Impact of social support on disease acceptance in stroke patients based on moderated mediating effect
10.3760/cma.j.cn115682-20240223-00912
- VernacularTitle:基于有调节的中介效应探讨脑卒中患者社会支持对疾病接受度的影响
- Author:
Yahao REN
1
;
Yiyang WANG
;
Xiaoxuan QIAO
;
Yuxia LI
Author Information
1. 上海中医药大学护理学院，上海 201203
- Keywords:
Stroke;
Disease acceptance;
Self-efficacy;
Social support;
Neurological function;
Mediating effect;
Moderating effect
- From:
Chinese Journal of Modern Nursing
2024;30(33):4574-4579
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of social support, self-efficacy, and neurological function on disease acceptance in stroke patients.Methods:From September 2022 to February 2023, convenience sampling was used to select 322 stroke patients from Shanghai Hospital of Traditional Chinese Medicine and Yueyang Hospital of Integrated Traditional Chinese and Western Medicine as participants. The survey was conducted using the General Information Questionnaire, Perceived Social Support Scale (PSSS), Stroke Self-Efficacy Questionnaire (SSEQ), Acceptance of Illness Scale (AIS), and National Institute of Health Stroke Scale (NIHSS) .Results:The AIS, PSSS, SSEQ, and NIHSS scores of stroke patients were (21.88±10.66), (52.64±13.80), (73.92±28.91), and (5.37±3.64), respectively. Social support of patients had a positive impact on disease acceptance ( P<0.01). Self-efficacy partially mediated the relationship between social support and disease acceptance, with indirect effects accounting for 48.84% of the total effect. The second half of the mediating effect of "social support→self-efficacy→disease acceptance" (self-efficacy→disease acceptance) was regulated by neurological function ( β=-0.020, P<0.01) . Conclusions:Medical and nursing staff can increase patients' social support, enhance their self-efficacy, and strengthen targeted interventions for patients with high levels of neurological deficits, thereby improving their disease acceptance.
