Objective:To explore the relationships among perceived social constraints, social participation, as well as anxiety and depression in first stroke patients, and to further analyze the mediating effect of social participation on these variables.Methods:A total of 216 first stroke patients in the Department of Neurology of Affiliated Hospital of Qingdao University from April to December 2020 were recruited by convenience sampling and investigated by general information questionnaire, Social Constraints Scale (SCS), Chinese version of Impact on Participation and Autonomy Questionaire (IPA-C) and Hospital Anxiety and Depression Scale (HADS).Results:The total score of SCS, IPA-C, depression and anxiety were 33.49 ± 6.81, 43.42 ± 9.62, 8.05 ± 4.15 and 8.61 ± 2.59. Social constraints were positively correlated with social participation as well as anxiety ( r=0.644, 0.383, both P<0.05). Social constraints were positively correlated with social participation as well as depression ( r=0.482, 0.371, both P<0.05). The quality of social participation partially mediated the relationship between social constraints and anxiety (intermediary effect was 0.119), and also partially mediated the relationship between social constraints and depression (intermediary effect was 0.270). Conclusions:First stroke patients experience high level of social constraints, low quality of social participation and severe anxiety and depression. Social constraints can affect anxiety and depression through social participation. Medical staff should build a good environment to meet the needs of stroke patients of social participation, help patients to establish a correct psychological coping style, reduce patients' avoidance of social participation due to perceived constraints and exclusion, and thus promote the mental health of patients.

Objective:To develop the Health Promotion Behavior Intention Questionnaire for enterostomy patients and test its reliability and validity.Method:Based on the theory of planned behavior, the first draft of the questionnaire was formed through literature review, group discussion, correspondence with Delphi experts and pre-test. The convenient sampling method was used to select 419 patients with enterostomy who visited Stoma Outpatient Department of the Affiliated Hospital of Qingdao University from December 2020 to June 2021 to conduct a questionnaire survey. Item analysis and reliability and validity tests were carried out on the questionnaires.Results:The Health Promotion Behavior Intention Questionnaire for enterostomy patients included 15 items. Exploratory factor analysis extracted four common factors, namely, attitude, subjective norm, perceived behavioral control and behavioral intention. The cumulative variance contribution rate was 83.166%. The content validity index of item level was 0.875-1.000 and the content validity index of questionnaire level was 0.983. The Cronbach's α coefficient of the total questionnaire was 0.921 and the retest reliability coefficient was 0.848.Conclusions:The Health Promotion Behavior Intention Questionnaire for enterostomy patients has good reliability and validity and it can be used as a tool to evaluate the health promotion behavior intention of patients with enterostomy.

Objective:To understand the status of self-transcendence, social support and stoma psychosocial adaptation in patients with enterostomy, and to analyze the correlation among the three.Methods:This study was a cross-sectional study. From July to November 2021, convenience sampling was used to select 210 patients with enterostomy who visited the Wound and Stoma Outpatient Clinic in Laoshan Campus, the Affiliated Hospital of Qingdao University as the research object. The General Information Questionnaire, Self-transcendence Scale (STS) , Social Support Rating Scale (SSRS) and Ostomy Adjustment Inventory-20 (OAI-20) were used to investigate the patients. Pearson correlation was used to test the correlation among variables, and multiple linear regression was used to explore the influencing factors of self-transcendence. A total of 210 questionnaires were distributed, and 196 effective questionnaires were recovered, with an effective recovery rate of 93.33% (196/210) .Results:Among 196 patients with enterostomy, the STS score was (36.48±11.84) . Pearson correlation analysis showed that the self-transcendence in colostomy patients was positively correlated with social support and stoma psychosocial adaptation ( r=0.712, 0.855; P<0.01) . Multiple linear regression analysis showed that educational level, stoma self-care, social support and stoma psychosocial adaptation were the main influencing factors of self-transcendence in patients with enterostomy ( P<0.05) . Conclusions:The self-transcendence of patients with enterostomy needs to be improved, and the self-transcendence is related to social support and stoma psychosocial adaptation. Medical and nursing staff should take targeted measures to improve the social support and social adaptation of patients with enterostomy, thereby improving the self-transcendence and the quality of life of patients.