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KMID : 0604719990060020211
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Journal of Rheumatology Health
1999 Volume.6 No. 2 p.211 ~ p.215
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Study in Relation to Social Support, Compliance and Psychosocial Adjustment of Rheumatoid Arthritic Patient
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1소인애/1In Ae Soh
2권영숙/2박청자/2Young Sook Kwon/2Chung Ja Park
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Abstract
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-Abstract-
This descriptive correlational study was carried to identify the relationship among
social support, compliance, and psychosocial adjustment of patients with rheumatoid
arthritis. The study was done with 100 rheumatoid arthritic patients who were visited in
Outpatient clinic of university hospital in Taegu, Korea from the 23rd of February to the
20th of March in 1998.
The Data were collected through person to person interviews which were performed
by five researchers. The instruments used for this study were Yu's social support
scale(1996), Cho's compliance scale(1987), and Kim's psychosocial adjustment
scale(1997).
The data was analyzed by using a t-test, Pearson correlation coefficient, ANOVA, and
Tukey test with the SAS Program.
The results of this study were as follows ;
1. The mean score of social support was 2.76 for 4 full marks, compliance was 3.20 for
5 full marks, and psychosocial adjustment was 2.26 for 4 full marks.
2. Hypothesis 1 : “The higher the social support degree, the higher the compliance
degree of the rheumatoid arthritis patient”. It was supported(r=0.54, p<0.001).
Hypothesis 2 : “The higher the compliance degree, the higher the psychosocial
adjustment degree of the rheumatoid arthritis patient”. It was supported(r=0.34,
p<0.001).
Hypothesis 3 : “The higher the social support degree, the higher the psychosocial
adjustment degree of the rheumatoid arthritis patient”. It was supported(r=0.24, p<0.05).
3. In general, the spouse group compared to other groups was demonstrated as the most
dependable group for patients to trust and expect support. And the sons and daughters
group was shown higher than other groups in terms of social support(F=4.19, p=0.01).
There was no difference in terms of compliance in degree. In the degree of psychosocial
adjustment the highly educated group(more than high school) is a little higher than the
lowly educated group(F=3.08, p=0.03). In the costs of medical care, the group that could
afford was significant higher than the group which could not afford results in terms of
the psychosocial adjustment degree(F=3.99, p=0.01).
The outcome of this study is that the social support that related rheumatoid arthritic
patients had an effect on the following compliance, and the following compliance helps
psychosocial adjustment of patients. It also shows that social support related
psychosocial adjustment. Therefore, to increase the level of psychosocial adjustment of
rheumatoid arthritic patients, it will be effective in supportive nursing intervention to
improve social support and compliance.
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KEYWORD
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