Patient Preference and Adherence (Jan 2024)
Fatalism as a Mediator of the Association Between Family Resilience and Self-Management Among Patients with Chronic Wounds in China
Abstract
Yuhuan Qiu,1,2 Shujun Fan,1 Qiuyan Fu,1 Minlie Yang,2 Lihong Zhu2 1Wuxi School of Medicine, Jiangnan University, Wuxi, People’s Republic of China; 2Department of Burn and Plastic Surgery, Affiliated Hospital of Jiangnan University, Wuxi, People’s Republic of ChinaCorrespondence: Minlie Yang, Department of Burn and Plastic Surgery, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Binhu District, Wuxi, 214122, People’s Republic of China, Email [email protected]: The purpose of this study was to examine how fatalism acts as a mediator in the correlation between family resilience and self-management among patients with chronic wounds in China.Participants and Methods: This study used a cross-sectional research design. A total of 269 adult patients (18– 94 years old) with chronic wounds residing in Wuxi, China participated in this study. Participants completed the Chinese version of the Walsh Family Resilience Questionnaire, 16-item Chinese version of the Fatalism Scale, and Self-Management Scale of Chronic Wound Patients. We conducted correlation and mediation analyses using SPSS 27.0 and PROCESS 4.0.Results: The results indicated family resilience was a significant positive predictor of self-management (β = 0.7101, p < 0.0001), and the pathway between family resilience and self-management was partially mediated by fatalism (Effect = 0.1432, 95% confidence interval [0.0625, 0.2341]).Conclusion: The results indicated that incorporating spiritual interventions into future person-centered self-management programs could align with the motivation of patients with chronic wounds and their families, and reduce the negative impact of fatalism on health outcomes.Keywords: chronic wounds, fatalism, family resilience, self-management, mediation
