Structural Equation Modeling on Health-related Quality of Life of Patients with Ankylosing Spondylitis
Abstract
Background: Ankylosing Spondylitis (AS) is a chronic, progressive, and inflammatory disease. The objective of this study was to construct a hypothetical model to determine factors affecting health-related quality of life (HRQOL) of AS patients (ASHRQOL).
Methods: A survey was conducted on 275 patients who visited Chonnam National University Bitgoeul Hospital. Data of different variables were collected over two months in 2015.
Results: A hypothetical model did not reach recommended level of fit verification. Therefore, health perception variable was eliminated on theoretical basis. Path between function and HRQOL was added after eliminating unimportant path before completing the final modified model.
Conclusion: The final revised model met recommended levels of fit test except AGFI. The model explained 57.6% of ASQOL. Further study is needed to develop efficient interventional strategy for improving ASHRQOL.
Joel DT (2006). The spondyloarthritis. In HARRISON`S Principles of Internal Medicine (Yu D.H. ed.), MIP: Seoul, pp. 2175-2178.
Gran JT, Husby G (1984). Ankylosing Spondylitis: a comparative study of patients in an epidemiological survey, and those admitted to a department of rheumatology. J Rheumatol, 11(6): 788–793.
Lim HJ, Moon YI (1998). Pain, Family Support and Physical Activity in Patients with Ankylosing Spondylitis. Korea Society of Nursing Science, 28(2): 329–343.
Braun J, Sieper J, Zink A (2012). The risks of smoking in patients with spondyloarthritides. Ann Rheum Dis, 71(6): 791–792.
Chen CH, Chen HA, Lu CL et al (2013). Association of cigarette smoking with Chinese ankylosing spondylitis patients in Taiwan: a poor disease outcome in systemic inflammation, functional ability, and physical mobility. Clin Rheumatol, 32(5): 659–663.
Chung HY, Machado P, van der Heijde D, D'Agostino MA, Dougados M (2012). Smokers in early axial spondyloarthritis have earlier disease onset, more disease activity, inflammation and damage, and poorer function and health-related quality of life: results from the DESIR cohort. Ann Rheum Dis, 71(6): 809–816.
Ibn Yacoub Y, Amine B, Laatiris A, Hajjaj-Hassouni N (2012). Gender and disease features in Moroccan patients with ankylosing spondylitis. Clin Rheumatol, 31(2): 293–297.
Mattey DL, Dawson SR, Healey EL, Packham JC (2011). Relationship between smoking and patient-reported measures of disease outcome in ankylosing spondylitis. J Rheumatol, 38(12): 2608–2615.
Martindale J, Smith J, Sutton CJ, Grennan D, Goodacre L, Goodacre JA (2006). Disease and psychological status in ankylosing spondylitis. Rheumatology (Oxford) 45(10): 1288–1293.
Turan Y, Duruöz MT, Bal S, Guvenc A, Cerrahoglu L, Gurgan A (2007). Assessment of fatigue in patients with ankylosing spondylitis. Rheumatol Int, 27(9): 847–852.
Ozdemir O (2011). Quality of life in patients with ankylosing spondylitis: relationships with spinal mobility, disease activity and functional status. Rheumatol Int, 31(5): 605–610.
Yılmaz O, Tutoğlu A, Garip Y, Ozcan E, Bodur H (2013). Health-related quality of life in Turkish patients with ankylosing spondylitis: impact of peripheral involvement on quality of life in terms of disease activity, functional status, severity of pain, and social and emotional functioning. Rheumatol Int, 33(5): 1159–1163.
Oktayoglu P, Em S, Tahtasiz M et al (2013). Elevated serum levels of high mobility group box protein 1 (HMGB1) in patients with ankylosing spondylitis and its association with disease activity and quality of life. Rheumatol Int, 33(5): 1327–1331.
Durcan L, Wilson F, Conway R, Cunnane G, O'Shea FD (2012). Increased body mass index in ankylosing spondylitis is associated with greater burden of symptoms and poor perceptions of the benefits of exercise. J Rheumatol, 39(12): 2310–2314.
Lim HJ, Lim HS, Lee MS (2005). Relationship between self-efficacy and exercise duration in patients with ankylosing spondylitis. Clin Rheumatol, 24(4): 442–443.
Sandhu J, Packham JC, Healey EL, Jordan KP, Garratt AM, Haywood KL (2011). Evaluation of a modified arthritis self-efficacy scale for an ankylosing spondylitis UK population. Clin Exp Rheumatl, 29(2): 223–230.
Förger F, Østensen M, Schumacher A, Villiger PM (2005). Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey. Ann Rheum Dis, 64(10): 1494–1499.
Oh JH (2013). Structural Equation Modeling on Quality of life in Older Adults with Osteoarthritis [dissertation]: Seoul Unversity. Seoul.
Bae ES (2014). A Prediction Model for Quality of Life in Adults Older with Parkinson`s Disease [dissertation]: Kyungsung University. Busan.
Wilson IB, Cleary PD (1995). Linking Clinical variables with health-related quality of life: a conceptual model of patient outcomes. JAMA, 273(1): 59–65.
