학습된 무력감이 류마티스관절염 대상자의 규칙적 운동에 미치는 영향
Learned Helplessness to Predict Regular Physical Activity among Individuals with Rheumatoid Arthritis
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: Regular physical activity is beneficial in reducing disease activity and morbidity in patients with rheumatoid arthritis (RA). The purposes of this study were to examine the levels of regular physical activity and learned helplessness and to identify factors influencing in participation in regular physical activity in RA patients. Methods: This cross-sectional study was conducted with 210 RA patients in a university-affiliated hospital. Participants completed a questionnaire including demographic and disease-related characteristics, physical activity and learned helplessness. Data were analyzed with descriptive statistics, x2 tests, t-tests, and multivariate logistic regression analyses. Results: About 23% of RA patients engaged in at least 30 minutes of regular physical activity per week. Patients with being older (OR=1.09, 95%CI=1.03~1.14), no employment status (OR=0.17, 95% CI=0.07~0.42), and lower levels of learned helplessness (OR=0.58, 95% CI=0.34~0.96) had significantly higher chance of engaging in regular physical activity. Conclusion: In developing nursing interventions to promote regular physical activity in RA patients, their learned helplessness should be considered.
Abstract
Purpose: Regular physical activity is beneficial in reducing disease activity and morbidity in patients with rheumatoid arthritis (RA). The purposes of this study were to examine the levels of regular physical activity and learned helplessness and to identify factors influencing in participation in regular physical activity in RA patients. Methods: This cross-sectional study was conducted with 210 RA patients in a university-affiliated hospital. Participants completed a questionnaire including demographic and disease-related characteristics, physical activity and learned helplessness. Data were analyzed with descriptive statistics, x2 tests, t-tests, and multivariate logistic regression analyses. Results: About 23% of RA patients engaged in at least 30 minutes of regular physical activity per week. Patients with being older (OR=1.09, 95%CI=1.03~1.14), no employment status (OR=0.17, 95% CI=0.07~0.42), and lower levels of learned helplessness (OR=0.58, 95% CI=0.34~0.96) had significantly higher chance of engaging in regular physical activity. Conclusion: In developing nursing interventions to promote regular physical activity in RA patients, their learned helplessness should be considered.
참고문헌 (30)
- Sunjoo Boo, "Perceived and actual risk of cardiovascular disease in patients with rheumatoid arthritis in Korea", Medicine, 95(40), pp.e5117~ (2016), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Leigh F Callahan, "Physical activity programs for chronic arthritis", Current Opinion in Rheumatology, 21(2), pp.177~182 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Camacho, E. M., "Learned helplessness predicts functional disability, pain and fatigue in patients with recent-onset inflammatory polyarthritis", Rheumatology, 52(7), pp.1233~1238 (2013)[DOI]
- Camacho, E., "Association between socioeconomic status, learned helplessness, and disease outcome in patients with inflammatory polyarthritis", Arthritis Care and Research, 64(8), pp.1225~1232 (2012)[DOI]
- Covic, T., "A biopsychosocial model of pain and depression in rheumatoid arthritis : A 12-month longitudinal study", Rheumatology, 42(11), pp.1287~1294 (2003)[DOI]
- DeVellis, R., "A brief measure of helplessness in rheumatic disease", Journal of Rheumatology, 20(5), pp.866~869 (1993)
- Gulay Dirik, "Psychological distress in rheumatoid arthritis patients: An evaluation within the conservation of resources theory", Psychology & Health, 25(5), pp.617~632 (2010), Informa UK Limited[DOI]
- Matthias Englbrecht, "The Impact of Coping Strategies on Mental and Physical Well-Being in Patients with Rheumatoid Arthritis", Seminars in Arthritis and Rheumatism, 41(4), pp.545~555 (2012), Elsevier BV[DOI]
