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

Asthma is one of the inflammatory and chronic respiratory diseases associated with clinical symptoms of wheezing, coughing, and dyspnea.

The present study investigated the mediating role of resilience in the relationship between perceived stress and social support with self-care in asthmatic patients.

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.

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).

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.