• Title/Summary/Keyword: 류마티스 환자

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A Study on the Stages of Exercise Behaviors in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 운동행동 변화단계에 관한 연구)

  • Park, Ji Hyun;Son, Jung Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.331-338
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    • 2020
  • This study examined factors affecting the stages of exercise behavior among patients with rheumatoid arthritis. The analysis was based on data collected from 238 patients who enrolled at the medical center of D university. The participants showed 5 stages of exercise behavior: pre-contemplation 23.9%, contemplation 23.0%, preparation 33.2%, action 5.0%, and maintenance 29.0%. There were statistically significant differences in perceived barriers of exercise, exercise self-efficacy, and perceived health status according to the stage of exercise behavior of the subjects. It was found that among the barriers to exercise, physical and cognitive psychological factors significantly influenced the stages of exercise behavior. Also, exercise self-efficacy significantly affected the stages of exercise behavior. Thus, for rheumatoid arthritis patients to practice and maintain proper exercise behavior, the nursing staff should continue to assess and reduce the barriers to exercise. Exercise programs should enhance self-efficacy to achieve long-term exercise behavior.

Effects of Nurse-led Patient Education for Gout Patients (통풍환자에 대한 간호사 주도 환자교육의 효과)

  • Yoo, Inseol;Jung, Sunkyung
    • Journal of Industrial Convergence
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    • v.20 no.7
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    • pp.97-105
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    • 2022
  • Objectives: This study was performed to analyze the effect of nurse-led education on results for patients with gout. Methods: The face-to-face education was conducted by a specialist nurse. Patient satisfaction and drug adherence, serum uric acid was assessed. Results: Patient satisfaction was significantly higher in the nurse-led education group than in the usual care group. The serum uric acid level on the second visit was lower after patient education. In addition, the mean drug adherence in the nurse-led group was significantly higher than in the usual care group on the second and third visits. Conclusion: The nurse-led education about gout improves patient satisfaction, drug adherence, and serum uric acid level in patients with gout.

Evaluation of Patients with Rheumatoid Arthritis by Tc-99m MIBI Imaging (류마티스 관절염환자에서 Tc-99m MIBI 영상의 유용성 평가)

  • Cho, Ihn-Ho;Chun, Kyung-Ah;Hong, Young-Hoon;Lee, Choong-Ki;Ha, Jeung-Hee
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.6
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    • pp.506-510
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    • 2004
  • Purpose: We investigated whether Tc-99m MIBI imaging is useful to predict the response of drug treatment in patients with rheumatoid arthritis. Materials and Methods: 24 patients (15 women and 9 men, age $49{\pm}12$ year) rheumatoid arthritis and treated with disease modifying antirheumatic drugs (DMARDs) were included in this study. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were measured, and Tc-99m MIBI scan was obtained before drug treatment. Quantitative analysis of uptake in diseased joints was performed and expressed as joint-to background ratio (J/B) and percent retention (%R) of Tc-99m MIBI. Clinical symptoms were evaluated and graded from 0 (no) to 3 (severe) regarding to presence of tenderness and swelling. Results: J/B of the diseased joints were significantly correlated with ESR and CRP (p<0.05). A highly significant correlation was found between the improvement of clinical symptoms and %R of Tc-99m MIBI (p<0.05). Conclusion: The results demonstrate that Tc-99m MIBI scan may be used to predict the therapeutic response in patients with rheumatoid arthritis.

A Study on Knowledge, Self-efficacy and Quality of Life in Rheumatic Arthritis Patients (류마티스 관절염 환자의 지식, 자기효능감 및 삶의 질과의 관계 연구)

