Causal Relationships Between Modifiable Risk Factors of Cognitive Impairment, Cognitive Function, Self-Management, and Quality of Life in Patients With Rheumatic Diseases
- Authors
- Park, JiSuk; Oh, HyunSoo; Park, Won; Kwon, SeongRyul; Ham, OkKyung; Suh, YeonOk; Jeong, HyeSun; Seo, WhaSook
- Issue Date
- Sep-2018
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- QOL Cognition self management Rheumatic disease
- Citation
- Orthopaedic Nursing, v.37, no.5, pp 305 - 315
- Pages
- 11
- Journal Title
- Orthopaedic Nursing
- Volume
- 37
- Number
- 5
- Start Page
- 305
- End Page
- 315
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5679
- DOI
- 10.1097/NOR.0000000000000481
- ISSN
- 0744-6020
1542-538X
- Abstract
- BACKGROUND: Rheumatic diseases are one of the most common types of chronic conditions that affect cognitive functions. PURPOSE: To develop and verify a hypothetical model of causal relationships between modifiable risk factors for cognitive impairment, cognitive function, self-management, and quality of life in patients with rheumatic diseases. METHODS: A hypothetical model was developed on the basis of empirical evidence. The fitness of the model was verified on 210 patients with rheumatic diseases. RESULTS: The prevalence of cognitive impairment was 49.0%. Smoking, underlying diseases, pain, and fatigue had a significant direct effect on cognitive impairment. Only cognitive impairment had a significant direct effect on self-management. Fatigue, anxiety, depression, and cognitive function had a significant direct effect on quality of life. CONCLUSIONS: The importance of proper management of symptoms and health habits should be emphasized to prevent and delay the progression of cognitive impairment and improve adherence to self-management regimens and quality of life.
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