Relationship between psychological resilience and kinesiophobia in hip fracture patients: the chain mediation effect of social support and self-efficacy in rehabilitation exercise
10.3760/cma.j.cn115682-20230907-00951
- VernacularTitle:髋部骨折患者心理弹性与恐动症的关系：社会支持与康复锻炼自我效能的链式中介效应
- Author:
Minghui ZHANG
1
;
Liyun WANG
;
Yun WANG
;
Ningning CHENG
;
Kaihui SHA
Author Information
1. 滨州医学院护理学院，滨州 256603
- Keywords:
Hip fracture;
Kinesiophobia;
Psychological resilience;
Social support;
Self-efficacy;
Mediation effect
- From:
Chinese Journal of Modern Nursing
2024;30(22):3014-3019
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mechanism of social support and self-efficacy in rehabilitation exercise in the relationship between psychological resilience and kinesiophobia in hip fracture patients.Methods:Totally 284 hip fracture patients treated at the Department of Trauma and Orthopedics, Binzhou Medical University Hospital from May 2022 to April 2023 were selected by convenience sampling. Data were collected using the general information questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), the Social Support Rating Scale (SSRS), the Self-Efficacy Rehabilitation Outcome Scale (SER), and the Tampa Scale for Kinesiophobia (TSK). Process 4.1 was used for chain mediation effect analysis.Results:The scores for the 284 hip fracture patients were as follows: CD-RISC (58.72±7.77), SSRS (29.70±5.11), SER (91.23±8.41), and TSK (38.07±3.65). Psychological resilience, social support, self-efficacy in rehabilitation exercise, and kinesiophobia were all significantly correlated pairwise (all P<0.01). Social support and self-efficacy in rehabilitation exercise had a chain mediation effect between psychological resilience and kinesiophobia, with mediation effect values of -0.020 and -0.079, accounting for 17.52% and 67.70% of the total effect, respectively. Conclusions:Psychological resilience directly influences the level of kinesiophobia in hip fracture patients and has an indirect effect through the chain mediation of social support and self-efficacy in rehabilitation exercise.
