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The Effect of Uncertainty and Fatigue Perceived by Patients with Systemic Lupus Erythematosus on Resilience

루푸스 환자가 지각하는 불확실성과 피로가 극복력에 미치는 영향

  • Cho, OK-Hee (Department of Nursing, Kongju National University) ;
  • Lim, Jong-Mi (Department of Nursing, Shinsung University)
  • Received : 2021.08.23
  • Accepted : 2021.11.20
  • Published : 2021.11.28

Abstract

The purpose of this study was to identify the factors influencing resilience of patients with systemic lupus erythematosus. The subject(N=118) was a systemic lupus erythematosus patient who visited the E hospital in D city. The collected data were analyzed by descriptive statistics, t-tset, ANOVA, pearson correlation, and multiple regression. As a result of the study, impact domain of uncertainty, fatigue, self-management domain of uncertainty, trust in doctors domain of uncertainty significant effects on resilience. Based on this study, in order to improve the resilience of patients with systemic lupus erythematosus, a multifaceted approach is needed to reduce the uncertainty perceived by the patient and control fatigue. In addition, it is required to develop an effective nursing intervention program to enhance resilience reflecting influencing factors.

본 연구는 루푸스 환자의 극복력에 영향을 미치는 요인을 파악하기 위해 수행되었다. 연구대상자(N=118)는 D시 소재의 E병원을 내원한 루푸스 환자를 대상으로 하였다. 수집된 자료는 기술통계, t-tset, ANOVA, pearson correlation, multiple regression으로 분석하였다. 연구결과, 극복력에 영향을 미치는 요인은 불확실성의 질병의 영향 영역, 피로, 불확실성의 자기관리 영역과 의사에 대한 신뢰영역 이었다. 본 연구를 토대로 루푸스 환자의 극복력을 향상시키기 위해서는 환자가 인지하는 불확실성을 줄이고 피로 조절을 위한 다각적인 접근이 필요하다. 또한 영향요인을 반영한 루푸스 환자의 극복력 증진을 위한 효과적인 간호중재 프로그램의 개발이 요구된다.

