[老年骨关节炎患者生活质量的结构方程模型研究]
[Structural equation modeling on quality of life in older adults with osteoarthritis].
作者信息
Oh Jihyun, Yi Myungsun
机构信息
College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
出版信息
J Korean Acad Nurs. 2014 Feb;44(1):75-85. doi: 10.4040/jkan.2014.44.1.75.
PURPOSE
The aim of this study was to explore how individual factors, physiologic factors, symptoms, environmental factors, functional status and health perception predict the quality of life (QOL) for older adults with osteoarthritis and to provide guidelines for interventions and strategies to improve QOL in these patients. The conceptual model was based on the Wilson and Cleary's Model.
METHODS
Data were analyzed using SPSS WIN 20.0 and AMOS 19.0 program.
RESULTS
The proposed model was a good fit for the data based on the model fit indices. Based on the constructed model, individual factors, social support, functional status and health perception were founded to have direct effects on QOL. Symptom had a indirect effect on QOL. Social support had a significant effect on QOL, and this model explained 63.6% of the variance in QOL.
CONCLUSION
The results of this study suggest that nursing strategies to increase QOL in this population should contain social support to promote QOL and manage functional limitations and health perception.
目的
本研究旨在探讨个体因素、生理因素、症状、环境因素、功能状态和健康认知如何预测骨关节炎老年患者的生活质量（QOL），并为改善这些患者生活质量的干预措施和策略提供指导。概念模型基于威尔逊和克利里模型。
方法
使用SPSS WIN 20.0和AMOS 19.0程序分析数据。
结果
基于模型拟合指数，所提出的模型与数据拟合良好。基于构建的模型，发现个体因素、社会支持、功能状态和健康认知对生活质量有直接影响。症状对生活质量有间接影响。社会支持对生活质量有显著影响，该模型解释了生活质量方差的63.6%。
结论
本研究结果表明，提高该人群生活质量的护理策略应包括社会支持，以促进生活质量并管理功能限制和健康认知。
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