title: Factors promoting health-related quality of life in people with rheumatic diseases: a 12 month longitudinal study.
abstract: BACKGROUND
  Rheumatic diseases have a significant adverse impact on the individual from physical, mental and social aspects, resulting in a low health-related quality of life (HRQL). There is a lack of longitudinal studies on HRQL in people with rheumatic diseases that focus on factors promoting HRQL instead of risk factors. The aim of this study was to investigate the associations between suggested health promoting factors at baseline and outcome in HRQL at a 12 month follow-up in people with rheumatic diseases.
  
  
  METHODS
  A longitudinal cohort study was conducted in 185 individuals with rheumatic diseases with questionnaires one week and 12 months after rehabilitation in a Swedish rheumatology clinic. HRQL was assessed by SF-36 together with suggested health factors. The associations between SF-36 subscales and the health factors were analysed by multivariable logistic regressions.
  
  
  RESULTS
  Factors predicting better outcome in HRQL in one or several SF-36 subscales were being younger or middle-aged, feeling painless, having good sleep structure, feeling rested after sleep, performing low effort of exercise more than twice per week, having strong sense of coherence (SOC), emotional support and practical assistance, higher educational level and work capacity. The most important factors were having strong SOC, feeling rested after sleep, having work capacity, being younger or middle-aged, and having good sleep structure.
  
  
  CONCLUSIONS
  This study identified several factors that promoted a good outcome in HRQL to people with rheumatic diseases. These health factors could be important to address in clinical work with rheumatic diseases in order to optimise treatment strategies.
authors: Research and Development Centre Spenshult, Spenshult hospital for rheumatic diseases, Oskarström, Sweden. susann.arvidsson@spenshult.se
authors: Susann
authors: S
authors: Arvidsson
authors: Barbro
authors: B
authors: Arvidsson
authors: Bengt
authors: B
authors: Fridlund
authors: Stefan
authors: S
authors: Bergman
references: J Nurs Res. 2007 Sep;15(3):183-92
references: 17806035
references: Soc Sci Med. 1995 Nov;41(10):1349-58
references: 8560302
references: Inflamm Res. 2007 Feb;56(2):51-7
references: 17431741
references: Clin Exp Rheumatol. 2009 Sep-Oct;27(5 Suppl 56):S67-74
references: 20074443
references: Disabil Rehabil. 2001 Nov 10;23(16):706-21
references: 11732560
references: Intern Med J. 2008 Mar;38(3):166-73
references: 17561943
references: Rheumatology (Oxford). 2007 Nov;46(11):1712-7
references: 17956917
references: J Clin Nurs. 2008 May;17(10):1303-11
references: 18005127
references: Med Health Care Philos. 2000;3(3):257-64
references: 11200026
references: Patient Educ Couns. 2009 Jul;76(1):57-62
references: 19118972
references: Arthritis Rheum. 2001 Aug;45(4):384-91
references: 11501727
references: Joint Bone Spine. 2000;67(5):425-33
references: 11143909
references: Rheumatology (Oxford). 2009 Apr;48(4):410-5
references: 19211654
references: Arthritis Rheum. 2002 Oct 15;47(5):525-31
references: 12382302
references: J Clin Epidemiol. 1998 Nov;51(11):1095-103
references: 9817127
references: Physiol Behav. 2008 May 23;94(2):270-5
references: 18234247
references: Ups J Med Sci. 1997;102(3):185-97
references: 9556843
references: Ann Clin Res. 1988;20(6):393-8
references: 3218910
references: Scand J Public Health. 2003;31(4):297-304
references: 15099036
references: Neth J Med. 1999 Mar;54(3):86-95
references: 10189781
references: J Adv Nurs. 2005 Nov;52(4):372-80
references: 16268841
references: Lupus. 2006;15(1):32-7
references: 16482743
references: Scand J Caring Sci. 1997;11(1):5-11
references: 9275816
references: J Rheumatol. 2003 Aug;30(8):1782-7
references: 12913935
references: Health Qual Life Outcomes. 2008 Nov 11;6:98
references: 19014459
references: J Epidemiol Community Health. 2005 Jun;59(6):460-6
references: 15911640
references: Res Nurs Health. 1997 Dec;20(6):495-503
references: 9397129
references: Semin Arthritis Rheum. 2007 Oct;37(2):81-92
references: 17512572
references: Arthritis Care Res. 1995 Mar;8(1):28-35
references: 7794978
references: J Clin Epidemiol. 1998 Nov;51(11):1105-13
references: 9817128
references: Semin Arthritis Rheum. 2008 Apr;37(5):307-16
references: 17888500
references: Health Qual Life Outcomes. 2009 Mar 18;7:25
references: 19296831
references: J Rheumatol. 2001 Jun;28(6):1369-77
references: 11409133
references: Clin Rheumatol. 2005 Feb;24(1):48-54
references: 15300468