Keywords

References

  1. A. Adinolfi, E. Valentini, E. Calabresi, G. Tesei, V. Signorini, S. Barsotti & C. Tani. (2016). One year in review 2016: systemic lupus erythematosus. Clinical and Experimental Rheumatology, 34(4), 569-574.
  2. A. Mak, D. A. Isenberg & C. S. Lau. (2013). Global trends, potential mechanisms and early detection of organ damage in SLE. Nature Reviews Rheumatology, 9(5), 301-310. DOI : 10.1038/nrrheum.2012.208
  3. S. H. Kim. (2019). The prevalence of systemic lupus erythematosus in the past 5 years. HIRA Research, 13(2), 55-61.
  4. B. Sutanto, D. Singh-Grewal, H. P. McNeil, S. O'Neill, J. C. Craig, J. Jones & A. Tong. (2013). Experiences and perspectives of adults living with systemic lupus erythematosus: thematic synthesis of qualitative studies. Arthritis Care & Research, 65(11), 1752-1765. DOI : 10.1002/acr.22032
  5. G. Ruiz-Irastorza, M. Ramos-Casals, P. Brito-Zeron & M. A. Khamashta. (2010). Clinical efficacy and side effects of antimalarials in systemic lupus erythematosus: a systematic review. Annals of the Rheumatic Diseases, 69(01), 20-28. DOI : 10.1136/ard.2008.101766
  6. M. Mosca et al. (2010). European league against rheumatism recommendations for monitoring patients with systemic lupus erythematosus in clinical practice and in observational studies. Annals of the Rheumatic Diseases, 69(7), 1269-1274. DOI : 10.1136/ard.2009.117200
  7. S. F. Cal, L. R. D. Sa, M. E. Glustak & M. B. Santiago. (2015). Resilience in chronic diseases: A systematic review. Cogent Psychology, 2(1), 1024928. DOI : 10.1080/23311908.2015.1024928
  8. D. C. S. Bianchini & D. D. Dell'Aglio. (2006). Processos de resiliencia no contexto de hospitalizacao: um estudo de caso. Paideia (Ribeirao Preto), 16, 427-436. DOI : 10.1590/s0103-863x2006000300013
  9. H. Y. Kim. (2018). Depression and resilience of women undergoing assisted reproductive techniques: the mediating effect of somatic symptoms. Journal of Digital Convergence, 16(6), 317-323. DOI : 10.14400/JDC.2018.16.6.317
  10. M. Garcia-Carrasco et al. (2019). Associations between resilience and sociodemographic factors and depressive symptoms in women with systemic lupus erythematosus. Journal of Psychosomatic Research, 122, 39-42. DOI : 10.1016/j.jpsychores.2019.05.002
  11. D. A. P. Faria, L. S. Revoredo, M. J. Vilar & M. E. M. Chaves. (2014). Resilience and treatment adhesion in patients with systemic lupus erythematosus. The Open Rheumatology Journal, 8, 1-8. DOI : 10.2174/1874312920140127001
  12. T. Li, C. Cui, Y. Li & L. Wang. (2020). The impacts of resilience on the association between illness uncertainty and sleep quality among Chinese women with systemic lupus erythematosus. Clinical Rheumatology, 39(5), 1609-1616. DOI : 10.1007/s10067-019-04898-3
  13. M. Mishel. (1997). Uncertainty in illness scales manual. Chapel Hill
  14. M. Inoue, K. Shiozawa, R. Yoshihara, T. Yamane, Y. Shima, T. Hirano & K. Makimoto, (2017). Predictors of poor sleep quality in patients with systemic lupus erythematosus. Clinical rheumatology, 36(5), 1053-1062. DOI : 10.1007/s10067-017-3545-5
  15. S. Cleanthous, D. A. Isenberg, S. P. Newman & S. J. Cano. (2016). Patient Uncertainty Questionnaire-Rheumatology (PUQ-R): development and validation of a new patient-reported outcome instrument for systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) in a mixed methods study. Health and Quality of Life Outcomes, 14(1), 1-14. DOI : 10.1186/s12955-016-0432-8
  16. K. Cha & K. Kim. (2012). Impact of uncertainty on resilience in cancer patients. Asian Oncology Nursing, 12(2), 139-146. DOI : 10.5388/aon.2012.12.2.139
  17. H. J. Cho. (2018). Influence of uncertainty, family and healthcare provider supports on the resilience in patients with multiple sclerosis. Thesis dissertation, Hanyang University, Seoul.
  18. S. Cleanthous, M. Tyagi, D. A. Isenberg & S. P. Newman. (2012). What do we know about self-reported fatigue in systemic lupus erythematosus?. Lupus, 21(5), 465-476. DOI : 10.1177/0961203312436863
  19. J. J. Sweet, N. A. Doninger, P. C. Zee & L. I. Wagner. (2004). Factors influencing cognitive function, sleep, and quality of life in individuals with systemic lupus erythematosus: a review of the literature. The Clinical Neuropsychologist, 18(1), 132-147. DOI : 10.1080/13854040490507244
  20. R. L. Jump, M. E. Robinson, A. E. Armstrong, E. V. Barnes, K. M. Kilbourn & H. B. Richards. (2005). Fatigue in systemic lupus erythematosus: contributions of disease activity, pain, depression, and perceived social support. The Journal of Rheumatology, 32(9), 1699-1705.