Kiltz U, van der Heijde D (2009). Health-related quality of life in patients with rheumatoid arthritis and in patients with ankylosing spondylitis. Clin Exp Rheumatl, 27(4 Suppl 55): S108–111.
Marengo MF, Schneeberger EE, Citera G, Cocco JA (2008). Work status among patients with ankylosing spondylitis in Argentina. J Clin Rheumatol, 14(5): 273–277.
Vesović-Potić V, Mustur D, Stanisavljević D, Ille T, Ille M (2009). Relationship between spinal mobility measures and quality of life in patients with ankylosing spondylitis. Rheumatol Int, 29(8): 879–884.
Yu JP (2014). Structural equation modeling misunderstandings and prejudices of professors Jong Pil Yu. Data solution: Hanna Rae. Seoul.
Farren W, Goodacre L, Stigant M (2013). Fatigue in ankylosing spondylitis: causes, consequences and self-management. Musculoskeletal Care, 11(1): 39–50.
Sommerfleck FA, Schneeberger EE, Buschiazzo EE, Maldonado Cocco JA, Citera G (2012). A simplified version of Ankylosing Spondylitis Disease Activity Score(ASDAS) in patients with ankylosing spondylitis. Clin Rheumatol, 31(11): 1599–1603.
Turan Y, Duruöz MT, Cerrahoglu L (2009). Relationship between enthesitis, clinical parameters and quality of life in spondyloarthritis. Joint Bone Spine, 76(6): 642–647.
Baysal O, Durmuş B, Ersoy Y et al. (2011). Relationship between psychological status and disease activity and quality of life in ankylosing spondylitis. Rheumatol Int, 31(6): 795–800.
Sung HM, Kim JB, Park YN, Bai DS, Lee SH, Ahn HN (2008). A study on the reliability and the Validity of Korean Version of the Beck Depression Inventory-II(BDI-II). Journal Korean Soc Bid Therapy Psychiatry, 14(2): 201–212.
Altan L, Korkmaz N, Dizdar M, Yurtkuran M (2012). Effect of Pilates training on people with ankylosing spondylitis. Rheumatol Int, 32(7): 2093–2099.
Karapolat H, Eyigor S, Zoghi M, Akkoc Y, Kirazli Y, Keser G (2009). Are swimming or aerobic exercise better than conventional exercise in ankylosing spondylitis patients? A randomized controlled study. Eur J Phys Rehabil Med, 45(4): 449–457.
Altan L, Bingöl U, Aslan M, Yurtkuran M (2006). The effect of balneotherapy on patients with ankylosing spondylitis. Scand J Rheumatol, 35(4): 283–289.
Shim JH (2009). Effectiveness of Exercise Therapy on Physical Function in Patients with Ankylosing Spodylitis: Systemic Review and Meta-Analysis. Korean Research Society of Physical Therapy, 16(3): 50–59.
Lim MK (2002). Relationships between Social Support and Health among Low Income Groups in Urban Area [dissertation]: Seoul University. Seoul.
Park HJ, Kim S, Lee JE, Jun JB, Bae SC (2008). The reliability and validity of a Korean translation of the BASDAI in Korean patients with ankylosing spondylitis. Value Health, 11(1): S99–104.
Choi JH1, Kim TJ1, Shin K et al (2014). The Reliability and Validity of a Korean Translation of the ASAS Health Index and Environmental Factors in Korean Patients with Axial Spondyloarthritis. J Korean Med Sci, 29(3): 334–337.
Schwartz C, Frohner R (2005). Contribution of demographic, medical, and social support variables in predicting the mental health dimension of quality of life among people with multiple sclerosis. Health Soc Work, 30(3): 203–212.
Choi SJ, Kim KS (2013). Structural Equation Modeling On Health-related Quality of Life in Patients with Obstructive Sleep Apnea. J Korean Acad Nurs, 43(1): 81–90.
Oh JH, Yi MS, (2014). [Structural Equation Modeling on Quality of Life in Older Adults with Osteoarthritis]. J Korean Acad Nurs, 44(1): 75–85.
Batmaz I, Sariyildiz MA, Dilek B, Bez Y, Karakoc M, Cevik R (2013). Sleep quality and associated factors in ankylosing spondylitis: relationship with disease parameters, psychological status and quality of life. Rheumatol Int, 33: 1039–1045.
Gyurcsik ZN, András A, Bodnár N, Szekanecz Z, Szántó S (2012). Improvement in pain intensity, spine stiffness, and mobility during a controlled individualized physiotherapy program in ankylosing spondylitis. Rheumatol Int, 32(12): 3931–3936.
Kjeken I, Bø I, Rønningen A et al (2013). A three-week multidisciplinary in-patient rehabilitation programme had positive long-term effects in patients with ankylosing spondylitis: randomized controlled trial. J Rehabil Med, 45(3): 260–267.
| Files | ||
| Issue | Vol 46 No 10 (2017) | |
| Section | Original Article(s) | |
| Keywords | ||
| Ankylosing spondylitis Environmental support Depression Function | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
