Kim Deok-Ju
Department of Occupational Therapy, College of Health and Medical Sciences, Cheongju University, Cheongju, Korea.
Osong Public Health Res Perspect. 2019 Dec;10(6):368-375. doi: 10.24171/j.phrp.2019.10.6.07.
The purpose of this study was to investigate the physical activities, mental health, and health-related quality of life (HRQOL) of osteoarthritis patients.
This study was conducted using data from the first year of the 7 Korea National Health and Nutritional Examination Survey. There were 8,150 participants included in the survey, and 665 participants had been diagnosed with osteoarthritis. This study analyzed the measurements of physical activities, depression, and HRQOL in participants with osteoarthritis.
The mean age of the participants was 67 ± 9.9 years and 83.1% were female. Participants rarely engaged in work-related physical activity, and engaged in leisure-related physical activities infrequently. Most of the participants (85.9%) did not do regular exercise, but 1/3 of the participants walked for over 10 minutes a day. "Pain/discomfort" had the least impact upon HRQOL, and among the depression subcategories, "difficult to sleep and tiredness" had the most impact. Multiple logistic regression analysis showed that an adverse HRQOL score was statistically significantly associated with "location changes/physical activities" ( < 0. 01), "depression" ( < 0.001) and "age" ( < 0.001).
Exercise programs should be in place which are manageable in everyday life for the elderly (> 65 years). Changes in daily routine so that patients become more active, should be supported by the family and community, together with assistance in managing psychological problems such as depression.
本研究旨在调查骨关节炎患者的身体活动、心理健康及健康相关生活质量（HRQOL）。
本研究使用了韩国国家健康与营养检查调查第一年的数据。该调查共有8150名参与者，其中665名被诊断患有骨关节炎。本研究分析了骨关节炎患者的身体活动、抑郁及HRQOL测量结果。
参与者的平均年龄为67±9.9岁，83.1%为女性。参与者很少从事与工作相关的体力活动，很少参与与休闲相关的体力活动。大多数参与者（85.9%）没有定期锻炼，但三分之一的参与者每天步行超过10分钟。“疼痛/不适”对HRQOL的影响最小，在抑郁亚类中，“难以入睡和疲倦”的影响最大。多元逻辑回归分析显示，不良的HRQOL评分与“位置变化/身体活动”（<0.01）、“抑郁”（<0.001）和“年龄”（<0.001）在统计学上显著相关。
应制定适合老年人（>65岁）日常生活的锻炼计划。日常生活的改变应使患者更加活跃，这需要家庭和社区的支持，同时协助处理抑郁等心理问题。