  21. H. Losoi et al. (2015). Resilience is associated with fatigue after mild traumatic brain injury. The Journal of Head Trauma Rehabilitation, 30(3), E24-E32. DOI : 10.1097/HTR.0000000000000055
  22. K. A. Edwards, K. A. Alschuler, D. M. Ehde, S. L. Battalio & M. P. Jensen. (2017). Changes in resilience predict function in adults with physical disabilities: a longitudinal study. Archives of Physical Medicine and Rehabilitation, 98(2), 329-336. DOI : 10.1016/j.apmr.2016.09.123
  23. O. H. Cho, K. H. Hwang & J. M. Lim. (2021). The effect of anxiety and depression on Korean lupus patients' quality of life. Nursing Practice Today, 8(3), 216-225. DOI : 10.18502/npt.v8i3.5936
  24. C. Bombardier, D. D. Gladman, M. B. Urowitz, D. Caron & C. H. Chang. (1992). Derivation of the SLEDAI. A disease activity index for lupus patients. The committee on prognosis studies in SLE. Arthritis and Rheumatism. 1992 Jun;35(6):630-40. DOI : 10.1002/art.1780350606.
  25. D. W. Chapman & J. F. Carter. (1979). Translation procedures for the cross cultural use of measurement instruments. Educational Evaluation and Policy Analysis. 1(3), 71-76. DOI :10.3102/01623737001003071
  26. Tack, B. (1991). Dimensions and correlated of fatigue in older adults with rheumatoid arthritis. doctoral dissertation. University of California, San Francisco, USA.
  27. K. S. Lee. (1999). Prediction model of fatigue in women with rheumatoid arthritis. doctora dissertation. Seoul National University, Seoul.
  28. G. M. Wagnild & H. M. Young. (1993). Development and psychometric. Journal of Nursing Measurement, 1(2), 165-178.
  29. D. H. Kim & I. Y. Yoo. (2004). Relationship between depression and resilience among children with nephrotic syndrome. Journal of Korean Academy Nursing, 34(3), 534-540. https://doi.org/10.4040/jkan.2004.34.3.534
  30. S. Yilmaz-Oner et al. (2017). Fatigue in systemic lupus erythematosus. Zeitschrift fur Rheumatologie, 76(10), 913-919. DOI : 10.1007/s00393-016-0185-0
  31. N. Aissaoui, S. Rostom, J. Hakkou, K. B. Ghziouel, R. Bahiri, R. Abouqal & N. Hajjaj-Hassouni. (2012). Fatigue in patients with ankylosing spondylitis: prevalence and relationships with disease-specific variables, psychological status, and sleep disturbance. Rheumatology International, 32(7), 2117-2124. DOI : 10.1007/s00296-011-1928-5
  32. G. E. Ahn & R. Ramsey-Goldman. (2012). Fatigue in systemic lupus erythematosus. International Journal of Clinical Rheumatology, 7(2), 217-227. DOI : 10.2217%2FIJR.12.4 https://doi.org/10.2217%2FIJR.12.4
  33. J. K. Lee & J. Y. Yun. (2018). Factors influencing resilience in hospitalized patients with stroke. Korean Journal of Adult Nursing, 30(4), 385-393. DOI : 10.7475/kjan.2018.30.4.385
  34. J. M. Son. (2016). The Influence of disease-related uncertainty social comparison motives on resilience in patients with breast cancer participating in the self-help group. Thesis dissertation. Konkuk University, Seoul.
  35. M. Cohen, S. Baziliansky & A. Beny. (2014). The association of resilience and age in individuals with colorectal cancer: an exploratory cross-sectional study. Journal of Geriatric Oncology, 5(1), 33-39. DOI : 10.1016/j.jgo.2013.07.009
  36. K. M. Seo. (2016). Resilience-related factors of dialysis patient, Thesis dissertation. Dankook University, Seoul.
  37. J. Y. Han. (2008). A study of uncertainty, depression and quality of life in patients with Lupus. Doctoral dissertation. Ajou University, Gyeonggi-do.
  38. B. Strauss et al. (2007). The influence of resilience on fatigue in cancer patients undergoing radiation therapy (RT). Journal of Cancer Research and Clinical Oncology, 133(8), 511-518. DOI : 10.1007/s00432-007-0195-z
  39. S. Pettersson, C. Bostrom, K. Eriksson, E. Svenungsson, I. Gunnarsson & E. W. Henriksson.(2015). Lifestyle habits and fatigue among people with systemic lupus erythematosus and matched population controls. Lupus, 24(9), 955-965. DOI : 10.1177/0961203315572716
  40. V. V. Dickson, C. Lee, K. S. Yehle, W. M. Abel & B. Riegel. (2017). Psychometric testing of the self-care of hypertension inventory. Journal of Cardiovascular Nursing, 32(5), 431-438. DOI : 10.1097/jcn.0000000000000364
  41. Y. M. Cho & K. S. Yun. (2017). The relationship between of uncertainty, depression, physiologic index and basic psychological need of hemodialysis patients. Journal of Digital Convergence, 15(10), 281-291. DOI : 10.14400/JDC.2017.15.10.281