Mediating Role of Resilience in the Relationship Between Perceived Stress and Social Support with Self-Care among Asthmatic Patients

Document Type : Original Article

Authors

1 Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates

2 Assistant Professor, Department of Psychology, East Tehran Branch, Islamic Azad University, Tehran, Iran.

3 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran..

4 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

10.30483/rijm.2022.254351.1175

Abstract

Background: Asthma is one of the inflammatory and chronic respiratory diseases associated with clinical symptoms of wheezing, coughing, and dyspnea.
Objective: The present study investigated the mediating role of resilience in the relationship between perceived stress and social support with self-care in asthmatic patients.
Methods: The present study was a correlation and structural equation modeling. The statistical population consisted of all asthmatic patients in Gorgan (Iran) in 2021. The study sample was asthmatic patients referred to the asthma clinic of Sayyad Shirazi Hospital in Gorgan, which according to the observed variables (75 questions) 375 people were considered that were selected by convenience sampling. In the end, 368 complete questionnaires were analyzed. The research instruments were Connor and Davidson's Resilience Questionnaire (2003), Cohen et al.'s Standard Perceived Stress Questionnaire (1983), Zimet et al.'s Social Support Questionnaire (1988), and Shigog et al.'s Self-Care Behaviors Questionnaire (2001). Data analysis was performed using the path analysis method by Amos.22 and SPSS.22 software.
Results: The results of model analysis using fit indicators showed that the final model modified with the data has a good fit (RMSEA=0.069, GFI=0.91). Also, the results of mediating role showed that resilience has a significant mediating role in the relationship between social support and perceived stress with self-care in asthmatic patients (P<0.01).
Conclusion: It can be concluded that resilience has a mediating role in the relationship between perceived stress and social support with self-care in asthmatic patients.

Keywords


 1.Allison SE. Self-care requirements for activity and
rest: an Orem nursing focus. Nurs Sci Q 2007; 20(1): 68-
76.
https://doi.org/10.1177/0894318406296297
2.Baghaei P, Zandi M, Vares Z, Masoodialavi N,
Adidhajbagheri M. Self-care behaviour of patients with
diabetes in Kashan centers of diabetes. Quarterly Journal
of Feiz. 2008; 12 (1): 88-93. (Persian)
3.Cebeci F, Celik S. Discharge training and counseling
reduce post discharge problem in CABG patient. Journal
of Clinical nursing. 2008;17:412-420.
https://doi.org/10.1111/j.1365-2702.2007.01952.x
4.Cumbie SA, Conley VM, Burman ME. Advanced
practice nursing model for comprehensive care with
chronic illness: model for promoting process
engagement. ANS Adv Nurs Sci 2004; 27(1): 70-80.
https://doi.org/10.1097/00012272-200401000-00008
5.Davoodvand S, Elahi N, Haghighizadeh
M.Effectiveness of Short –term Cardiac Rehabilitation
on Clinical Manifestation in Post –MI Patients. Journal
of Faculty of Nursing and Midwifery, Tehran University
of Medical Science (Hayat). 2009;15(3):43-9. (Persian)
6.Didarloo A, Shojaeeizadeh D, Eftekhar Ardebili H et
al. Effective Factor on self-care behaviors in diabetic
women refer diabetic clinical Khoy city. 2011;9(2):79-
92. (Persian)
7.Ovayolu O, Ovayolu N, Karadag G. The relationship
between self-care agency, disability levels and factors
regarding these situations among patient with
rheumatoid arthritis. Journal of clinical nursing.
2011;21:101-102.https://doi.org/10.1111/j.1365-
2702.2011.03710.x
8.Reyes-Contreras M, Glauser G, Rennison DJ,
Taborsky B. Early-life manipulation of cortisol and its
receptor alters stress axis programming and social
competence. Philosophical Transactions of the Royal
SocietyB.2019;374(1770):20180119.
https://doi.org/10.1098/rstb.2018.0119
9.Sadeghi A, Kokabi S, Tapak L. The effect of self-care
education on knowledge and attitude in patients with
asthma: a randomized clinical trial. Avicenna Journal of
Nursing and Midwifery Care. 2019;27(5):306-14.
https://doi.org/10.30699/ajnmc.27.5.306
10.Avarideh S, Asadi Majreh S, Moghtader L, Abedini
M, Mirbolok Bozorgi A. The Mediating role of
perceived social support in the effect of interpersonal
forgiveness on social health in students. Knowledge &
Research in Applied Psychology. 2019;20(1):71-80.
11.Zandi A. Application of health belief model in change
of self-care behaviors of diabetic patients. Iran Journal of
Nursing. 2009;22(61):61-72.
12.Rizalar S, Ozbas A, Akyolcu N, Gungor B. Effect of
perceived social support on psychosocial adjustment of
Turkish patients with breast cancer. Asian Pacific
Journal of Cancer Prevention. 2014;15(8):3429-34.
https://doi.org/10.7314/APJCP.2014.15.8.3429
13.Mikkola L, Suutala E, Parviainen H. Social support in
the workplace for physicians in specialization training.
Medical Education Online. 2018;23(1):1435114.
https://doi.org/10.1080/10872981.2018.1435114
14.Feng D, Su S, Wang L, Liu F. The protective role of
self‐esteem, perceived social support and job satisfaction
against psychological distress among Chinese nurses.
Journal of nursing management. 2018;26(4):366-72.
https://doi.org/10.1111/jonm.12523
15.Yildiz E, Aşti T. Determine the relationship between
perceived social support and depression level of patients
with diabetic foot. Journal of Diabetes & Metabolic
Disorders. 2015;14(1):1-8.
https://doi.org/10.1186/s40200-015-0168-8
16.Gülaçtı F. The effect of perceived social support on
subjective well-being. Procedia-Social and Behavioral
Sciences. 2010;2(2):3844-9.
https://doi.org/10.1016/j.sbspro.2010.03.602
17.Connor KM, Davidson JR. Development of a new
resilience scale: The Connor‐Davidson resilience scale
(CD‐RISC). Depression and anxiety. 2003 Sep;18(2):76-
82.
https://doi.org/10.1002/da.10113
18.Cohen S, Kamarck T, Mermelstein R. A global
measure of perceived stress. Journal of health and social
behavior. 1983:385-96.
https://doi.org/10.2307/2136404
19.Zimet GD, Powell SS, Farley GK, Werkman S,
Berkoff KA. Psychometric characteristics of the
multidimensional scale of perceived social support.
Journal of personality assessment. 1990;55(3-4):610-7.
https://doi.org/10.1080/00223891.1990.9674095
20.Cieslak R, Benight C, Schmidt N, Luszczynska A,https://doi.org/10.1111/j.1365-2648.2007.04111.x