골관절염 노인의 건강 관련 삶의 질 영향요인: 국민건강영양조사 자료를 이용하여
Factors influencing Health-related Quality of Life in Older Adults with Osteoarthritis: Based on the 2010-2011 Korea National Health and Nutrition Examination Survey
2
조회
0
다운로드
40
인용
0
참고문헌
키워드
초록
Purpose: This study was conducted to identify factors that influence health-related quality of life in older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey 2011. A total of 362 participants aged 65 years and older who had osteoarthritis were selected. Health-related quality of life using EQ-5D, perceived health status, body mass index, numbers of chronic illness, smoking and alcohol use, exercise, activity limitation, joint pain and stiffness, depression, and perceived stress were measured. Descriptive statistics, x2 -test, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression were conducted with SPSS/WIN 21.0. Results: The mean score of EQ-5D was 0.77 in older adults with osteoarthritis. The results of multiple regression analysis showed that age, income, subjective health status, restriction of activity, knee joint stiffness, depressive mood, and perceived stress significantly predicted health-related quality of life in older adults with osteoarthritis, explaining 42% of the variance. Conclusion: Older adults with osteoarthritis have low health-related quality of life. In oder to improve health-related quality of life in older adults with osteoarthritis, it is important not only to enhance physical functionbut also to provide emotional support.
Abstract
Purpose: This study was conducted to identify factors that influence health-related quality of life in older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey 2011. A total of 362 participants aged 65 years and older who had osteoarthritis were selected. Health-related quality of life using EQ-5D, perceived health status, body mass index, numbers of chronic illness, smoking and alcohol use, exercise, activity limitation, joint pain and stiffness, depression, and perceived stress were measured. Descriptive statistics, x2 -test, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression were conducted with SPSS/WIN 21.0. Results: The mean score of EQ-5D was 0.77 in older adults with osteoarthritis. The results of multiple regression analysis showed that age, income, subjective health status, restriction of activity, knee joint stiffness, depressive mood, and perceived stress significantly predicted health-related quality of life in older adults with osteoarthritis, explaining 42% of the variance. Conclusion: Older adults with osteoarthritis have low health-related quality of life. In oder to improve health-related quality of life in older adults with osteoarthritis, it is important not only to enhance physical functionbut also to provide emotional support.
참고문헌 (31)
- Alrushud, A. S., "Impact of knee osteoarthritis on the quality of life among Saudi elders: A comparative study", Saudi Journal of Sports Medicine, 13(1), pp.10~16 (2013)[DOI]
- Bliddal, H., "Osteoarthritis, obesity and weight loss: Evidence, hypotheses and horizons: A scoping review", Obesity Review, 15(7), pp.578~586 (2014)[DOI]
- Broderick, J. E., "Treatment expectation for pain coping skills training: Relationship to osteoarthritis patients’ baseline psychosocial characteristics", Clinical Journal of Pain, 27(4), pp.315~322 (2011)[DOI]
- 변혜선, "퇴행성관절염 노인의 일반적 특성 및 운동 단계에 따른 통증, 운동 장애성 지각", 한국노년학, 26(1), pp.17~30 (2006), 한국노년학회
- Dieppe, P. A., "Pathogenesis and management of pain in osteoarthritis", The Lancet, 365(9463), pp.965~973 (2005)[DOI]
- Ding, C., "Smoking interacts with family history with regard to change in knee cartilage volume and cartilage defect development", Arthritis & Rheumatism, 56(5), pp.1521~1528 (2007)[DOI]
