Effect of fatigue on quality of life in patients with rheumatoid arthritis: the chain mediating role of resilience and self-efficacy

IF 2 4区医学 Q3 RHEUMATOLOGY Advances in Rheumatology Pub Date : 2024-09-09 DOI:10.1186/s42358-024-00410-x

Jian Zhou, Xinxin Fan, Yuqin Gan, Zongting Luo, Hong Qi, Yuqiong Cao

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Abstract

Exploring the effect of resilience and self-efficacy in mediating the chain between fatigue and quality of life(QOL) in patients with rheumatoid arthritis (RA). From June 2022 to November 2022, 423 RA patients were chosen by a convenience sample method from two tertiary care facilities in Chengdu, Sichuan Province. General Information Questionnaire, Bristol Multidimensional Scale of Fatigue in Patients with Rheumatoid Arthritis, SF−12 Health Survey Short Form, Chinese version of the ten-item psychological Resilience Scale, and Chinese-language Arthritis Self-Efficacy Scale, an 8-element version, were among the questionnaires used. In the physical component summary( PCS), self-efficacy, psychological resilience, and self-efficacy were all significantly mediated by fatigue (total effect mediated 8.88%). In the mental component summary (MCS), fatigue (total effect mediated 10.79%), self-efficacy (total effect mediated 8.99%), psychological resilience, and self-efficacy (total effect mediated 2.01%) were all significantly mediated by fatigue. Fatigue in RA patients can affect the quality of life both directly and indirectly through the mediating effects of psychological resilience, self-efficacy, and the chain mediating effect of psychological resilience-self-efficacy.

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疲劳对类风湿关节炎患者生活质量的影响：复原力和自我效能的连锁中介作用

探讨抗逆力和自我效能感对类风湿关节炎（RA）患者疲劳与生活质量（QOL）之间关系的中介作用。自2022年6月至2022年11月，以方便抽样法从四川省成都市两家三级医疗机构选取了423名RA患者。使用的问卷包括一般信息问卷、布里斯托尔类风湿关节炎患者疲劳多维量表、SF-12健康调查简表、中文版十项心理弹性量表和中文版关节炎自我效能量表（8要素版）。在身体成分总表（PCS）中，自我效能感、心理复原力和自我效能感都受到疲劳的显著影响（总影响为 8.88%）。在心理成分汇总（MCS）中，疲劳（总中介效应为 10.79%）、自我效能感（总中介效应为 8.99%）、心理复原力和自我效能感（总中介效应为 2.01%）均受到疲劳的显著中介。通过心理复原力、自我效能感的中介效应以及心理复原力-自我效能感的连锁中介效应，RA 患者的疲劳可直接或间接影响其生活质量。

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来源期刊

Advances in Rheumatology Medicine-Rheumatology

CiteScore

4.00

自引率

4.30%

发文量

审稿时长

53 weeks

期刊介绍： Formerly named Revista Brasileira de Reumatologia, the journal is celebrating its 60th year of publication. Advances in Rheumatology is an international, open access journal publishing pre-clinical, translational and clinical studies on all aspects of paediatric and adult rheumatic diseases, including degenerative, inflammatory and autoimmune conditions. The journal is the official publication of the Brazilian Society of Rheumatology and welcomes original research (including systematic reviews and meta-analyses), literature reviews, guidelines and letters arising from published material.