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Prediction Model for Health-Related Quality of Life in Hospitalized Patients with Pulmonary Tuberculosis

Journal of Korean Academy of Nursing 2017³â 47±Ç 1È£ p.60 ~ 70
KMID : 0806120170470010060
À層½É ( Jang Kwang-Sim ) - µ¿¾Æº¸°Ç´ëÇб³ °£È£Çаú

Àü°æ¼÷ ( Jeon Gyeong-Suk ) - ±¹¸³¸ñÆ÷´ëÇб³ °£È£Çаú

Abstract

Purpose: This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalized patients with pulmonary tuberculosis (PTB).

Methods: Participants were 256 patients with PTB who were 20 years or older and admitted in two national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries.

Results: The goodness-of-fit statistics of the final hypothetical model were as follows: c2/df=2.19, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96, TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social support and stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the prediction model.

Conclusion: Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improve the quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended.
KeyWords
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Pulmonary tuberculosis, Quality of life, Depression, Social support, Social stigma
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