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골관절염 환자의 우울 정도와 관련요인

Factors Influencing Depressive Symptoms in Patients with Osteoarthritis

근관절건강학회지 2020년 27권 2호 p.199 ~ 209
김정석, 김춘자,
소속 상세정보
김정석 ( Kim Jung-Suk ) - Ajou University College of Nursing
김춘자 ( Kim Chun-Ja ) - Ajou University College of Nursing

Abstract


Purpose: This study examined the prevalence of depressive symptoms and psycho-behavioral factors affecting de?pressive symptoms in patients with osteoarthritis.

Methods: This cross-sectional study enrolled a convenience sample of 157 patients with osteoarthritis in a university hospital between March and December 2018. Depressive symptoms, osteoarthritis function, therapeutic self-efficacy, and health-related quality of life (QoL) were measured using structured questionnaires. Logistic regression analysis was used to investigate factors affecting depressive symptoms.

Results: The mean age of participants was 73.3 years with 76.4% of them being women. The prevalence of depressive symptoms was 38.5%. Patients with depressive symptoms were more likely to be currently smoking and had an occupation and worse flexibility function associated with osteoarthritis. Whereas they were less likely to engage in regular physical activity and had a low level of therapeutic self-efficacy and perceived health-related QoL.

Conclusion: Therapeutic self-efficacy to regular physical activity, including flexibility function may be primary factors influencing depressive symptoms in patients with osteoarthritis. With the management of osteoarthritis, psycho-behavioral factors should be considered in developing interventions to prevent depressive symptoms in patients with osteoarthritis.

키워드

우울; 골관절염; 신체활동; 치료적 자
Depressive symptoms; Osteoarthritis; Physical activity; Self-efficacy

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