Abstract
Objective: Glaucoma is a serious disease causing blindness, which seriously affects the quality of life of patients. Previous studies have reported that both resilience and social support play important roles in enhancing the quality of life of patients with some diseases. The purpose of this study is to investigate if resilience mediates the relationship between social support and quality of life in patients with primary glaucoma.Methods: We conducted a cross-sectional study with 120 patients with primary glaucoma in China. The Connor-Davidson Resilience Scale was used to measure resilience, and social support was measured by the Perceived Social Support Scale. The Glaucoma Quality of Life-15 questionnaire was used to measure quality of life.Results: There were significant positive correlations between all dimensions and total scores on the resilience, social support, and quality of life scales (p < 0.01). Both resilience and social support could predict these patients' quality of life. A bootstrap test showed that resilience had a partial mediating effect on the relationship between social support and quality of life (p < 0.05).Conclusion: Resilience mediates the relationship between social support and quality of life in primary glaucoma patients. This finding suggests that increasing resilience and social support can improve the quality of life of primary glaucoma patients in clinical practice.
Highlights
Glaucoma is a common blinding ophthalmic disease featuring pathologically elevated intraocular pressure that leads to visual dysfunction and ocular tissue damage [1, 2]
Studies have shown that there is a positive correlation between quality of life and resilience, and resilience could help glaucoma patients improve their quality of life, even if they face adversity [15,16,17,18]
The results showed that the mediating effect of resilience on the relationship between social support and quality of life was 0.143, and the 95%CI did not contain 0 [0.1031, 0.2432], indicating that the mediating effect was significant
Summary
Glaucoma is a common blinding ophthalmic disease featuring pathologically elevated intraocular pressure that leads to visual dysfunction and ocular tissue damage [1, 2]. Considering this chronic disease has a potential blinding outcome, it can often cause a psychological burden to patients (such as stress, anxiety, fear, and depression) [3,4,5]. These emotional responses can significantly impair quality of life outcomes [3, 5,6,7]. The effect of resilience has been reported in many clinical conditions; little is known about its effect in glaucoma patients, especially in the Chinese population
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