Health-Related Quality of Life Among Chinese Patients With Rheumatoid Arthritis

Gong, Guilan; Mao, Jing

doi:10.1097/nnr.0000000000000137

Cited by 51 publications

(46 citation statements)

References 3 publications

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“…The higher the total score, the higher the degree of fatigue is. The Chinese version of MFI has been applied to patients with high reliability and validity [8, 38]. The Cronbach ’s α value of the MFI was 0.91 in the current study.…”

Section: Methodsmentioning

confidence: 82%

“…Compared with the US and Egypt, RA patients in the UK and the Netherlands seemed to be dealing with their fatigue by themselves without seeking help from others, thus suffering from greater severity of symptoms [5, 57–59]. A Chinese study reported that social support, as a direct or indirect factor, played an important predicting role in health-related quality of life both physically and psychologically[8]. But some researches have reported that patients with RA always lack adequate social support [15, 16], probably because RA is incurable with a prolonged course, causing even deformity and physical disability in the final stage.…”

Section: Discussionmentioning

confidence: 99%

“…Its exact etiology remains barely understood but is considered to be multidimensional. In addition to the inflammation itself, other researches have concluded that social factors, gender, cognition and emotion, impaired sleep patterns, pain, and environmental factors may also be related to the onset of fatigue [7, 8]. Because fatigue is a symptom of subjective experience, self-assessment is the most commonly used descriptive tool.…”

Section: Introductionmentioning

confidence: 99%

“…It has been suggested that PSS can play a greater role on physical health than ESS [14]. Social support directly and moderately exerts beneficial effects on the health-related quality of life in RA patients [8, 12]. One study found that approximately one-fifth of patients with RA had been on bad terms with their family and friends due to fatigue [15].…”

Section: Introductionmentioning

confidence: 99%

“…It is considered to be an important psychological resource, and it directly and indirectly affects the physical and mental health-related of quality of life in patients with arthritis. Some researches have concluded that with lower self-efficacy, arthritis-related symptoms such as pain and fatigue become more severe [8, 17]. However, little similar research has been carried out in mainland China due to a lack of intervention programs for general self-efficacy [8].…”

Section: Introductionmentioning

confidence: 99%

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Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis

Zhao

Xue

et al. 2017

PLoS ONE

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ObjectiveThis study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China.MethodsA multi-center, cross-sectional study was conducted withinpatients diagnosed with RA in northeast China, in which 305 eligible inpatients were enrolled. The Multidimensional Fatigue Inventory, Multidimensional Scale of Perceived Social Support, Herth Hope Index, Life Orientation Test Revised, General Self-Efficacy Scale and Ego-Resiliency Scale were completed. The associations of PSS, hope, optimism, general self-efficacy and resilience with fatigue and the moderating roles of these positive psychological constructs were tested by hierarchical linear regression. Asymptotic and resampling strategies were utilized to assess the mediating roles of hope, optimism, general self-efficacy and resilience.ResultsThe mean score of the MFI was 57.88 (SD = 9.50). PSS, hope, optimism and resilience were negatively associated with RA-related fatigue, whereas DAS28-CRP was positively associated. Only resilience positively moderated the PSS-fatigue association (B = 0.03, β = 0.13, P<0.01). Hope, optimism and resilience may act as partial mediators in the association between PSS and fatigue symptoms (hope: a*b = -0.16, BCa 95%CI: -0.27, -0.03; optimism: a*b = -0.20, BCa 95%CI: -0.30, -0.10; resilience: a*b = -0.12, BCa 95%CI: -0.21–0.04).ConclusionsFatigue is a severe symptom among RA patients. Resilience may positively moderate the PSS-fatigue association. Hope, optimism and resilience may act as partial mediators in the association. PSS, hope, optimism and resilience may contribute as effective recourses to alleviate fatigue, upon which PSS probably has the greatest effect.

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Section: Methodsmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis

Zhao

Xue

et al. 2017

PLoS ONE

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Global Rural and Remote Patients With Rheumatoid Arthritis: A Systematic Review

Pianarosa

Chomistek

Hsiao

et al. 2022

Arthritis Care & Research

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Objective Rural and remote patients with rheumatoid arthritis (RA) are at risk for inequities in health outcomes based on differences in physical environments and health care access potential compared to urban populations. The aim of this systematic review was to synthesize epidemiology, clinical outcomes, and health service use reported for global populations with RA residing in rural and remote locations. Methods Medline, Embase, HealthStar, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Library were searched from inception to June 2019 using librarian‐developed search terms for RA and rural and remote populations. Peer‐reviewed published manuscripts were included if they reported on epidemiologic, clinical, or health service use outcomes. Results Fifty‐four articles were included for data synthesis, representing studies from all continents. In 11 studies in which there was an appropriate urban population comparator, rural and remote populations were not at increased risk for RA; 1 study reported increased prevalence, and 5 studies reported decreased prevalence in rural and remote populations. Clinical characteristics of rural and remote populations in studies with an appropriate urban comparator showed no significant differences in disease activity measures or disability, but 1 study reported worse physical function and health‐related quality of life in rural and remote populations. Studies reporting on health service use provided evidence that rural and remote residence adversely impacts diagnostic time, ongoing follow‐up, access to RA‐care–related practitioners and services, and variation in medication access and use, with prominent heterogeneity noted between countries. Conclusion RA epidemiology and clinical outcomes are not necessarily different between rural/remote and urban populations within countries. Rural and remote patients face greater barriers to care, which increases the risk for inequities in outcomes.

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Fatigue in Arthritis: A Multidimensional Phenomenon with Impact on Quality of Life

Alikari

Sachlas

Giatrakou

et al. 2017

Advances in Experimental Medicine and Biology

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An important factor which influences the quality of life of patients with arthritis is the fatigue they experience. The purpose of this study was to assess the relationship between fatigue and quality of life among patients with osteoarthritis and rheumatoid arthritis. Between January 2015 and March 2015, 179 patients with osteoarthritis and rheumatoid arthritis completed the Fatigue Assessment Scale and the Missoula-VITAS Quality of Life Index-15 (MVQoLI-15). The study was conducted in Rehabilitation Centers located in the area of Peloponnese, Greece. Data related to sociodemographic characteristics and their individual medical histories were recorded. Statistical analysis was performed using the IBM SPSS Statistics version 19. The analysis did not reveal statistically significant correlation between fatigue and quality of life neither in the total sample nor among patients with osteoarthritis (r = -0.159; p = 0.126) or rheumatoid arthritis. However, there was a statistically significant relationship between some aspects of fatigue and dimensions of quality of life. Osteoarthritis patients had statistically significant lower MVQoLI-15 score than rheumatoid arthritis patients (13.73 ± 1.811 vs 14.61 ± 1.734) and lower FAS score than rheumatoid patients (26.14 ± 3.668 vs 29.94 ± 3.377) (p-value < 0.001). The finding that different aspects of fatigue may affect dimensions of quality of life may help health care professionals by proposing the early treatment of fatigue in order to gain benefits for quality of life.

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Health-Related Quality of Life Among Chinese Patients With Rheumatoid Arthritis

Cited by 51 publications

References 3 publications

Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis

Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis

Global Rural and Remote Patients With Rheumatoid Arthritis: A Systematic Review

Fatigue in Arthritis: A Multidimensional Phenomenon with Impact on Quality of Life

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