회전근 개 질환 환자에서 심리적 상태 및 삶의 질 평가

Abstract

Objectives : Rotator cuff disease is one of the musculoskeletal disorders that is often found in primary care settings. Although it recently shows an upward trend, there are few studies about the psychological status and insomnia of patients with this disease. This study researched the degree of depressive symptoms, anxiety symptoms and insomnia that result from rotator cuff disease. Also, it evaluated how shoulder pain and disability affect the psychological status and quality of life for the patients. Methods : The patient group of this study consisted of 96 patients with rotator cuff disease and the control group consisted of 60 patients. The participants were tested with Visual Analogue Scale(VAS), American Shoulder and Elbow Surgeon’s Scale(ASES), Korean Shoulder Scale(KSS), Hospital Anxiety Depression Scale(HADS), Pittsburg Sleep Quality Index(PSQI) and World Health Organization Quality of Life Scale Abbreviated Version(WHOQOL-BREF). Results : The mean score of tests for the patient group is 5.0 on the HADS-D, 4.8 on the HADS-A, 8.1 on the PSQI, and 80.0 on the WHOQOL-BREF. They were showed significant differences respectively when the scores were compared to the control group’s scores(F=0.175 p=0.03, F=0.085 p=0.03, F=1.724 p=0.00, F=0.438 p=0.00). The VAS score had a positive correlation with the PSQI score and also a negative correlation with the WHOQOL-BREF score. The score of ASES and KSS had negative correlation with the scores of HADS-D, HADS-A, PSQI and a positive correlation with WHOQOL-BREF(p＜0.05). Conclusion : It is necessary to provide proper psychological intervention as well as pain control and rehabilitation program for the patients with rotator cuff disease.