J Korean Acad Community Health Nurs.  2015 Sep;26(3):303-311. 10.12799/jkachn.2015.26.3.303.

Factors associated with Patient Activation for Self-management among Community Residents with Osteoarthritis in Korea

• Ahn YH
• Kim BJ
• Ham OK
• Kim SH

• KMID: 2173827
• DOI: http://doi.org/10.12799/jkachn.2015.26.3.303

Abstract

PURPOSE
The purpose of this study was to survey patient activation for self-management and to identify factors associated with patient activation for self-management among community residents with osteoarthritis in Korea.
METHODS
Cross-sectional study design was used. Survey data were collected from 270 community residents with osteoarthritis through direct interviews. Studied factors included patient activation, joint pain, physical function, depression, and general characteristics. Data were analyzed using chi-squared test, t-test and multivariate logistic regression analysis.
RESULTS
The participants' mean score of patient activation was 56.0+/-16.61. The mean score of each factor was 10.6+/-5.89 for joint pain, 5.5+/-3.56 for physical function, and 19.3+/-10.01 for depression. The patient activation level was significantly associated with depression and general characteristics such as education, religion, comorbid hypertension, and use of medical clinics (p<.05).
CONCLUSION
The findings suggest that depression, education, religion, comorbid hypertension, and use of medical clinics may be important factors to be considered when developing programs of patient activation for self-management. This is the first study that measured patient activation, and further studies are suggested to find factors associated with patient activation for self-management among community residents with other chronic diseases.

Keyword

Self-management; Osteoarthritis; Patient

MeSH Terms

Arthralgia
Chronic Disease
Cross-Sectional Studies
Depression
Education
Humans
Hypertension
Korea*
Logistic Models
Osteoarthritis*
Self Care*

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