The association of resilience with self-care and quality of life in people with chronic obstructive pulmonary disease: A cross-sectional study.
Tamara Pouw, Janneke de Man-van Ginkel, Johannes A Hardeman and 4 others
PMID 37817549WHAT IT FOUND
In adults with COPD, higher resilience was linked to greater confidence in self-care and better quality of life, but not to maintenance, monitoring, or management behaviours.
Key findings
01Resilience was associated with self-care confidence, but not with maintenance, monitoring, or management.
02After adjustment, higher resilience was associated with better self-care confidence (β=0.51; 95% CI 0.37 to 0.71).
03Higher resilience was associated with better quality of life (β=-0.50; 95% CI -0.70 to -0.37).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured associations at one time point, so it cannot show that resilience causes better self-care confidence or quality of life. It was done in one Dutch hospital outpatient clinic, so results may not apply to other settings or countries. Many approached people did not complete the questionnaire, and the sample had more moderate or severe COPD than expected in the general COPD population. Measures were self-reported, and spirometry data were not always recent or classified with the newer ABCD system. Some missing data were imputed, and the sample was mostly former smokers, so smoking effects were hard to see. The study was done during the COVID-19 pandemic, although prior literature reported low impact on COPD quality of life.
Declared interests
No funding was reported. The authors declared no competing financial interests or personal relationships.
The easy way to misread this
Do not conclude that building resilience will improve self-care or quality of life. This study measured associations at one time point, and resilience was not associated with self-care maintenance, monitoring, or management.