Nursing Sciences, Program in Clinical Health Sciences, Utrecht University, University Medical Center Utrecht, Utrecht, The Netherlands.
Division Lung, St. Antonius Hospital, Utrecht/Nieuwegein, Nieuwegein, The Netherlands.
Nurs Open. 2023 Dec;10(12):7738-7748. doi: 10.1002/nop2.2015. Epub 2023 Oct 10.
To investigate the association of resilience with self-care and quality of life in people with chronic obstructive pulmonary disease.
Cross-sectional study.
Data were collected between February and May 2021. Self-care was measured with the self-care of chronic illness inventory, quality of life was measured with the clinical chronic obstructive pulmonary disease questionnaire and resilience was measured with the resilience evaluation scale. Possible confounders were included (sex, age, smoking, time since diagnosis of chronic obstructive pulmonary disease, educational level, social support and pulmonary function). Multiple regression analysis was performed among the determinants, confounders and both outcomes.
Participants scored fairly well on resilience (mean 22.5). Self-care scored reasonably well (mean maintenance 65.9, mean monitoring 70.9, mean management 59.9 and mean confidence 71.5). Quality of life scored mediocre (mean 2.6). The results of the linear multiple regression were resilience, which is associated with self-care confidence and quality of life when adjusted for possible confounders. This means people with chronic obstructive pulmonary disease with higher resilience have better self-care confidence and higher quality of life. The outcome contributes to strengthening nursing care and further developing nurses' knowledge. The results can contribute to increasing awareness for healthcare professionals that resilience can potentially increase self-care and quality of life.
探讨慢性阻塞性肺疾病患者的韧性与自我护理及生活质量的关系。
横断面研究。
数据收集于 2021 年 2 月至 5 月。采用慢性病自我护理量表评估自我护理，采用临床慢性阻塞性肺疾病问卷评估生活质量，采用韧性评估量表评估韧性。纳入可能的混杂因素（性别、年龄、吸烟、慢性阻塞性肺疾病诊断时间、教育水平、社会支持和肺功能）。对各决定因素、混杂因素和两个结果进行多元回归分析。
参与者的韧性评分相当高（平均 22.5）。自我护理评分也相当不错（维持护理平均 65.9，监测护理平均 70.9，管理护理平均 59.9，信心护理平均 71.5）。生活质量评分中等（平均 2.6）。线性多元回归的结果表明，在调整了可能的混杂因素后，韧性与自我护理信心和生活质量相关。这意味着，韧性较高的慢性阻塞性肺疾病患者自我护理信心更高，生活质量更好。该结果有助于加强护理，并进一步发展护士的知识。结果可以使医疗保健专业人员认识到，韧性可能会提高自我护理和生活质量。
