루푸스 환자의 섬유근통 증후군에 따른 신체 및 심리 상태

Physical and Psychological Status in Systemic Lupus Erythematosus according to Fibromyalgia

Fibromyalgia can affect the daily life, physical and psychological conditions of systemic lupus erythematosus (SLE). The purpose of this study was to find out the prevalence of fibromyalgia in SLE, and physical and psychological status of SLE patients according to the presence fibromyalgia. Data were collected from June 1, 2002 to September 30, 2002 in G city. Ninety subjects who were diagnosed as SLE at a C University hospital participated in this study. A Korean version of fibromyalgia impact questionnaire developed by Kim, Lee & Park (2002) were used to measure physical and psychological status. Data were analyzed by frequency, percentage, mean, standard deviation, and t-test using SAS-PC+ 8.01 program. The results were as follows : 1. Fourteen of the 90 SLE patients (15.6%) were diagnosed with fibromyalgia according to the American College of Rheumatology (ACR) criteria. 2. The degree of pain (t=3.545, p= .00l) was significantly higher in patients with fibromyalgia than in those without fibromyalgia. The degree of fatigue (t=1.617, p= .110), anxiety (t=1.428, p= .157) and depression (t=1.680, p= .070) were higher in patients with fibromyalgia than in those without fibromyalgia. From above results, SLE patients with fibromyalgia suffer more pain than those without fibromyalgia. Therefore pain must be considered in developing nursing intervention of SLE patients with fibomyalgia.