• Patient Prefer Adher · Jan 2024

    Fatalism as a Mediator of the Association Between Family Resilience and Self-Management Among Patients with Chronic Wounds in China.

    • Yuhuan Qiu, Shujun Fan, Qiuyan Fu, Minlie Yang, and Lihong Zhu.
    • Wuxi School of Medicine, Jiangnan University, Wuxi, People's Republic of China.
    • Patient Prefer Adher. 2024 Jan 1; 18: 536753-67.

    PurposeThe 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 MethodsThis 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.ResultsThe 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]).ConclusionThe 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.© 2024 Qiu et al.

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