The mediating role of rehabilitation exercise self-efficacy in the relationship between psychological pain and quality of life in postoperative patients with osteoporotic fractures
10.3760/cma.j.cn115682-20250625-03363
- VernacularTitle:康复锻炼自我效能在骨质疏松骨折术后患者心理痛苦和生活质量间的中介作用分析
- Author:
Yanyan WEI
1
;
Yuying CAO
;
Ping LIU
Author Information
1. 济宁医学院附属医院影像科，济宁 272029
- Publication Type:Journal Article
- Keywords:
Osteoporosis;
Fracture;
Quality of life;
Psychological pain;
Rehabilitation exercise self-efficacy;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(31):4286-4292
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the mediating effect of rehabilitation exercise self-efficacy in the relationship between psychological pain and quality of life among postoperative patients with osteoporotic fractures.Methods:A total of 203 patients with osteoporotic fractures who underwent surgical treatment in the Department of Orthopedics of the Affiliated Hospital of Jining Medical University from June 2023 to June 2024 were recruited using convenience sampling. Postoperatively, patients were assessed with the General Information Questionnaire, the Self-Efficacy Rehabilitation Outcome Scale (SER), the Psychological Pain Scale, and the World Health Organization on Quality of Life Brief Scale (WHOQOL-BREF). The mediating role of rehabilitation exercise self-efficacy was tested using the bootstrap method.Results:A total of 210 questionnaires were distributed, with 203 valid responses collected, yielding an effective response rate of 96.67%. The mean scores of rehabilitation exercise self-efficacy, psychological pain, and quality of life were (65.56±8.89), (26.68±5.57), and (85.90±5.59), respectively. Correlation analysis showed that rehabilitation exercise self-efficacy was negatively correlated with psychological pain ( r=-0.562, P<0.01), psychological pain was negatively correlated with quality of life ( r=-0.801, P<0.01), and rehabilitation exercise self-efficacy was positively correlated with quality of life ( r=0.741, P<0.01). Mediation analysis revealed that rehabilitation exercise self-efficacy partially mediated the relationship between psychological pain and quality of life, with an effect size of -0.231 ( P<0.01), accounting for 38.95% of the total effect. Conclusions:Psychological pain not only directly affects the quality of life in postoperative patients with osteoporotic fractures but also indirectly affects it through rehabilitation exercise self-efficacy. Clinical medical staff should adopt targeted interventions to alleviate psychological pain and enhance rehabilitation exercise self-efficacy, thereby improving patients' quality of life.
