Volume 34, Issue 1 (Winter 2026)
Avicenna J Nurs Midwifery Care 2026, 34(1): 45-54 |
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Azarm H, Hojjatoleslami S. The Relationship between Quality of Life, Coping Strategies, and Resilience in Patients with Type 2 Diabetes: A Cross-Sectional Study. Avicenna J Nurs Midwifery Care 2026; 34 (1) :45-54
URL: http://nmj.umsha.ac.ir/article-1-3333-en.html
URL: http://nmj.umsha.ac.ir/article-1-3333-en.html
1- Department of Clinical Psychology, Ha.C, Islamic Azad University, Hamedan, Iran
2- Department of Nursing, Ha.C, Islamic Azad University, Hamedan, Iran ,simineslami@yahoo.com
2- Department of Nursing, Ha.C, Islamic Azad University, Hamedan, Iran ,
Abstract: (689 Views)
Background and Objective: Type 2 diabetes is a chronic condition that impacts both the physical and mental health of individuals, leading to a decline in their overall quality of life. Psychological factors, such as resilience and coping strategies, play a significant role in this process. Therefore, this study aims to explore the relationship between quality of life and coping strategies in relation to stress and resilience among patients with type 2 diabetes.
Materials and Methods: The statistical population of this descriptive-correlational study was 300 type 2 diabetic patients in Nahavand, Iran, who were selected by a convenience sampling method from Ghodousi Hospital and Imam Khomeini Clinic. The research tools included the standard quality of life questionnaires of War et al. (1996), Endler and Parker's stress coping strategies (1990), and Connor and Davidson's resilience (2003). After controlling the normality of the data, regression and Pearson correlation tests were used through SPSS software (version 27).
Results: Most participants were single and used injectable medications, and some had comorbid conditions, such as thyroid disorders and hypertension. Correlation analysis showed that quality of life was significantly associated with resilience (r = 0.512, p < 0.001) and coping strategies, including problem-focused (r = 0.475, p < 0.001), emotion-focused (r = 0.514, p < 0.001), and avoidance-focused (r = 0.404, p < 0.001) approaches. Multiple regression analysis showed that resilience, problem-focused, and emotion-focused coping had positive effects on quality of life, whereas avoidance-focused coping had a negative effect. The model explained approximately 37% of the variance in quality of life (R² = 0.374, F = 153.44, p < 0.001). These findings underscore the importance of enhancing resilience, promoting active coping strategies, and reducing avoidance behaviors to improve quality of life.
Conclusion: The results indicate a significant positive relationship of quality of life with coping strategies and resilience among patients with type 2 diabetes. Therefore, the treatment team recommends educational interventions and patient empowerment, promoting coping strategies and resilience to enhance their quality of life.
Materials and Methods: The statistical population of this descriptive-correlational study was 300 type 2 diabetic patients in Nahavand, Iran, who were selected by a convenience sampling method from Ghodousi Hospital and Imam Khomeini Clinic. The research tools included the standard quality of life questionnaires of War et al. (1996), Endler and Parker's stress coping strategies (1990), and Connor and Davidson's resilience (2003). After controlling the normality of the data, regression and Pearson correlation tests were used through SPSS software (version 27).
Results: Most participants were single and used injectable medications, and some had comorbid conditions, such as thyroid disorders and hypertension. Correlation analysis showed that quality of life was significantly associated with resilience (r = 0.512, p < 0.001) and coping strategies, including problem-focused (r = 0.475, p < 0.001), emotion-focused (r = 0.514, p < 0.001), and avoidance-focused (r = 0.404, p < 0.001) approaches. Multiple regression analysis showed that resilience, problem-focused, and emotion-focused coping had positive effects on quality of life, whereas avoidance-focused coping had a negative effect. The model explained approximately 37% of the variance in quality of life (R² = 0.374, F = 153.44, p < 0.001). These findings underscore the importance of enhancing resilience, promoting active coping strategies, and reducing avoidance behaviors to improve quality of life.
Conclusion: The results indicate a significant positive relationship of quality of life with coping strategies and resilience among patients with type 2 diabetes. Therefore, the treatment team recommends educational interventions and patient empowerment, promoting coping strategies and resilience to enhance their quality of life.
Type of Study: Original Research |
Subject:
Self-care in chronic diseases
Received: 2025/08/10 | Accepted: 2025/12/21 | Published: 2026/04/18
Received: 2025/08/10 | Accepted: 2025/12/21 | Published: 2026/04/18
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