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dc.contributor.authorShen, Biyu
dc.contributor.authorChen, Haoyang
dc.contributor.authorYang, Dongliang
dc.contributor.authorYolanda, Ogbolu
dc.contributor.authorYuan, Changrong
dc.contributor.authorDu, Aihua
dc.contributor.authorXu, Rong
dc.contributor.authorGeng, Yaqin
dc.contributor.authorChen, Xin
dc.contributor.authorLi, Huiling
dc.contributor.authorXu, Guang-Yin
dc.date.accessioned2021-08-25T18:40:02Z
dc.date.available2021-08-25T18:40:02Z
dc.date.issued2021-08-04
dc.identifier.urihttp://hdl.handle.net/10713/16469
dc.description.abstractBackground: 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.en_US
dc.description.urihttps://doi.org/10.3389/fpsyt.2021.716996en_US
dc.language.isoenen_US
dc.publisherFrontiers Media S.A.en_US
dc.relation.ispartofFrontiers in Psychiatryen_US
dc.rightsCopyright © 2021 Shen, Chen, Yang, Yolanda, Yuan, Du, Xu, Geng, Chen, Li and Xu.en_US
dc.subjectbody imageen_US
dc.subjectdepressionen_US
dc.subjectpainen_US
dc.subjectquality of lifeen_US
dc.subjectrheumatoid arthritisen_US
dc.titleA Structural Equation Model of Health-Related Quality of Life in Chinese Patients With Rheumatoid Arthritisen_US
dc.typeArticleen_US
dc.identifier.doi10.3389/fpsyt.2021.716996
dc.identifier.pmid34421688
dc.source.volume12
dc.source.beginpage716996
dc.source.endpage
dc.source.countrySwitzerland


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