Department of Nursing, Faculty of Health Sciences, Erzurum Teknik University, Erzurum, Turkey.
Department of Nursing, Faculty of Health Sciences, Fırat University, Elazığ, Turkey.
Nurs Open. 2024 Sep;11(9):e70044. doi: 10.1002/nop2.70044.
This study was conducted to examine the mediating role of psychological resilience in the effect of strength of religious faith on coping with stress in people with type 2 diabetes.
This study has a cross-sectional descriptive-analytical study.
It was conducted with 184 people with type 2 diabetes who were admitted to a family health centre in Erzurum, the east of Turkey. The data were collected by using the 'Santa Clara Strength of Religious Faith Questionnaire', 'Brief Resilience Scale (BRS)' and 'Scale of Ways of Coping With Stress (SWCS)'. The study was reported by following the STROBE recommendations. Structural equation modelling and bootstrapping method were used to analyse the data. This study was reported following the STROBE recommendations.
In the study, according to the model, the direct effect of strength of religious faith on SWCS (β = 0.564; p < 0.01) and BRS (β = 0.545; p < 0.01) was moderate, positive and significant. In addition, the effect of resilience on coping with stress (β = 0.320; p < 0.01) was also found to be moderate, positive and significant. The total effect of strength of religious faith on coping with stress mediated by resilience (β = 0.738; p < 0.01) was found to be highly positive and significant. The model explains 61.7% of the variance in coping with stress. Fit index values according to the model were found as χ = 2368.02, df: 980, χ/df 2.368, RMSEA 0.088, CFI 0.773, TLI 0.760 and SRMR 0.083. It was found that strength of religious faith had a positive effect on coping with stress in people with type-2 diabetes, and this effect was strengthened by the mediating role of psychological resilience.
This study shows the effect of religious belief and psychological resilience in increasing the coping skills of people with type-2 diabetes. Therefore, taking religious beliefs and spirituality into consideration in nursing care may increase patients' coping skills.
本研究旨在探讨心理弹性在宗教信仰强度对 2 型糖尿病患者应对压力的影响中的中介作用。
这是一项具有横断面描述性分析研究设计的研究。
该研究纳入了 184 名来自土耳其东部埃尔祖鲁姆的家庭健康中心的 2 型糖尿病患者。数据收集工具包括“圣克拉拉宗教信仰量表”、“简式韧性量表（BRS）”和“应对压力方式量表（SWCS）”。研究报告遵循 STROBE 建议。采用结构方程模型和自助法进行数据分析。本研究遵循 STROBE 建议进行报告。
在研究中，根据模型，宗教信仰强度对 SWCS（β=0.564；p<0.01）和 BRS（β=0.545；p<0.01）的直接影响是适度的、正向的和显著的。此外，韧性对应对压力的影响（β=0.320；p<0.01）也被发现是适度的、正向的和显著的。韧性对应对压力的中介作用下，宗教信仰强度对应对压力的总效应（β=0.738；p<0.01）被发现是高度正向和显著的。该模型解释了应对压力的 61.7%的方差。根据模型得出的拟合指数值为 χ=2368.02，df：980，χ/df 2.368，RMSEA 0.088，CFI 0.773，TLI 0.760 和 SRMR 0.083。研究发现，宗教信仰对 2 型糖尿病患者的应对压力有积极影响，而心理韧性的中介作用则增强了这种影响。
本研究表明，宗教信仰和心理韧性可以增强 2 型糖尿病患者的应对技能。因此，在护理中考虑宗教信仰和精神信仰可能会提高患者的应对技能。
