류마티스 관절염 환자의 무기력과 건강행위에 관한 연구
Helplessness and Health Behavior of Patients with Rheumatoid Arthritis
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Purpose: This study was to find out the relationships between helplessness and health behavior of patients with rheumatoid arthritis. Method: The subjects were 293 rheumatoid arthritis patients who visit 2 rheumatology outpatient clinics in G city. Data were collected by questionnaires including Arthritis helplessness index(Nicassio, Wallston, Callahan, Herbert, & Pincus, 1985)and health behavior assessment scale(Jo, Oh & Choe, 2000). The data were analyzed with Pearson correlation coefficient, t-test, ANOVA and Duncan's multiple range test. Results: The majority of the subjects were women and the mean age was 50.4years. The mean duration of illness was 8.9years. There were negative correlations between the degree of helplessness and the degree of health behavior. The degree of helplessness was significantly high in those who were older, female, less educated, out of workforce, and those who had no chances to attend any arthritis-related classes. The degree of health behavior was significantly low in those who were older, high school graduate, in higher economic status, married, and those who had chances to attend arthritis- related classes. Conclusion: To reduce the help- lessness of rheumatoid arthritis patients, the nursing intervention which is to increase the health behavior should be developed and provided to the rheumatoid arthritis patients.
Abstract
Purpose: This study was to find out the relationships between helplessness and health behavior of patients with rheumatoid arthritis. Method: The subjects were 293 rheumatoid arthritis patients who visit 2 rheumatology outpatient clinics in G city. Data were collected by questionnaires including Arthritis helplessness index(Nicassio, Wallston, Callahan, Herbert, & Pincus, 1985)and health behavior assessment scale(Jo, Oh & Choe, 2000). The data were analyzed with Pearson correlation coefficient, t-test, ANOVA and Duncan's multiple range test. Results: The majority of the subjects were women and the mean age was 50.4years. The mean duration of illness was 8.9years. There were negative correlations between the degree of helplessness and the degree of health behavior. The degree of helplessness was significantly high in those who were older, female, less educated, out of workforce, and those who had no chances to attend any arthritis-related classes. The degree of health behavior was significantly low in those who were older, high school graduate, in higher economic status, married, and those who had chances to attend arthritis- related classes. Conclusion: To reduce the help- lessness of rheumatoid arthritis patients, the nursing intervention which is to increase the health behavior should be developed and provided to the rheumatoid arthritis patients.
참고문헌 (24)
- Callahan, L. F., "Further analysis of learned helplessness in rheumatoid arthritis using a Rheumatology Attitudes Index", J Rheumatol, 15(3), pp.418~426 (1988)
- Choi,S.H., "Functions of social support on depression of patients with rheumatoid arthritis", J Rheumatol Health, 3(1), pp.62~89 (1996)
- Hill,J., "Rueumatology Nursing.A creative Approach" (1998), Churchill Livengstone
- Jo, K. H., "Development of a health behavior assessment scale of patients with rheumatoid arthritis", J Korean Acad Nurs, 30(5), pp.1333~1346 (2000)
- Kang, H. S., "relationship between psychosocisl factors and symptoms of patients with rheumatoid arthritis", J Rheumatol Health, 6(2), pp.295~309 (1999)
- Kim,A.K., "The study on health among Korean adults", J Korean Acad Nurs, 28(4), pp.931~940 (1998)
- Kim, E. M., "Correlation between learned helplessness and self-care in dialysis patients", J Rehabil Nurs, 2(1), pp.7~21 (1999)
- Kim, J. I., "The relationship between daily activities and psychological factors of chronic rheumatoid patients", J Fundam Nurs, 2(2), pp.115~168 (1995)
- Kim,J.S., "Effects of aquatic exercise program on depression and helplessness in patients having rheumatoid arthritis", J Rheumatol Health, 2(2), pp.160~167 (1995)
- Klippel, J. H., "Primer on The Rheumatic Disease", Rheumatoid arthritis (1997)
- Kulbok,P.P., "Social resources health resources and preventive health behavior; patterns and predictions", Public Health Nurs, 2(2), pp.67~81 (1985)
- Lee, E. O., "Model construction for treatment seeking behaviors in patients with arthritis", J Rheumatol Health, 4(2), pp.177~196 (1997)
- Lee, E. O., "Arthritis. Selp-care of arthritis patients 4th" (1999), Shinkwang Co
- Lindroth, Y., "Learned helplessness and its correlation to impairment, pain, anxiety and depression in rheumatoid arthritis", Scandinavian J Rheumatol, 23, pp.299~304 (1994)
- Nicassio, P. M., "The measurement of helplessness in rheumatoid arthritis. The development of the arthritis helplessness index", J Rheumatol, 12(3), pp.462~467 (1985)
- Oh,H.S., "The analysis of the effects of comprehensive health promotion program for RA on changes in health promotion strategies, knowledge, and health status", J Korean Acad Nurs, 30(3), pp.619~631 (1999)
- Oh,J.J., "Comparison of health behaviors and related factors among Korean adults", J Adult Nurs, 9(2), pp.286~296 (1997)
- Park, Y. J., "A prediction model for health promoting behavior of the Korean elderly", J Korean Acad Nurs, 29(2), pp.281~292 (1999)
- Peterson, C., "Learned helplessness and victimization", J Social Issues, 39(2), pp.102~116 (1983)
- Stein, M. J., "Factor structure of the Arthritis Helplessness Index", J Rheumatol, 15, pp.427~432 (1988)
- Stein, M. J., "Correlates of a clinical classification schema for the arthritis helplessness subscale", Arthritis Rheum, 31(7), pp.876~881 (1988)
- Walker, S. N., "Health-promoting life styles of older adults: Comparisions with young and middle-aged adults, correlates and patterns", Adv Nurs Sci, 11(1), pp.76~90 (1988)
- Yoo, K. H., "Model construction of perceived uncertainty in rheumatoid arthritis patients", J Rheumatol Health, 5(1), pp.7~25 (1998)
- Young,L.D., "Psychological factors in rheumatoid arthritis", J Consult Clin Psychol, 60(4), pp.619~627 (1992)