Abstract
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 t-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.
Highlights
Chronic obstructive pulmonary disease (COPD) patients who met the diagnostic criteria in the Guidelines for the diagnosis and management of chronic obstructive pulmonary disease [1] and were ≥60 years old, had no communication impairment, could respond correctly, could complete the questionnaire independently or with the help of the investigator, and volunteered to participate in this study were included
The results indicate the potential effect of spirituality on self-management might be partially mediated by resilience
Resilience of older patients werelevels positively associated with Spirself- manageituality and resilience of older patients were positively associated self-manment, and resilience mediated the association between spirituality with and self-management
Summary
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease characterized by persistent respiratory symptoms and irreversible airflow limitation [1]. COPD currently ranks as the third leading cause of death and the fifth leading economic burden of disease worldwide [2,3,4]. Patients will need lifelong treatment and disease management. The progression of the disease can only be slowed, and many
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