- Hunter, D. J., "The impact of arthritis on pain and quality of life: An Australian survey", International Journal of Rheumatic Diseases, 17(2), pp.149~155 (2014)[DOI]
- Jakobsson, U., "Quality of life among older adults with osteoarthritis: An explorative study", Journal of Gerontological Nursing, 32(8), pp.51~60 (2006)
- 전형준, "제4기 국민건강영양조사 자료에 기초한 한국 성인내 골관절염 유병 규모의 추정", Anesthesia and Pain Medicine, 5(3), pp.201~206 (2010), 대한마취통증의학회
- Jiang, Y., "Associations between health-related quality of life and demographics and health risks. Results from Rhode Island's 2002 behavioral risk factor survey", Health and Quality of Life Outcomes, 4, pp.14~ (2006)[DOI]
- Juhakoski, R., "Risk factors for the development of hip osteoarthritis: A population-based prospective study", Rheumatology, 48(1), pp.83~87 (2009)[DOI]
- 김혜령, "한국 여성노인과 남성노인의 골관절염 유병률과 위험요인", 한국노년학, 33(4), pp.805~820 (2013), 한국노년학회
- Kim, J. I., "Exercise pattern and influencing factor of exercise barrier in patients with osteoarthritis", Journal of Muscle and Joint Health, 9(2), pp.135~143 (2002)
- Impact of aging on elderly health care expenditure in Korea, "Lee, E. K.", Korean Institute of Public Finance, ~ (2011)
- 이혜상, "우리나라 65세 이상 노인의 골관절염 유병률과 관련요인: 제5기 국민건강영양조사자료 분석, 2010∼2012", 대한영양사협회 학술지, 20(2), pp.99~109 (2014), 대한영양사협회[DOI]
- 이선현, "골관절염을 가진 노인의 자살사고 영향요인", 정신간호학회지, 20(1), pp.103~110 (2011), 정신간호학회
- Validity and reliability evaluation for EQ-5D in Korea, "Lee, S. I.", Korean Centers for Disease Control and Prevention, ~ (2011)
- 이윤정, "골관절염 여성노인의 통증, 수면양상, 생활만족도가 우울에 미치는 영향", 한국노년학, 31(2), pp.211~222 (2011), 한국노년학회
- 임난영, "골관절염 환자에서의 건강관련 삶의 질 도구(EQ-5D)의 타당도 검증", 근관절건강학회지, 17(2), pp.203~211 (2010), 대한근관절건강학회[DOI]
- 2011 Korean National Health and Nutrition Examination Survey, "Ministry of Health & Welfare", Ministry of Health & Welfare, ~ (2012)
- Mnatzaganian, G., "Smoking and primary total hip or knee replacement due to osteoarthritis in 54,288 elderly men and women", BMC Musculoskeletal Disorders, 14, pp.262~ (2013)[DOI]
- 박혜진, "50세 이상 여성에서 골관절염과 인구사회학적 특성, 비만과 건강 관련 삶의 질의 연관성: 국민건강영양조사를 중심으로", 보건교육건강증진학회지, 29(2), pp.23~32 (2012), 한국보건교육건강증진학회[DOI]
- Parker, L., "The burden of common chronic disease on healthrelated quality of life in an elderly community-dwelling population in the UK", Family Practice, 31(5), pp.557~563 (2014)[DOI]
- Rejeski, W. J., "Obese, older adults with knee osteoarthritis: Weight loss, exercise, and quality of life", Health psychology, 21(5), pp.419~426 (2002)[DOI]
- Riddle, D. L., "Psychological health impact on 2-year changes in pain and function in persons with knee pain: Data from the osteoarthritis initiative", Osteoarthritis and Cartilage, 19(9), pp.1095~1101 (2011)[DOI]
- Salaffi, F., "Healthrelated quality of life in older adults with symptomatic hip and knee osteoarthritis: A comparison with matched healthy controls", Aging Clinical and Experimental Research, 17(4), pp.255~263 (2005)[DOI]
- 손정태, "농촌지역 골관절염 환자의 삶의 질에 영향을 미치는 요인", 한국노년학, 34(1), pp.23~35 (2014), 한국노년학회
- Vennu, V., "Relationship between falls, knee osteoarthritis, and health-related quality of life: Data from the osteoarthritis initiative study", Clinical Interventions in Aging, 2014(9), pp.793~800 (2014)[DOI]
- Xie, F., "Use of a disease-specific instrument in economic evaluations: Mapping WOMAC onto the EQ-5D utility index", Value in Health, 13(8), pp.873~878 (2010)[DOI]
- Yang, S. J., "Health status, health behavior and quality of life in the elderly with osteoarthritis", Nursing Science, 23(2), pp.23~33 (2011)
- Zhang, W., "OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines", Osteoarthritis and Cartilage, 16(2), pp.137~162 (2008)[DOI]
