Analysis of the core and bridge effects of interpersonal,relaxation and medication efficacy in self-management of rheumatoid arthritis patients
10.16016/j.2097-0927.202508047
- VernacularTitle:人际、放松与药物效能在类风湿关节炎患者自我管理中的核心及桥梁效应分析
- Author:
Yao DENG
1
;
Sha ZHANG
;
Xiaorun XIANG
;
Ping WAN
;
Qi REN
;
Lei LIU
Author Information
1. 陆军军医大学(第三军医大学)第一附属医院中医与风湿免疫科
- Keywords:
rheumatoid arthritis;
self-efficacy;
core symptoms;
bridge symptoms;
network analysis
- From:
Journal of Army Medical University
2025;47(20):2532-2539
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the networked association among the dimensions of self-efficacy in patients with rheumatoid arthritis(RA)and to identify core efficacy and bridge efficacy,and provide a basis for formulating precise nursing intervention strategies.Methods A total of 652 RA patients admitted in our hospital from September 2024 to January 2025 were enrolled with convenience sampling.The general information questionnaire and Rheumatoid Arthritis Self-Efficacy Scale(RASE)were used for assessment.Exploratory factor analysis was used to extract efficacy symptom clusters.With aid of R project,network analysis was employed to construct an association network among efficacy dimensions to calculate centrality indicators(strength,closeness,betweenness)to identify core efficacy and bridge efficacy.Results Exploratory factor analysis extracted 7 efficacy symptom clusters,with a cumulative variance contribution rate of 64.539%(P<0.001).Network analysis showed that the network density was 0.143,suggesting that there were moderate correlations among the self-efficacy dimensions."Relaxation efficacy 1(r1)"and"pain efficacy 1(a1)"had the strongest correlation(r=0.73).Interpersonal efficacy 2(i2)had the highest intensity centrality(6.88),and relaxation efficacy 3(r3)had the highest tightness(0.0125),and medication efficacy 1(m1)had the highest mediation(116),which were the core efficacy and bridge efficacy in this network group.Conclusion There are complex network-like correlations among the various dimensions of self-efficacy in RA patients.Interpersonal efficacy is the core driving factor,while relaxation and medication efficacies play the bridging role,jointly influencing the overall level of patients'self-management ability.
