Yağmur ARTAN, Canan BOZKURT DUMAN, Derin KAHİLOĞULLARI, Yasemin YILDIRIM
Global Nursing Insights - 2026;13(1):102-111
Aim: This study investigates the effects of intolerance of uncertainty and coping on the psychological resilience of family members of patients admitted to intensive care units, with a specific focus on the mediating role of coping. Material and Methods: A cross-sectional design was employed, and data were collected from 203 relatives of ICU patients in a public hospital in western Turkey between April and July 2025 using convenience sampling. Participants completed the Intolerance of Uncertainty Scale, the Coping Orientation to Problems Experienced -Revised Scale, and the Resilience Scale for Adults. Descriptive statistics, Pearson correlation, multiple regression, and mediation analysis were conducted. Results: Mean scores were 36.03 (SD = 13.24) for intolerance of uncertainty, 77.38 (SD = 17.45) for coping, and 84.00 (SD = 21.75) for psychological resilience. Intolerance of uncertainty was negatively correlated with psychological resilience (r = -0.252, p < .001) and positively correlated with coping (r = 0.277, p < .001). Coping was positively correlated with resilience (r = 0.377, p < .001). Regression analysis showed that higher intolerance of uncertainty significantly predicted lower resilience (beta = -0.485, p < .001), whereas coping significantly predicted higher resilience (beta = 0.387, p < .001). Mediation analysis indicated that coping partially mediated the relationship between intolerance of uncertainty and resilience (indirect effect = 0.221, 95% CI [0.082, 0.381]). Conclusions: Intolerance of uncertainty is a significant negative predictor of psychological resilience among ICU patient relatives, while coping partially mediates and provides a protective role.
