Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2014 Feb;44(1):75-85. Korean.
    Published online Feb 28, 2014.
    https://doi.org/10.4040/jkan.2014.44.1.75
    © 2014 Korean Society of Nursing Science
    Original Article

    Structural Equation Modeling on Quality of Life in Older Adults with Osteoarthritis

    Jihyun Oh, and Myungsun Yi
      • College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
    • Address reprint requests to: Oh, Ji Hyun. College of Nursing, The Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Korea. Tel: +82-2-740-8839, Fax: +82-2-740-8845, Email: forshun@hanmail.net
    Received August 31, 2013; Revised September 11, 2013; Accepted January 13, 2014.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    Abstract

    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.

    Keywords
    Elderly osteoarthritis; Health attitude; Limitation of activity; Quality of life; Social support

    Figures

    Figure 1
    Conceptual framework of this study.

    Figure 2
    Path diagram for the modified model.

    Tables

    Table 1
    Descriptive Statistics of Observed Variables (N=180)

    Table 2
    Comparison of Model Fit for the Modified Model to the Hypothetical Model

    Table 3
    Standardized Direct, Indirect, and Total Effects for the Modified Model

    Notes

    This manuscript is based on a part of the first author's doctoral dissertation from Seoul National University.

    References

      1. Segal NA, Wallace R. Tolerance of an aquatic power training program by older adults with symptomatic knee osteoarthritis. Arthritis 2012;2012:895495.
        http://dx.doi.org/10.1155/2012/895495.
      1. Son CK, Doh SR, Jang YS, Kim EJ, Shin ES, Jin JH. In: 2011 Patient survey. Seoul: Ministry of Health & Welfare, The Korea Institute for Health and Social Affairs; 2012.
      1. Brady T. Strategies to support self-management in osteoarthritis: Five categories of interventions, including education. Orthop Nurs 2012;31(2):124–130.
        http://dx.doi.org/10.1097/NOR.0b013e31824fcf47.
      1. Alkan BM, Fidan F, Tosun A, Ardiçoglu O. Quality of life and self-reported disability in patients with knee osteoarthritis. Mod Rheumatol 2014;24(1):166–171.
      1. Kim IJ, Kim HA, Seo YI, Jung YO, Song YW, Jeong JY, et al. Prevalence of knee pain and its influence on quality of life and physical function in the Korean elderly population: A community based cross-sectional study. J Korean Med Sci 2011;26(9):1140–1146.
        http://dx.doi.org/10.3346/jkms.2011.26.9.1140.
      1. Ozcetin A, Ataoglu S, Kocer E, Yazici S, Yildiz O, Ataoglul A, et al. Effects of depression and anxiety on quality of life of patients with rheumatoid arthritis, knee osteoarthritis and fibromyalgia syndrome. West Indian Med J 2007;56(2):122–129.
      1. Papakostidou I, Dailiana ZH, Papapolychroniou T, Liaropoulos L, Zintzaras E, Karachalios TS, et al. Factors affecting the quality of life after total knee arthroplasties: A prospective study. BMC Musculoskelet Disord 2012;13:116.
        http://dx.doi.org/10.1186/1471-2474-13-116.
      1. Zakaria ZF, Bakar AA, Hasmoni HM, Rani FA, Kadir SA. Health-related quality of life in patients with knee osteoarthritis attending two primary care clinics in Malaysia: A cross-sectional study. Asia Pac Fam Med 2009;8(1):10.
        http://dx.doi.org/10.1186/1447-056x-8-10.
      1. Blixen CE, Kippes C. Depression, social support, and quality of life in older adults with osteoarthritis. Image J Nurs Sch 1999;31(3):221–226.
      1. Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA 1995;273(1):59–65.
      1. Heo S, Moser DK, Riegel B, Hall LA, Christman N. Testing a published model of health-related quality of life in heart failure. J Card Fail 2005;11(5):372–379.
      1. Phaladze NA, Human S, Dlamini SB, Hulela EB, Hadebe IM, Sukati NA, et al. Quality of life and the concept of "living well" with HIV/AIDS in sub-Saharan Africa. J Nurs Scholarsh 2005;37(2):120–126.
      1. Schulz T, Niesing J, Stewart RE, Westerhuis R, Hagedoorn M, Ploeg RJ, et al. The role of personal characteristics in the relationship between health and psychological distress among kidney transplant recipients. Soc Sci Med 2012;75(8):1547–1554.
        http://dx.doi.org/10.1016/j.socscimed.2012.05.028.
      1. Halvorsrud L, Kirkevold M, Diseth A, Kalfoss M. Quality of life model: Predictors of quality of life among sick older adults. Res Theory Nurs Pract 2010;24(4):241–259.
      1. Creamer P, Lethbridge-Cejku M, Hochberg MC. Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology (Oxford) 2000;39(5):490–496.
      1. Jakobsson U, Hallberg IR. Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: A literature review. J Clin Nurs 2002;11(4):430–443.
      1. Henderson WA, Martino AC, Kitamura N, Kim KH, Erlen JA. Symptom status predicts patient outcomes in persons with HIV and comorbid liver disease. AIDS Res Treat 2012;2012:169645.
        http://dx.doi.org/10.1155/2012/169645.
      1. Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med 1991;32(6):705–714.
      1. Penckofer S, Ferrans CE, Fink N, Barrett ML, Holm K. Quality of life in women following coronary artery bypass graft surgery. Nurs Sci Q 2005;18(2):176–183.
        http://dx.doi.org/10.1177/0894318405274832.
      1. Park CS. In: Amos structural equation modeling. Seoul: Chung-Ang University the Research Center for Data Science; 2013.
      1. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988;15(12):1833–1840.
      1. Sheikh JI, Yesavage JA. Geriatric depression scale (GDS): Recent evidence and development of a shorter version. Clin Gerontol 1986;5(1-2):165–173.
        http://dx.doi.org/10.1300/J018v05n01_09.
      1. Ware JE. In: Health perception questionnaire, instruments for measuring nursing practices and other health care variables. Hyattsville, MD: DHEW Publication; 1979.
      1. The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Soc Sci Med 1995;41(10):1403–1409.
      1. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc 2000;39(3):571–579.
      1. Tessier A, Zavorsky GS, Kim do J, Carli F, Christou N, Mayo NE. Understanding the determinants of weight-related quality of life among bariatric surgery candidates. J Obes 2012;2012:713426.
        http://dx.doi.org/10.1155/2012/713426.
      1. Lee HY. In: Structural equation modeling on quality of life in patients with rheumatoid arthritis [dissertation]. Chuncheon: Kangwon National University; 2013.
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    MeSH Terms
    Models, Theoretical*
    Quality of Life*
    Activities of Daily Living
    Aged
    Aged, 80 and over
    Attitude to Health
    Depression
    Female
    Humans
    Male
    Osteoarthritis/psychology*
    Pain Management
    Questionnaires
    Social Support
    Metrics
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