Korean J Adult Nurs.  2016 Feb;28(1):61-70. 10.7475/kjan.2016.28.1.61.

The Mediating Effect of the Resilience on the Relationship between Type D Personality and Compliance in Patients with Coronary Artery Disease

Affiliations
  • 1Dong-A University Medical Center, CCU, Busan, Korea.
  • 2Department of Nursing, Dong-A University, Busan, Korea. jykang@dau.ac.kr

Abstract

PURPOSE
This study aimed to identify the mediating effect of the resilience on the relationship between type D personality and compliance of Coronary Artery Disease (CAD) patients.
METHODS
The subjects were 236 CAD patients who visited the cardiology outpatient clinics of D University Medical Center in B City in Korea. The type D personality, resilience, and compliance of subjects were measured using structured questionnaires from July to August, 2014. The mediating effect was analyzed by a multiple hierarchical regression.
RESULTS
The subjects with type D personality accounted for 30.9% of all study subjects. The resilience and compliance of type D subjects were significantly lower than those of non type D subjects. There was a significant correlation between resilience and compliance. The direct effect of type D personality on compliance was not significant (β=-.07, p=.243), while the indirect effect of type D personality on compliance via resilience was significant (β=.23, p<.001).
CONCLUSION
On the basis of above results, it can be concluded that the resilience had completely mediating effect on the relation between type D personality and compliance of CAD patients. Further studies need to be done to develop the intervention enhancing resilience of CAD patients with Type D personality.


MeSH Terms

Academic Medical Centers
Ambulatory Care Facilities
Cardiology
Compliance*
Coronary Artery Disease*
Coronary Vessels*
Humans
Korea
Negotiating*
Patient Compliance
Resilience, Psychological
Type D Personality*

Figure

  • Figure 1. Model for mediating effect of resilience between the type D personality and compliance.


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