Influence of stigma on self-management behavior of patients with diabetic foot: the chain mediating effect of social support and coping style
10.3760/cma.j.cn115682-20240508-02551
- VernacularTitle:病耻感对糖尿病足患者自我管理行为的影响：社会支持和应对方式的链式中介作用
- Author:
Ke MENG
1
;
Mingnan LI
;
Kun ZHANG
;
Li CHEN
Author Information
1. 新乡市中心医院全科医学科，新乡 453001
- Keywords:
Diabetic foot;
Stigma;
Social support;
Coping style;
Self-management behavior;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2024;30(27):3657-3663
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the chain mediating effect of social support and coping style between stigma and self-management behavior in diabetic foot patients.Methods:A total of 224 patients with diabetic foot who visited the Outpatient Department of Xinxiang Central Hospital were selected as participants by convenience sampling. Type 2 Diabetes Stigma Assessment Scale, Social Support Rating Scale, Medical Coping Modes Questionnaire and Diabetes Foot Self-Care Behavior Scale were used for survey. Model 6 in the SPSS PROCESS program was used to test for chain mediating effects.Results:Univariate analysis showed that there were statistically significant differences in self-management behavior scores among patients of different ages, educational levels, work status, average monthly family income, Wagner grading, and whether they received foot health education ( P<0.05). Correlation analysis showed that there was a significant correlation between stigma, social support, coping style, and self-management behavior, with statistical differences ( P<0.05). Mediating effect analysis showed that, in addition to the direct effect of stigma on the self-management behavior of diabetic foot patients, it also had an impact on self-management behavior through the separate mediating effect of social support and coping style (facing and resignation) and the chain mediating role of the two. Conclusions:Stigma can not only directly affect the self-management behavior of diabetic foot patients, but also indirectly affect them through the mediating role of social support and coping style (facing and resignation). The self-management of patients with diabetic foot can be improved by reducing their stigma, increasing social support and encouraging patients to be brave in coping with the disease.
