PMID- 34421688
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230920
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 12
DP  - 2021
TI  - A Structural Equation Model of Health-Related Quality of Life in Chinese Patients 
      With Rheumatoid Arthritis.
PG  - 716996
LID - 10.3389/fpsyt.2021.716996 [doi]
LID - 716996
AB  - Background: The aim of this study was to examine how body image, Disease Activity 
      Score in 28 joints, the feeling of being anxious, depression, fatigue, quality of 
      sleep, and pain influence the quality of life (QoL) in patients with rheumatoid 
      arthritis (RA). Methods: A multicenter cross-sectional survey with convenience 
      sampling was conducted from March 2019 and December 2019, 603 patients with RA 
      from five hospitals were evaluated using the Body Image Disturbance 
      Questionnaire, Disease Activity Score in 28 joints, Hospital Anxiety and 
      Depression Scale, Fatigue Severity Scale, Pittsburgh Sleep Quality Index, Short 
      Form 36 Health Survey, and Global Pain Scale. The relationship between quality of 
      life and other variables was evaluated by using the structural equation model 
      (SEM). Results: A total of 580 patients were recruited. SEM fitted the data very 
      well with a root mean square error of approximation (RMSEA) of 0.072. Comparative 
      fit index of 0.966, and Tucker-Lewis index of 0.936. The symptoms and the 
      normalized factor load of six variables showed that the normalized factor load of 
      pain was 0.99. Conclusions: The QoL model was used to fit an SEM to 
      systematically verify and analyze the population disease data, biological 
      factors, and the direct and indirect effects of the symptom group on the QoL, and 
      the interactions between the symptoms. Therefore, the diagnosis, treatment and 
      rehabilitation of RA is a long-term, dynamic, and complex practical process. 
      Patients' personal symptoms, needs, and experiences also vary greatly. 
      Comprehensive assessment of patients' symptoms, needs, and experiences, as well 
      as the role of social support cannot be ignored, which can help to meet patients' 
      nursing needs, improve their mood and pain-based symptom management, and 
      ultimately improve patients' QoL.
CI  - Copyright (c) 2021 Shen, Chen, Yang, Yolanda, Yuan, Du, Xu, Geng, Chen, Li and Xu.
FAU - Shen, Biyu
AU  - Shen B
AD  - Center for Translational Pain Medicine, Institute of Neuroscience, Soochow 
      University, Suzhou, China.
AD  - Department of Nursing, Nursing School of Soochow University, Suzhou, China.
AD  - Department of Nursing, Nursing School of University of Maryland, Baltimore, MD, 
      United States.
FAU - Chen, Haoyang
AU  - Chen H
AD  - Department of Nursing, The Second Affiliated Hospital of Nantong University, 
      Nantong, China.
FAU - Yang, Dongliang
AU  - Yang D
AD  - Department of Mathematics, Cangzhou Medical College, Cangzhou, China.
FAU - Yolanda, Ogbolu
AU  - Yolanda O
AD  - Department of Nursing, Nursing School of University of Maryland, Baltimore, MD, 
      United States.
FAU - Yuan, Changrong
AU  - Yuan C
AD  - Department of Nursing, Fudan University, Shanghai, China.
FAU - Du, Aihua
AU  - Du A
AD  - Department of Rheumatology, Zhengzhou Gout and Rheumatology Hospital, Zhengzhou, 
      China.
FAU - Xu, Rong
AU  - Xu R
AD  - Department of Rheumatology, The First Affiliated Hospital of Soochow University, 
      Suzhou, China.
FAU - Geng, Yaqin
AU  - Geng Y
AD  - Department of Rheumatology, The Second People's Hospital of Changzhou, Changzhou, 
      China.
FAU - Chen, Xin
AU  - Chen X
AD  - Department of Nursing, The Second Affiliated Hospital of Nantong University, 
      Nantong, China.
FAU - Li, Huiling
AU  - Li H
AD  - Department of Nursing, Nursing School of Soochow University, Suzhou, China.
FAU - Xu, Guang-Yin
AU  - Xu GY
AD  - Center for Translational Pain Medicine, Institute of Neuroscience, Soochow 
      University, Suzhou, China.
AD  - Department of Nursing, Nursing School of Soochow University, Suzhou, China.
LA  - eng
PT  - Journal Article
DEP - 20210804
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC8371236
OTO - NOTNLM
OT  - body image
OT  - depression
OT  - pain
OT  - quality of life
OT  - rheumatoid arthritis
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/08/24 06:00
MHDA- 2021/08/24 06:01
PMCR- 2021/08/04
CRDT- 2021/08/23 06:26
PHST- 2021/05/30 00:00 [received]
PHST- 2021/07/13 00:00 [accepted]
PHST- 2021/08/23 06:26 [entrez]
PHST- 2021/08/24 06:00 [pubmed]
PHST- 2021/08/24 06:01 [medline]
PHST- 2021/08/04 00:00 [pmc-release]
AID - 10.3389/fpsyt.2021.716996 [doi]
PST - epublish
SO  - Front Psychiatry. 2021 Aug 4;12:716996. doi: 10.3389/fpsyt.2021.716996. 
      eCollection 2021.