School of Nursing, Anhui Province, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, People's Republic of China.
School of Marxism, Liaoning Province, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, People's Republic of China.
BMC Public Health. 2023 Oct 19;23(1):2043. doi: 10.1186/s12889-023-16927-7.
Although some factors, such as stigma and empowerment, influence the complex relationship between psychological resilience and quality of life, few studies have explored similar psychological mechanisms among patients with diabetes. Therefore, this study explored the mediating role of stigma and the moderating role of empowerment in the psychological mechanisms by which psychological resilience affects quality of life.
From June to September 2022, data were collected by multi-stage stratified sampling and random number table method. Firstly, six tertiary hospitals in Wuhu were numbered and then selected using the random number table method, resulting in the First Affiliated Hospital of Wannan Medical College being selected. Secondly, two departments were randomly selected from this hospital: endocrinology and geriatrics. Thirdly, survey points were set up in each department, and T2DM patients were randomly selected for questionnaire surveys. In addition, we used the Connor-Davidson Elasticity Scale (CD-RISC) to measure the psychological resilience of patients, and used the Stigma Scale for Chronic Illness (SSCI) to measure stigma. Empowerment was measured by the Diabetes Empowerment Scale (DES). Quality of Life was assessed by the Diabetes Quality of Life Scale (DQoL). We used SPSS (version 21) and PROCESS (version 4.1) for data analysis.
(1) Psychological resilience was negatively correlated with stigma and quality of life, and positively correlated with empowerment. Stigma was positively associated with empowerment and quality of life. Empowerment was negatively correlated with quality of life. (2) The mediation analysis showed that psychological resilience had a direct predictive effect on the quality of life, and stigma partially mediated the relationship; Empowerment moderates the first half of "PR → stigma → quality of life"; Empowerment moderates the latter part of "PR → stigma → quality of life."
Under the mediating effect of stigma, psychological resilience can improve quality of life. Empowerment has a moderating effect on the relationship between psychological resilience and stigma, and it also has a moderating effect on the relationship between stigma and quality of life. These results facilitate the understanding of the relationship mechanisms between psychological resilience and quality of life.
尽管一些因素，如污名和赋权，影响了心理弹性和生活质量之间的复杂关系，但很少有研究探讨糖尿病患者中类似的心理机制。因此，本研究探讨了心理弹性通过影响生活质量的心理机制中介作用的污名和赋权的调节作用。
2022 年 6 月至 9 月，采用多阶段分层抽样和随机数字表法收集数据。首先，对芜湖市的 6 家三级医院进行编号，然后使用随机数字表法进行选择，结果选择了皖南医学院第一附属医院。其次，从该院随机选择两个科室：内分泌科和老年科。再次，在每个科室设置调查点，随机选择 T2DM 患者进行问卷调查。此外，我们使用 Connor-Davidson 弹性量表（CD-RISC）来衡量患者的心理弹性，使用慢性病污名量表（SSCI）来衡量污名。赋权用糖尿病赋权量表（DES）来衡量。生活质量用糖尿病生活质量量表（DQoL）来评估。数据分析采用 SPSS（版本 21）和 PROCESS（版本 4.1）。
（1）心理弹性与污名和生活质量呈负相关，与赋权呈正相关。污名与赋权和生活质量呈正相关。赋权与生活质量呈负相关。（2）中介分析表明，心理弹性对生活质量有直接预测作用，污名部分中介了两者的关系；赋权调节“PR→stigma→生活质量”的前半部分；赋权调节“PR→stigma→生活质量”的后半部分。
在污名的中介作用下，心理弹性可以提高生活质量。赋权对心理弹性与污名的关系有调节作用，对污名与生活质量的关系也有调节作用。这些结果有助于理解心理弹性和生活质量之间的关系机制。
