Resilience as a Mediator of the Association between Spirituality and Self-Management among Older People with Chronic Obstructive Pulmonary Disease

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.

Self‐management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease

“…Additionally, the GOLD stage directly influences self‐efficacy and indirectly contributes to COPD self‐management through COPD self‐efficacy. This is in line with the study that suggests that the GOLD stage is significantly related to self‐management (Chen et al, 2021). Therefore, healthcare professionals should assess both subjective and objective dyspnoea.…”

“…Reportedly, self‐management of COPD is influenced by demographic and clinical, cognitive and psychosocial factors. Demographic and clinical factors included gender (women) (Bringsvor et al, 2018; Kong et al, 2019), the severity of airflow limitation (Chen et al, 2021), symptoms such as dyspnoea (Bringsvor et al, 2018; Disler et al, 2012) and physical health (Cramm & Nieboer, 2012); knowledge (Ogunbayo et al, 2017; Yang et al, 2019), attitude (An & Choi, 2012; Ogunbayo et al, 2017) and self‐efficacy (Ogunbayo et al, 2017; Yadav et al, 2020) as cognitive factors and depression (Chen et al, 2021; Cramm & Nieboer, 2012) and social support (Lenferink et al, 2018; Ogunbayo et al, 2017) as psychosocial factors. These factors did not act individually but were intricately connected (Ogunbayo et al, 2017).…”

“…We used the IMB model and previous literature to set the hypothesized relationships between the variables and self‐management (Chen et al, 2021; Disler et al, 2012; Lenferink et al, 2018; Ogunbayo et al, 2017), variables and self‐efficacy (Disler et al, 2012; Lemmens et al, 2010; Simpson & Jones, 2013) and COPD self‐efficacy and COPD self‐management (Ogunbayo et al, 2017; Yadav et al, 2020). Therefore, the present hypothetical model comprised seven exogenous variables and two endogenous variables.…”

Afrontamiento religioso y espiritualidad como mediadores entre estrés percibido y resiliencia en adultos con diabetes mellitus tipo 2

“…La oración, la meditación y la conexión con otros y con un poder superior o ISSN (Digital): 2223-7666 Liberabit, 2022, 28(2), e569 (julio -diciembre) trascendente, representan rituales espirituales que, según Koenig (2012) y Pham et al (2020, dotan de significado y propósito para fortalecer su sentido de sí mismos que a su vez facultan a la persona con enfermedad crónica a vivir con cierto nivel de bienestar. Por todo lo anterior, sería necesario analizar posibles factores que influyen en la relación entre estas variables, como la edad y el grado de escolaridad (Chen et al, 2021), ya que la espiritualidad se ha vinculado de forma reiterada con la resiliencia (Gerson, 2018;Pham et al, 2020;Quiceno & Vinaccia, 2013).…”

Spirituality in people with advanced chronic obstructive pulmonary disease – challenge for more effective interventions, support, and healthcare education: Mini-review

“…Spiritual well-being of individuals with COPD has been evaluated in a number of studies (17)(18)(19)(20)(21)(22)(23)(24) (Table 1). It was found to be similarly low among people with COPD and with inoperable lung cancer (18).…”