류마티스관절염 환자의 삶의 질에 영향을 미치는 요인
Factors Affecting the Quality of Life of Patients with Rheumatoid Arthritis
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Purpose: Rheumatoid arthritis (RA) is a chronic autoimmune disease that significantly reduces the quality of life (QoL) of patients. This study aimed to comprehensively explore the factors affecting QoL of RA patients to support patientcentered interventions. Methods: Data were collected using self-reported questionnaires and medical records (DAS28, and disease-related characteristics) from 225 RA patients aged 19 years or older in the outpatient rheumatology department of a tertiary general hospital. Statistical analyses, including descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression analyses, were performed using SPSS 25.0. Results: The QoL of RA patients was moderately reduced, with an average of 52.99 (out of 80). The major factors affecting the QoL of RA patients were social support (β=.32, p<.001), depression (β=-.29, p<.001), perceived health status (β=.16, p<.001), and self-care behaviors (β=.15, p=.001). Higher social support, more positive perception of one's health, higher level of self-care behaviors, and lower level of depression were associated with higher QoL in RA patients. Conclusion: This comprehensive and evidence-based approach is essential to address the multidimensional challenges of RA and improve the overall QoL of patients. Therefore, nursing strategies should prioritize strengthening social support, managing depression, improving perceived health status, and promoting self-care behaviors.
Abstract
Purpose: Rheumatoid arthritis (RA) is a chronic autoimmune disease that significantly reduces the quality of life (QoL) of patients. This study aimed to comprehensively explore the factors affecting QoL of RA patients to support patientcentered interventions. Methods: Data were collected using self-reported questionnaires and medical records (DAS28, and disease-related characteristics) from 225 RA patients aged 19 years or older in the outpatient rheumatology department of a tertiary general hospital. Statistical analyses, including descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression analyses, were performed using SPSS 25.0. Results: The QoL of RA patients was moderately reduced, with an average of 52.99 (out of 80). The major factors affecting the QoL of RA patients were social support (β=.32, p<.001), depression (β=-.29, p<.001), perceived health status (β=.16, p<.001), and self-care behaviors (β=.15, p=.001). Higher social support, more positive perception of one's health, higher level of self-care behaviors, and lower level of depression were associated with higher QoL in RA patients. Conclusion: This comprehensive and evidence-based approach is essential to address the multidimensional challenges of RA and improve the overall QoL of patients. Therefore, nursing strategies should prioritize strengthening social support, managing depression, improving perceived health status, and promoting self-care behaviors.