Testing of a health-related quality of life model in patients with heart failure: A cross-sectional, correlational study.
Testing of a health-related quality of life model in patients with heart failure: A cross-sectional, correlational study.
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DOI：
10.1016/j.gerinurse.2022.01.008
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Kim J
中科院分区：
文献类型：
--
作者：
Heo S;Lennie TA;Moser DK;Dunbar SB;Pressler SJ;Kim J
心理症状、身体症状和行为因素可以通过不同的途径影响健康相关的生活质量（HRQOL），但这些关系尚未在先前的理论模型中得到充分的检验。本研究的目的是检查人口统计学（年龄），生物/生理（合并症），心理（抑郁症状），社会（社会支持），身体（身体症状和功能状态）和行为（饮食钠依从性）因素与HRQOL的直接和间接关系。采用结构方程模型分析了358例心力衰竭患者的数据。模型拟合良好：卡方= 5.488，p = .241，RMSEA = .032，CFI = .998，TLI = .985，SRMR = .018。心理症状、躯体症状和人口统计学因素直接和间接相关，而行为和生物/生理因素通过不同途径与HRQOL间接相关。HRQOL的理论模型需要考虑行为因素，并将心理因素和生理因素分开
Psychological symptoms, physical symptoms, and behavioral factors can affect health-related quality of life (HRQOL) through different pathways, but the relationships have not been fully tested in prior theoretical models. The purpose of this study was to examine direct and indirect relationships of demographic (age), biological/physiological (comorbidity), psychological (depressive symptoms), social (social support), physical (physical symptoms and functional status), and behavioral (dietary sodium adherence) factors to HRQOL. Data from 358 patients with heart failure were analyzed using structural equation modeling. There was a good model fit: Chi-square = 5.488, p = .241, RMSEA = .032, CFI = .998, TLI = .985, and SRMR = .018. Psychological symptoms, physical symptoms, and demographic factors were directly and indirectly associated, while behavioral and biological/physiological factors were indirectly associated with HRQOL through different pathways. Behavioral factors need to be included, and psychological factors and physical factors need to be separated in theoretical models of HRQOL
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