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골관절염 환자의 활동제한이 건강관련 삶의 질과 우울증에 미치는 영향

Effects of Activity Limitations on the Health-Related Quality of Life and Depression in Osteoarthritis Patients

대한물리의학회지 2020년 15권 3호 p.109 ~ 116
이도연, 남승민,
소속 상세정보
이도연 ( Lee Do-Youn ) - Daegu University Department of Physical Therapy
남승민 ( Nam Seung-Min ) - Daegu University Department of Physical Therapy

Abstract


PURPOSE: The objective of this study was to provide a basis for the need to apply psychological factors-based rehabilitation programs to osteoarthritis patients by understanding how the limitations on the activities of osteoarthritis patients relate to the health-related quality of life and depression.

METHODS: This study assessed 1,994 osteoarthritis patients from the 7th Korea National Health and Nutrition Examination Survey (KNHANES, 2016-2018). The subjects were divided into two categories: with activity limitation and without activity limitation. A Chi-square test and logistic regression analysis were conducted.

RESULTS: The EQ-5D index of subjects with activity limitation was .84 ± .16, it was .94 ± .12 in those with no activity limitation (p < .05). The diagnosis of depression was 16.8% and; 8.3% in those with and without activity limitation, respectively (p < .05). There was a significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with an activity limitation was 2.171 (1.512 - 3.118) compared with no activity limitation.

CONCLUSION: The activity limitation of osteoarthritis patients reduces the health-related quality of life significantly and increases the probability of depression. Therefore, the treatment of osteoarthritis patients should be approached considering the psychological conditions. Moreover, early diagnosis of depressive symptoms is needed to prevent symptom deterioration and increase the compliance with rehabilitation therapy.

키워드

Activity limitation; Depression; Quality of life; Osteoarthritis

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