Qiu Yuhuan, Fan Shujun, Fu Qiuyan, Yang Minlie, Zhu Lihong
Wuxi School of Medicine, Jiangnan University, Wuxi, People's Republic of China.
Department of Burn and Plastic Surgery, Affiliated Hospital of Jiangnan University, Wuxi, People's Republic of China.
Patient Prefer Adherence. 2024 Jan 9;18:53-67. doi: 10.2147/PPA.S446219. eCollection 2024.
The purpose of this study was to examine how fatalism acts as a mediator in the correlation between family resilience and self-management among patients with chronic wounds in China.
This study used a cross-sectional research design. A total of 269 adult patients (18-94 years old) with chronic wounds residing in Wuxi, China participated in this study. Participants completed the Chinese version of the Walsh Family Resilience Questionnaire, 16-item Chinese version of the Fatalism Scale, and Self-Management Scale of Chronic Wound Patients. We conducted correlation and mediation analyses using SPSS 27.0 and PROCESS 4.0.
The results indicated family resilience was a significant positive predictor of self-management (β = 0.7101, p < 0.0001), and the pathway between family resilience and self-management was partially mediated by fatalism (Effect = 0.1432, 95% confidence interval [0.0625, 0.2341]).
The results indicated that incorporating spiritual interventions into future person-centered self-management programs could align with the motivation of patients with chronic wounds and their families, and reduce the negative impact of fatalism on health outcomes.
本研究旨在探讨宿命论在中国慢性伤口患者家庭恢复力与自我管理之间的相关性中如何发挥中介作用。
本研究采用横断面研究设计。共有269名居住在中国无锡的成年慢性伤口患者（18 - 94岁）参与了本研究。参与者完成了中文版的沃尔什家庭恢复力量表、16项中文版宿命论量表以及慢性伤口患者自我管理量表。我们使用SPSS 27.0和PROCESS 4.0进行了相关性和中介分析。
结果表明家庭恢复力是自我管理的显著正向预测因子（β = 0.7101，p < 0.0001），家庭恢复力与自我管理之间的路径部分由宿命论介导（效应 = 0.1432，95%置信区间[0.0625，0.2341]）。
结果表明，在未来以患者为中心的自我管理项目中纳入精神干预措施，可能符合慢性伤口患者及其家庭的动机，并减少宿命论对健康结果的负面影响。
