The Mediating Effect of Perceived Social Support and Medical Coping Modes Between Psychological Resilience and Meaning in Life in COVID-19 Patients

Lin Zhang; Ming Jiang; Linghua Wang; Jiandi Zheng; Weigang Wang

doi:10.2147/PPA.S391014

The Mediating Effect of Perceived Social Support and Medical Coping Modes Between Psychological Resilience and Meaning in Life in COVID-19 Patients

Patient Prefer Adherence. 2023 Mar 7:17:571-582. doi: 10.2147/PPA.S391014. eCollection 2023.

Authors

Lin Zhang¹, Ming Jiang², Linghua Wang¹, Jiandi Zheng¹, Weigang Wang²

Affiliations

¹ Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, 310018, People's Republic of China.
² Department of Statistics and Mathematics, Zhejiang Gongshang University, Hangzhou, 310018, People's Republic of China.

Abstract

Aim: Assess the level of meaning in life of patients with COVID-19, explore the relationship among COVID-19 patients in perceived social support, medical coping modes, psychological resilience and life meaning, and clarify the mediating effect.

Methods: Through the convenience sampling method, 144 COVID-19 patients were selected in the year 2021, and surveyed by using general information questionnaire, perceived social support scale (PSSS), medical coping modes questionnaire (MCMQ), meaning in life questionnaire (MLQ) and Connor-Davidson resilience scale (CD-RISC). After the collected data were preprocessed by SPSS, the t-tests, multiple comparison and Pearson coefficient were respectively used for comparative analysis, difference analysis and correlation analysis. Based on the above analysis, the structural equation model of perceived social support, medical coping modes, psychological resilience and meaning in life of COVID-19 patients was established by Amos.

Results: COVID-19 patient's score of meaning in life, perceived social support, medical coping modes and psychological resilience are higher than the medium level. The gender and the place of treatment have significant differences in the meaning of life and perceived social support respectively. The patient's sense of life meaning it is closely and positively related to the perceived social support, medical coping modes and psychological resilience. Psychological resilience indirectly affects the sense of life meaning through medical coping modes and perceived social support.

Conclusion: The life meaning can be improved by strengthening the perceived social support. The high level of perceived social support was conducive to the patient to think about life from a positive perspective. Family, government, enterprise and others should give patients certain care and warmth, make them feel more support from all walks of life. In addition, the life meaning can also be enhanced through the impact of psychological resilience on medical coping modes. So, care-givers can take some proper psychological interventions to patients.

Keywords: COVID-19; meaning in life; mediation effect; medical coping modes; perceived social support; psychological resilience.