  • Park, Hye-Sook;Kim, In-Sook
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.275-292
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    • 2000
  • The purpose of this study was to analyze the relationship between knowledge, self-efficacy and quality of life of patients suffering from rheumatic arthritis. The data were collected from 100 rheumatic arthritis patients 1 university hospital, K rheumatic clinic in kwang-ju city for 20 days from March 2 to March 22, 1999, by means of questionnaires. The instruments used in this study were the knowledge scale developed by Kim, the self-efficacy scale developed by Long et al and the quality of life scale developed by Rho. The data were analyzed by t-test, ANOVA, Pearson's Correlation Coefficient, and Stepwise Multiple Regression by using the SAS program. The results of this study were summarized as follows : 1. The total mean score of knowledge was 15.01(SD${\pm}$3.08), In self-efficacy, the total mean score was 1030.40(SD${\pm}$233.42), In quality of life, the total mean score was 135.19(SD${\pm}$11.07). 2. The relationship between general characteristics and knowledge were significant difference in sex(t=19.03, p=.00), occupation(F=2.34, p=.03), types of exercise (F=2.95, p=.0.3), and time of exercise(F=3.20, p.=02). 3. The relationship between general characteristics and self-efficacy were significant difference in religion(F=2.75, p=.04), in monthly salary(F=3.64, p=.01), in occupation(F=2.30, p=.03), in period of rheumatic arthritis(F=2.70, F=.03), in time of exercise(F=3.77, P=.01), and in effectiveness of exercise (F=4.56, p= .02). 4. The relationship between general characteristics and quality of life were significant difference in age(F=3.36, p=.01), monthly income(F=3.11, p=.02), types of housing(t=4.93, p=.02), arid time of exercise(F=3.03, p=.03). 5. There was not significant correlation between the subjects knowledge and quality of life. 6. There was significant correlation between the self-efficacy and quality of life(r=462, p<.011). 7. The main factor influencing on quality of life was self-efficacy(21.4%).

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An Exploration of the Life Experiences of Patients with Chronic Pain : Women with Rheumatoid Arthritis (만성통증환자의 생활경험에 관한 연구-여성 류마티스관절염 환자를 중심으로-)

  • 허혜경
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.13-25
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    • 1997
  • Rheumatoid Arthritis(RA), a chronic and systemic inflammatory disorder, is characterized by joint pain, swelling and stiffness. Patients with RA suffer from joint pain and overall pain. The painful and disabling consequences of RA are accompanied by a variety of affective, cognitive, and behavioral changes. The purpose of this paper was to explore and describe the life experiences of RA patients by eliciting verbal description of their experiences. Participants were nine persons who were diagnosed with RA, and had had it for more than six months. They were asked open ended and descriptive questions in order for them to talk about their experiences in their on terms. Interviews were tape recorded and transcribed verbatim. The transcripts were analyzed by Colaizzi method. From the protocols, 213 significant statements about life experience were organized into 83 formulating meanings which were then grouped into five theme clusters. The major themes that emgerged from the analysis were' Emotional Disturbances', 'Trying to Adapt to the Progress of Disease', 'Progress of Treatment'. 'Change of Role Performances', 'Experiences related to Family'. The result of this study showed that RA patients and families need nursing care based on a deep understanding of their lived experiences in everyday life. Nurses and other health workers must develop rehabilitation programs that focus on the pain control, functional independence and psychosocial factors.

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Case Report : Temporomandibular Joint Involvement in Rheumatoid Arthritis (증례보고: 류마티스 관절염 환자에서 측두하악관절의 이환)

  • Lim, Hyun-Dae;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.31 no.3
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    • pp.231-236
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    • 2006
  • Rheumatoid arthritis(RA) is an of autoimmune inflammatory systemic disease. It is characterized by uncontrolled proliferation of synovial tissue and a wide array multisystem comorbidities. The disease may involve any joint of the body, but often statrs in the peripheral joints. It was reported that more than 50% of RA patients exhibit clinical involvement of TMJ. This report is a case report of dental management and progression for 16 months in patients who had severe bony change in TMJ involved rheumatoid arthritis Dental management was included palliative treatment such as interocclusal splints, physical therapy, mouth opening exercise. Although it was progressed rapidly osteolytic bone change during follow-up, no more advanced occulsal change and improved symptom and jaw motion. Further investigations about rule of dentistry in TMJ involvement in RA maybe needed.

A Study on Trust in Health Care Professionals among Rheumatoid Arthritis Patients (류마티스 관절염 환자의 의료인에 대한 신뢰에 관한 조사연구)

  • Yoo, Kyung Hee
    • Journal of muscle and joint health
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    • v.22 no.2
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    • pp.114-120
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    • 2015
  • Purpose: The purpose of this study was to identify factors associated with trust in health care professionals among patients with rheumatoid arthritis. Methods: Subjects for this study were 247 patients registered in general hospitals and the period of data collection was from February 25 to May 20, 2014. The data were analyzed with t-test and ANOVA. Results: The mean of trust in health care professionals was 3.11 in patients. There were significant differences in trust in health care professionals by age, marriage, and executing exercise of patients with rheumatoid arthritis. Conclusion: Trust in health care professionals among patients with rheumatoid arthritis was important to manage rheumatoid arthritis. To promote trust in health care professionals among patients with rheumatoid arthritis, subjects' age, marriage state and executing exercise in their daily living should be considered.