Path model of factors influencing health‐related quality of life among older people with knee osteoarthritis

Aree‐Ue, Suparb; Kongsombun, Usa; Roopsawang, Inthira; Youngcharoen, Phichpraorn

doi:10.1111/nhs.12602

Cited by 16 publications

(14 citation statements)

References 34 publications

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“…In particular, various physical symptoms experienced by chronic patients, such as pain, physical function, and fatigue, as well as depressive symptoms, have been reported to have an important effect on quality of life (Aree-Ue, Kongsombun, Roopsawang, & Youngcharoen, 2019;Yang, 2015). According to Gupta, Patil, Karishetti, and Tekkalaki (2018), the prevalence of depression and suicidal ideation increased in people with CKD whose predominant mode of treatment was dialysis.…”

Section: Discussionmentioning

confidence: 99%

Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease

Kim

Yeom

Jeon

2020

Nursing & Health Sciences

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This study investigated the relationship between depression, family function, physical symptoms, and illness uncertainty in women with chronic kidney disease. Data were collected through structured questionnaire that was completed by 120 women undergoing hemodialysis. Assessment instruments consisted of the Family Adaptability, Partnership, Growth, Affection, Resolve Scale, Symptom Experience Scale, Mishel's Uncertainty in Illness Scale for Adults, and the Center for Epidemiological Studies‐Depression Scale. The higher the uncertainty about illness and physical symptoms, the higher is the level of depression, and the better the family function, the lower is the level of depression. Greater uncertainty was associated with poorer family function and worsening physical symptoms. A regression model explained 41% of the variance in depression. Significant predictors of depression were physical symptoms, living alone, illness uncertainty, and “poor” subjective health status. To improve depression of women with chronic kidney disease, nurses need to reduce physical symptoms and illness uncertainty in these patients and improve their subjective health status. In addition, the establishment of a therapeutic support system considering living arrangement will help to reduce depression in women with chronic kidney disease.

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Section: Discussionmentioning

confidence: 99%

Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease

Kim

Yeom

Jeon

2020

Nursing & Health Sciences

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“…Nineteen studies (nine cross-sectional [ 6 , 9 , 10 , 19 , 37 , 44 , 46 , 49 , 51 ] and 10 longitudinal [ 13 , 18 , 38–42 , 48 , 50 , 52 ]) were rated as having high quality. Four studies (three cross-sectional [ 35 , 36 , 47 ] and one longitudinal [ 45 ]) were of moderate quality, and one had low quality (cross-sectional [ 43 ]).…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies (8 cross-sectional [ 6 , 19 , 35 , 37 , 43 , 44 , 49 , 51 ] and 8 longitudinal [ 13 , 38 , 40–42 , 45 , 48 , 50 ]) examined the relationship between disease-specifc factors (i.e. pain, momentary pain, hip pain, pain impact, OA symptoms and disability, pain-adjusted physical activity, joint stiffness, disability, knee strength, radiographic OA severity, baseline fatigue and quality of life) and fatigue.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 11 studies assessed the association between psychosocial factors (i.e. depressive symptoms, anxiety, emotional well-being, pain catastrophizing, coping behaviours and social support) and fatigue, of which five were cross-sectional [ 9 , 19 , 37 , 44 , 49 ] and six were longitudinal [ 38 , 40–42 , 48 , 50 ]. Strong evidence was found for the association between high depressive symptoms and higher fatigue.…”

Section: Resultsmentioning

confidence: 99%

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Factors associated with fatigue in hip and/or knee osteoarthritis: a systematic review and best evidence synthesis

Fawole

Idowu

Abaraogu

et al. 2021

Rheumatology Advances in Practice

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Objective To systematically identify and evaluate factors related to fatigue in individuals with hip and/or knee osteoarthritis (OA). Methods A systematic literature search was conducted using AMED, CINAHL, MEDLINE, ProQuest and Web of Science Core Collections databases. Inclusion criteria comprised cross-sectional, case-control or longitudinal studies on patients with a diagnosis of hip and/or knee OA that included self-reported fatigue measures. Study quality was assessed using the National Heart, Lung and Blood Institute quality appraisal tool and factors were synthesised with bio-behavioural framework. Study designs and quality were combined to determine current evidence levels using best-evidence synthesis grading. The full review protocol is available from PROSPERO (PROSPERO 2019: CRD42019138571). Results Twenty-four studies were included, of which 19 were high, 4 moderate and 1 low quality. There was strong evidence of association between poor self-reported physical function and high depressive symptoms with higher fatigue. Moderate evidence of association was found between severe pain, high numbers of comorbidities and low physical activity levels with higher fatigue. There was moderate or limited evidence of no association between most socio-demographic factors and radiographic OA severity with fatigue. Conclusion Targets for fatigue management may include improving physical function, reducing depressive symptoms, pain, comorbidities, and increasing physical activity levels. There is a need for more rigorous longitudinal studies to understand causal effect of fatigue determinants within the hip and knee OA populations.

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“…Previous studies showed that various factors could affect arthritic knee pain, including the radiographic grade of osteoarthritis, presence of spine or hip diseases, obesity, and even psychiatric disorders [11][12][13][14][15][16][17]. Obesity is known to affect arthritic pain by increasing mechanical load on the joint as well as by increasing inflammatory cytokine through the arachidonic pathway, which eventually could lead to development and progression of knee osteoarthritis [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Effects of weight change and physical activity on knee pain and health-related quality of life in East Asian women aged 50 years and older with knee osteoarthritis: a population-based study

CHOI

Chang

Kang

et al. 2019

Preprint

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Objective This study aimed to investigate the effects of weight change and physical activity on the level of knee pain and health-related quality of life in East Asian women with knee osteoarthritis using population-based data. Methods A total of 564 women (mean age, 68.2 years, standard deviation, 8.9 years) aged 50 years or older with knee osteoarthritis (Kellgren-Lawrence grade ≥2) were included in the data analyses from the fifth Korea National Health and Nutrition Examination Survey. Data regarding the radiographic grade, weight change during the past year, physical activity, level of knee pain, and health-related quality of life (EuroQOL five-dimension [EQ-5D] index) were collected. Multiple regression analysis was performed to identify factors significantly affecting the level of knee pain and health-related quality of life in subgroups according to the body mass index (BMI) range (≤22.5, between 22.6 and 27.5, and >27.5 kg/m2). Results In women with 22.5 kg/m227.5 kg/m2, weekly hours of moderate-intensity activity showed significant negative correlation with EQ-5D. Conclusions The effects of weight change and physical activity on knee pain and health-related quality of life could be different according to BMI ranges. Well-designed interventions to improve both knee pain and health-related quality of life need to be investigated in future studies that would assess physical activity, diet, and weight changes.

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Path model of factors influencing health‐related quality of life among older people with knee osteoarthritis

Cited by 16 publications

References 34 publications

Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease

Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease

Factors associated with fatigue in hip and/or knee osteoarthritis: a systematic review and best evidence synthesis

Effects of weight change and physical activity on knee pain and health-related quality of life in East Asian women aged 50 years and older with knee osteoarthritis: a population-based study

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