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Prevalence, Awareness, Treatment, and Control of Hypertension, Diabetes, and Dyslipidemia Among Patients with Rheumatoid Arthritis

여성 류마티스관절염 대상자의 고혈압, 당뇨, 이상지질혈증의 유병률, 인지율, 치료율 및 조절률

  • Yun, Hyewon (Rheumatology, Ajou University Hospital, College of Nursing, Ajou University) ;
  • Boo, Sunjoo (College of Nursing, Research Institute of Nursing Science, Ajou University)
  • 윤혜원 (아주대학교병원(류마티스내과학교실), 아주대학교 간호대학) ;
  • 부선주 (아주대학교 (간호대학.간호과학연구소))
  • Received : 2019.06.14
  • Accepted : 2019.08.23
  • Published : 2019.08.31

Abstract

Purpose: The purpose of this study was to evaluate the prevalence, awareness, treatment and control of hypertension, diabetes, and dyslipidemia among women with rheumatoid arthritis. Methods: This cross-sectional study of 288 women with rheumatoid arthritis was conducted in a university-affiliated hospital. Data were collected by reviewing the women's medical charts and self-report questionnaires. Results: The prevalence of hypertension, diabetes and dyslipidemia was 27.8%, 5.9% and 48.3%, respectively. Despite the high prevalence of dyslipidemia, the subjects'awareness of it and its treatment rates were the lowest, which resulted in a low control rate. Of the 288 subjects, 158 (55%) had at least one of the three conditions. The prevalence of the combination of cardiovascular risk factors increased with age, and 32.7% of those aged 60 or older had two or three of the cardiovascular risk factors. Combinations of cardiovascular risk factors were significantly related with severe pain and fatigue. Conclusion: Cardiovascular risk factors were highly prevalent among the women with rheumatoid arthritis, but the rates of awareness, treatment, and control were suboptimal. There is a pressing need to facilitate the prevention, early detection and appropriate management of hypertension, diabetes and dyslipidemia among patients with rheumatoid arthritis in order to prevent cardiovascular disease.

Keywords

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