Analysis of the mesomeric effect of resilience between self-management ability and quality of life in patients with cervical spondylosis
Objective To analyze the mesomeric effect of resilience between self-management ability and quality of life in patients with cervical spondylosis.Methods A prospective controll and cohort study was conducted.A total of 202 patients with cervical spondylosis(observation group)and 202 healthy individuals(control group)were selected from the First Affiliated Hospital of Henan University of Chinese Medicine from January 2022 to July 2023.There were 105 males and 97 females in the observation group,aged 22-78(40.50±8.52)years.There were 103 males and 99 females in the control group,aged 27-79(40.24±5.88)years.The self-management abilities,psychological resilience,and qualities of life of the two groups were evaluated and compared by the Adult Health Self-Management Skill Rating Scale Ⅲ(AHSMSRS Ⅲ),Connor-Davidson Resilience Scale(CD-RISC),and 36-item Short-Form(SF-36).The correlations between psychological resilience and self-management ability and quality of life,and the correlation between self-management ability and quality of life in the observation group were analyzed.Mplus 8.3 software was used to analyze the mesomeric effect of resilience between self-management ability and quality of life in the observation group,which was verified by Bootstrap method.Independent sample t test,x2 test,and Pearson correlation analysis were used.Results In the observation group,there were 7 cases of invalid questionnaires and 3 cases of poor compliance,and there were 9 cases of invalid questionnaires and 2 cases of poor compliance in the control group,all of whom fell off.The scores of self-management behaviors,self-management cognition,self-management environment,self-management ability,strength,resilience,optimism,psychological resilience,physical health,mental health,and quality of life in the observation were(33.48±5.12)points,(30.52±4.89)points,(20.76±3.73)points,(84.76±7.36)points,(11.07± 2.05)points,(32.25±4.88)points,(22.18±3.75)points,(65.50±6.59)points,(54.36±6.48)points,(43.74±5.75)points,and(98.10±8.57)points,respectively,which were lower than those in the control group[(50.25±6.27)points,(51.09±6.73)points,(38.27±5.18)points,(139.61±10.35)points,(15.48±4.10)points,(48.09±5.92)points,(33.12±4.38)points,(96.69±8.75)points,(71.69±8.69)points,(58.40±7.24)points,and(130.09±11.89)points],with statistically significant differences(t=22.532,24.867,28.259,43.406,9.478,21.675,18.192,28.357,15.626,16.024,and 22.148,all P＜0.001).There were positive correlations between each two scores mentioned above in the observation group(all P＜0.05).According to the linear regression analysis,the self-management ability in the observation group could affect psychological resilience and quality of life(P＜0.05),and psychological resilience had a partial mesomeric effect between self-management ability and quality of life in the observation group(P＜0.05).The mesomeric effect structural equation model constructed and Bootstrap method both confirmed that resilience played a mesomeric effect between self-management ability and quality of life in the observation group(P＜0.05),the direct effect of self-management ability on quality of life was 0.66,and the indirect effect of psychological resilience on quality of life was 0.24,with a total effect of 0.90.The indirect effect accounted for 26.67％of the total effect.Conclusions Patients with cervical spondylosis have low self-management ability,resilience,and quality of life.Self-management ability is directly related to quality of life,and resilience plays a mesomeric effect between the two.
Cervical spondylosisPsychological resilienceSelf-management abilityQuality of lifeMesomeric effect
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