{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T18:36:32Z","timestamp":1785090992069,"version":"3.55.0"},"reference-count":56,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T00:00:00Z","timestamp":1589500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim and objectives<\/jats:title><jats:p>To identify physiological, psychological and socioenvironmental factors that affect the health\u2010related quality of life of Thai men living with chronic obstructive pulmonary disease. The vast majority of Thai persons living with chronic obstructive pulmonary disease are men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Little is known about the health\u2010related quality of life of Thai people living with chronic obstructive pulmonary disease or about the physiological and psychosocial factors that most affect it. Applying a prevailing theoretical model of health\u2010related quality of life, we explored how physiological, psychological and socioenvironmental factors simultaneously affect the health\u2010related quality of life of Thai men with chronic obstructive pulmonary disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study design was used, together with the STROBE checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this study, 290 Thai male outpatients at a chronic obstructive pulmonary disease specialist clinic near Bangkok were recruited using purposive sampling. The participants completed the Satisfaction With Life Scale, the St. George Respiratory Questionnaire, the Center for Epidemiologic Studies Depression Scale, the Short Form Health Survey Version 2, the chronic obstructive pulmonary disease Self\u2010Efficacy Scale and the Social Support Questionnaire. A structural equation model was used to examine the relationships between the assessed variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Biological function (FEV\u20101, chronic obstructive pulmonary disease exacerbations), symptoms (chronic obstructive pulmonary disease and depression), functional status, general health perceptions and individual characteristics (age and self\u2010efficacy to control dyspnoea) accounted for 56.9% of the variance in health\u2010related quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Symptoms of chronic obstructive pulmonary disease and depression were the main factors with statistically significant direct and indirect effects on the health\u2010related quality of life of the Thai men in this study. The effects of both symptoms included an indirect effect on health\u2010related quality of life through functional status and general health perceptions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The study findings may help nurses to better understand factors affecting health\u2010related quality of life among men with chronic obstructive pulmonary disease. Preventing or minimising symptom exacerbations could be important in nursing practice. Cognitive\u2010behavioural interventions addressing chronic obstructive pulmonary disease symptom management, depression screening and smoking cessation may improve health\u2010related quality of life among Thai men with chronic obstructive pulmonary disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15286","type":"journal-article","created":{"date-parts":[[2020,4,12]],"date-time":"2020-04-12T06:39:49Z","timestamp":1586673589000},"page":"2638-2651","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A structural equation model of health\u2010related quality of life among Thai men with chronic obstructive pulmonary disease"],"prefix":"10.1111","volume":"29","author":[{"given":"Bangorn","family":"Peepratoom","sequence":"first","affiliation":[{"name":"Ramathibodi School of Nursing Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Low","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of Alberta Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Porntip","family":"Malathum","sequence":"additional","affiliation":[{"name":"Ramathibodi School of Nursing Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teeradej","family":"Chai\u2010Aroon","sequence":"additional","affiliation":[{"name":"Faculty of Humanistic and Social Science Mahidol University Salaya, Nakhon Pathom Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charoen","family":"Chuchottaworn","sequence":"additional","affiliation":[{"name":"Central Chest Institute of Thailand Nonthaburi Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7990-7697","authenticated-orcid":false,"given":"Manee","family":"Arpanantikul","sequence":"additional","affiliation":[{"name":"Ramathibodi School of Nursing Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,15]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2012.04161.x"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S62476"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.04.025"},{"key":"e_1_2_13_5_1","first-page":"690","article-title":"Social support and social networks in COPD: A scoping review","volume":"12","author":"Barton C.","year":"2015","journal-title":"Journal of Chronic Obstructive Pulmonary Disease"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-6-115"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0515-5"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12002"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2012.10.002"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-37132009000400005"},{"key":"e_1_2_13_11_1","volume-title":"Structural equation modeling with Mplus: Basic concepts, applications, and programming","author":"Byrne B. 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