A predictive analysis of influencing factors with quality of life among patients with gout: based on Wilson-Cleary model
10.3760/cma.j.cn211501-20201103-04408
- VernacularTitle:痛风患者生命质量影响因素作用机制的预测分析：基于Wilson-Cleary模式
- Author:
Yanran ZHANG
1
;
Xiuxin MIAO
;
Ting LIU
;
Changgui LI
;
Can WANG
;
Ju YAN
Author Information
1. 青岛大学护理学院 266021
- Keywords:
Gout;
Quality of life;
Pain;
Functional disability;
Self-efficacy;
Social support
- From:
Chinese Journal of Practical Nursing
2021;37(35):2734-2740
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of pain, functional disability, self-efficacy and social support on health-related quality of life (HRQOL) in gout patients.Methods:From November 2019 to January 2020, a total of 218 patients with gout were investigated using the general information questionnaire, Visual Analogue Scale, Health Assessment Questionnaire Disability Index, General Self-Efficacy Scale, Perceived Social Support Scale, and Gout Impact Scale. The structural equation model was established by AMOS 24.0 for parth analysis, and the mechanism of pain dysfuction, self-efficacy and social support affecting the quality of life in gout patients was tested.Results:The total score of Gout Impact Scale, pain, functional disability, self-efficacy and social support respectively was 59.94±18.39, 6.00±2.76, 0.25 0, 0.88, 23.39±6.40 and 62.92±8.24. Pain directly influenced HRQOL ( β=-0.293, P<0.01), and indirectly influenced HRQOL ( β=-0.039, P<0.05). Functional disability directly influenced HRQOL ( β=-0.244, P<0.01). Self-efficacy directly influenced HRQOL ( β=0.182, P<0.01), and indirectly influenced HRQOL ( β=0.202, P<0.01) through pain and functional disability. Social support indirectly influenced HRQOL ( β=0.278, P<0.01) through pain, functional disability and self-efficacy. Conclusions:HRQOL of patients among gout is affected by several factors, mainly affected by pain, functional disability and self-efficacy; and there are interactions among them. Targeted interventions should be strengthened to relieve pain, prevent or slow down the progress of physical disability, enhance self-efficacy and social support to improve HRQOL.
