Chen Zhongyi, Jiang Yuyu, Chen Mengjie, Baiyila Nuerdawulieti, Nan Jiang
Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, No.1800 Lihu Avenue, Wuxi 214122, China.
Healthcare (Basel). 2021 Nov 25;9(12):1631. doi: 10.3390/healthcare9121631.
This study examined the mediating effect of resilience in the relationship between spirituality and self-management among older people with chronic obstructive pulmonary disease (COPD). The participants were 151 older people with COPD in four general hospitals in Jiangsu Province, China. Data were collected from September 2020 to May 2021 using a questionnaire developed by the investigator, the Function Assessment of Chronic Illness Therapy-Spiritual Scale (FACIT-SP-12), 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and COPD Self-Management Scale (CSMS). One-way ANOVA and -test were used to compare the level of self-management in patients with different sociodemographic and clinical characteristics. Partial correlation analysis was used to explore the correlation between spirituality, resilience, and self-management. Hierarchical multiple regression analyses were performed to examine the contribution of spirituality and resilience to the prediction of self-management. A bootstrapping test was implemented using the SPSS PROCESS macro to test the statistical significance of the mediating effect. There was a pairwise positive correlation between spirituality, resilience, and self-management. Resilience mediated the relationship between spirituality and self-management. These findings suggested that resilience interventions could be incorporated into future COPD self-management interventions to better improve self-management and health outcomes. Moreover, resilience should be an important component of healthy aging initiatives.
本研究探讨了慢性阻塞性肺疾病（COPD）老年患者中，心理韧性在精神性与自我管理关系中的中介作用。研究对象为中国江苏省四家综合医院的151名COPD老年患者。于2020年9月至2021年5月期间，使用研究者编制的问卷、慢性病治疗功能评估-精神量表（FACIT-SP-12）、10项Connor-Davidson心理韧性量表（CD-RISC-10）和COPD自我管理量表（CSMS）收集数据。采用单因素方差分析和t检验比较不同社会人口学和临床特征患者的自我管理水平。采用偏相关分析探讨精神性、心理韧性和自我管理之间的相关性。进行分层多元回归分析，以检验精神性和心理韧性对自我管理预测的贡献。使用SPSS PROCESS宏进行自抽样检验，以检验中介效应的统计学意义。精神性、心理韧性和自我管理之间存在两两正相关。心理韧性介导了精神性与自我管理之间的关系。这些研究结果表明，心理韧性干预可纳入未来的COPD自我管理干预措施中，以更好地改善自我管理和健康结局。此外，心理韧性应成为健康老龄化倡议的重要组成部分。
