[논문]여성 류마티스 관절염 환자의 건강관련 삶의 질 구조모형

김부경; 성미혜

doi:10.4069/kjwhn.2023.06.05

여성 류마티스 관절염 환자의 건강관련 삶의 질 구조모형
Health-related quality of life in female patients with reumatoid arthritis: a structural equation model 원문보기

KJWHN : Korean journal of women health nursing, v.29 no.2, 2023년, pp.91 - 103

김부경 (인제대학교 간호대학) , 성미혜 (인제대학교 간호대학 건강과학연구소)

Abstract ▼ AI-Helper

Purpose: This study aimed to construct a structural equation model to explain and predict factors affecting the health-related quality of life (QoL) in female rheumatoid arthritis (RA) patients based on the health-related QoL model by Ferrans et al. (2005) and a literature review. Methods: Patients (N=243) who were either registered members of an internet cafe composed of patients with RA or rheumatology outpatients at two tertiary general hospitals in Busan, Korea, were recruited via convenience sampling. Data were collected from July 2 to September 9, 2021, and the survey was conducted using a web-based questionnaire. The data were analyzed by SPSS and AMOS 26.0. Results: The goodness-of-fit statistics of the final model exhibited good results (χ2/degree of freedom=2.68, Turker-Lewis index=.94, comparative fit index=.96, standardized root mean-squared residual=.04, root mean- square error of approximation=.08), and 11 out of 14 paths of the model were supported. The squared multiple correlation, which reflected the explanatory power of the environmental characteristics, symptoms, functional status, and perceived health status on health-related QoL, was 80%. In the hypothesis model, 10 paths had significant direct effects, 6 paths had significant indirect effects, and 12 paths had significant total (direct and indirect) effects. Conclusion: Considering that factors directly affecting the health-related QoL of female patients with RA were social support, symptoms (fatigue and depression), resilience, and perceived health status, and that resilience was the most influential factor, clinicians can encourage resilience. Hence, to improve the health-related QoL of female patients with RA, continuing management is necessary, using various intervention methods that focus on enhancing resilience from the early stage to the end of treatment for RA.

주제어

표/그림 (7)

그림 Figure 1. Hypothetical model of this study.
표 Table 1. Differences in health-related quality of life according to participants’ characteristics (N=243)
표 Table 2. Descriptive statistics and multicollinearity of the research variables (N=243)
표 Table 3. Factor loading in confirmatory factor analysis (N=243)
표 Table 4. Correlations between research variables (N=243)
그림 Figure 2. Path diagram of the hypothetical model. V1: self-efficacy, V2: family, V3: friends, V4: significant other, V5: fatigue, V6: depression, V7: personal competence, V8: acceptance of self and life, V9: perceived health status 1, V10: perceived health status 2, V11: perceived health status 3, V12: health-related quality of life.
표 Table 5. Standardized direct, indirect, and total effects of the hypothetical model (N=243)

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