차 분석연구로, 본 연구의 목적은 도시와 농촌의 골관절염 환자의 건강관련 삶의 질에 영향을 미치는 요인을 비교하기 위함이다. 연구대상자는 50세 이상 골관절염 환자 599명이다. 연구결과, 도시 골관절염 환자 건강관련 삶의 질에 영향을 미치는 요인은 의료보장형태, 무릎관절통, 무릎강직, 엉덩관절통, 요통, 활동제한, 주관적 건강상태로 나타났다. 반면 농촌 골관절염 환자 건강관련 삶의 질에 영향을 미치는 요인은 무릎관절통, 활동제한, 음주로 나타났다. 연구결과를 바탕으로, 도시와 농촌의 골관절염 환자에게 공통적으로 접근할 수 있는 중재전략과 차별화 할 중재 전략을 구분하여 골관절염 환자에 대한 지역사회 재활 프로그램 및 건강관련 삶의 질 증진 방안을 마련하여야 할 것이다.

Keywords

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