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Physical resilience as a moderator of the relationship between frailty and disability in older adults with osteoarthritis

Authors
 Jungah Park  ;  JuHee Lee  ;  Hyangkyu Lee  ;  Sanghee Kim  ;  Chang Oh Kim  ;  Chang Gi Park 
Citation
 JOURNAL OF ADVANCED NURSING, Vol.78(7) : 2085-2094, 2022-07 
Journal Title
JOURNAL OF ADVANCED NURSING
ISSN
 0309-2402 
Issue Date
2022-07
MeSH
Aged ; Cross-Sectional Studies ; Disabled Persons* ; Frail Elderly ; Frailty* / prevention & control ; Humans ; Osteoarthritis* ; Surveys and Questionnaires
Keywords
disability ; frailty ; nurse ; older adults ; osteoarthritis ; physical resilience
Abstract
Aims: Frailty is a leading cause of deteriorating physical function of older adults with osteoarthritis. This study examined a model of frailty with the goals of (1) exploring the direct effect of osteoarthritic symptoms on disability and the mediating effect of frailty on disability and (2) determining whether both effects are moderated by physical resilience.

Design: A cross-sectional descriptive study.

Methods: Data collection was conducted among patients 65-92 years of age (N = 235) who visited primary medical centres for the management of chronic arthritic pain between July and December 2019. Participants completed a questionnaire measuring osteoarthritic symptoms, frailty, physical resilience, and disability. SPSS 25.0 was used to analyse the conditional process model. This study was reported following the STROBE guidelines.

Results: Frailty was shown to be a mediator between osteoarthritic symptoms and disability. Furthermore, physical resilience played a role as a moderator in both the direct and indirect pathways of this mediating relationship.

Conclusion: The findings emphasize the detrimental effects of osteoarthritic symptoms on disability through frailty, and the moderated mediation results suggest that these effects were conditional on physical resilience, which is a modifiable internal resource of individuals. When planning nursing interventions for older adults with osteoarthritis, nurses need to consider physical resilience as a moderator to prevent frailty and disability.
Full Text
https://onlinelibrary.wiley.com/doi/10.1111/jan.15135
DOI
10.1111/jan.15135
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sanghee(김상희) ORCID logo https://orcid.org/0000-0002-9806-2757
Kim, Chang Oh(김창오) ORCID logo https://orcid.org/0000-0002-0773-5443
Lee, JuHee(이주희) ORCID logo https://orcid.org/0000-0002-2805-1622
Lee, Hyang Kyu(이향규) ORCID logo https://orcid.org/0000-0002-0821-6020
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189343
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