- 한정원, "류마티스 관절염 환자의 무기력과 건강행위에 관한 연구", 근관절건강학회지, 15(1), pp.33~40 (2008), 대한근관절건강학회
- 허남욱, "국민건강영양조사를 이용한 한국인 관절염의 유병률 현황과 연도별 변화", 대한류마티스학회지, 15(1), pp.11~26 (2008), 대한류마티스학회
- Kim, J. S., "Effects of aquatic exercise program on depression and helplessness in patients having rheumatoid arthritis", Journal of Muscle and Joint Health, 2(2), pp.160~167 (1995)
- Ko, Y., "The relationships among health behavior and self-efficacy, family support and depression in patients with rheumatoid arthritis", Nursing Science, 21(2), pp.22~35 (2009)
- 이혜영, "류마티스 관절염환자를 위한 타이치운동과 이압요법의 효과- 영국 옥크셔지역을 중심으로 -", 근관절건강학회지, 18(1), pp.103~112 (2011), 대한근관절건강학회
- 이주현, "Poor agreement between QuantiFERON-TB Gold test and tuberculin skin test results for the diagnosis of latent tuberculosis infection in rheumatoid arthritis patients and healthy controls", The Korean Journal of Internal Medicine, 29(1), pp.76~84 (2014), 대한내과학회[DOI]
- Shin-Seok Lee, "Evaluating the Korean version of the Multidimensional Health Assessment Questionnaire in patients with rheumatoid arthritis", Clinical Rheumatology, 25(3), pp.353~357 (2006), Springer Nature[DOI]
- Metsios, G. S., "Rheumatoid arthritis, cardiovascular disease and physical exercise : A systematic review", Rheumatology, 47(3), pp.239~248 (2008)[DOI]
- "Health reports" (2016)[URL]
- 오현경, "타이치 운동이 골관절염과 류마티스관절염 여성의 통증, 일상활동 및 낙상공포감에 미치는 효과 비교", 근관절건강학회지, 18(2), pp.137~146 (2011), 대한근관절건강학회
- Clinical effectiveness of patient education for rheumatoid arthritis: A systematic review, "Park, S. H.", National Evidence-Based Healthcare Collaborating Agency, ~ (2015)
- M J L Peters, "EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis", Annals of the Rheumatic Diseases, 69(2), pp.325~331 (2010), BMJ[DOI]
- Theodore Pincus, "Toward a multidimensional health assessment questionnaire (MDHAQ): Assessment of advanced activities of daily living and psychological status in the patient-friendly health assessment questionnaire format", Arthritis & Rheumatism, 42(10), pp.2220~2230 (1999), Wiley-Blackwell[DOI]
- Tuulikki Sokka, "Physical inactivity in patients with rheumatoid arthritis: Data from twenty-one countries in a cross-sectional, international study", Arthritis & Rheumatism, 59(1), pp.42~50 (2008), Wiley-Blackwell[DOI]
- Antonios Stavropoulos-Kalinoglou, "Individualised aerobic and resistance exercise training improves cardiorespiratory fitness and reduces cardiovascular risk in patients with rheumatoid arthritis", Annals of the Rheumatic Diseases, 72(11), pp.1819~1825 (2013), BMJ[DOI]
- Stein, M., "Factor structure of the arthritis helplessness index", Journal of Rheumatology, 15(3), pp.427~432 (1988)[DOI]
- Yoon-Kyoung Sung, "Korean Observational Study Network for Arthritis (KORONA): Establishment of a Prospective Multicenter Cohort for Rheumatoid Arthritis in South Korea", Seminars in Arthritis and Rheumatism, 41(6), pp.745~751 (2012), Elsevier BV[DOI]
- Marie Tierney, "Physical Activity in Rheumatoid Arthritis: A Systematic Review", Journal of Physical Activity and Health, 9(7), pp.1036~1048 (2012), Human Kinetics[DOI]
- 엄동춘, "류마티스 관절염 환자의 건강관련 삶의 질 영향요인 분석: 통증, 질병활성도, 일상생활 수행능력 장애 및 우울과의 관련성", Journal of Korean Academy of Nursing, 42(3), pp.434~442 (2012), 한국간호과학회
- V P van Halm, "Rheumatoid arthritis versus diabetes as a risk factor for cardiovascular disease: a cross-sectional study, the CARRE Investigation", Annals of the Rheumatic Diseases, 68(9), pp.1395~1400 (2009), BMJ[DOI]
- Jet J. C. S. Veldhuijzen van Zanten, "Perceived Barriers, Facilitators and Benefits for Regular Physical Activity and Exercise in Patients with Rheumatoid Arthritis: A Review of the Literature", Sports Medicine, 45(10), pp.1401~1412 (2015), Springer Nature[DOI]
- Eun Ja Yeun, "Health promotion behavior in middle-aged Koreans: A cross sectional survey", Nursing & Health Sciences, 15(4), pp.461~467 (2013), Wiley-Blackwell[DOI]
