Social support and quality of life in Chinese heart transplant recipients: mediation through uncertainty in illness and moderation by psychological resilience.

ABSTRACT:

Introduction

In China's collectivist healthcare context, the mechanisms linking social support to quality of life (QoL) in heart transplant recipients remain unclear. This study integrates Mishel's uncertainty in illness theory and Confucian resilience frameworks to cross-sectionally examine dual pathways: direct enhancement of QoL through social support and indirect reduction of uncertainty in illness, moderated by culturally embedded psychological resilience.

Methods

A nationwide cross-sectional study included 428 Chinese heart transplant recipients. Social support (SSRS), uncertainty in illness (MUIS-A), resilience (CD-RISC), and QoL (SF-36) were assessed. Mediation (PROCESS Model 4) and moderated mediation (Model 14) were tested using 5,000 bootstrap resamples, controlli

SUBMITTER: Gao C 

PROVIDER: S-EPMC12338042 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature