Dignity, Resilience, and Quality of Life in Patients With Cardiac Disease: A Partial Least Squares Structural Equation Modeling Approach.
Chien-Lung Huang, Ching-Hwa Hsu, Shu-Fen Hsu and 1 others
PMID 38099589WHAT IT FOUND
Dignity and resilience were linked to health-related quality of life in 101 patients with heart disease.
Resilience was partly involved in the association between dignity and quality of life.
Key findings
01Dignity and resilience together explained 73.0% of the variance in HRQoL.
02Dignity had a direct path to HRQoL (path coefficient 0.605) and an indirect path through resilience (path coefficient 0.209).
03Resilience partially mediated the association between dignity and HRQoL.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited from one general hospital in northern Taiwan using purposive sampling, so the results may not apply to all patients with cardiac disease. People with psychiatric disorders or cancer were excluded, so the findings do not cover cardiac patients with those conditions. The sample was 101 patients, and the authors state this may make the structural model less powerful. The design was cross-sectional, so it captured perceptions at one time and did not follow patients over time. Patients had different cardiac diagnoses and different times since disease onset, which the authors note may affect experiences and perceptions. The social support dimension of the dignity scale did not meet the factor loading criterion above 0.70 that the authors describe.
The easy way to misread this
Do not conclude that improving dignity or resilience will improve quality of life. The study was cross-sectional and did not test an intervention.