Mediating effect of social support between self-disclosure and demoralization in postoperative patients with chronic osteomyelitis
10.3760/cma.j.cn115682-20231229-02873
- VernacularTitle:社会支持在慢性骨髓炎术后患者自我表露与失志间的中介效应分析
- Author:
Huihui WANG
1
;
Deyu WANG
;
Meifeng LIU
;
Lili WANG
;
Baohua CHEN
Author Information
1. 山东第一医科大学附属省立医院创伤中心，济南 250021
- Publication Type:Journal Article
- Keywords:
Chronic osteomyelitis;
Social support;
Self-disclosure;
Demoralization;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(1):54-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the levels of social support, self-disclosure, and demoralization in postoperative patients with chronic osteomyelitis, and to explore the mediating effect of social support between self-disclosure and demoralization.Methods:This cross-sectional study used convenience sampling to select 390 postoperative patients with chronic osteomyelitis who were treated at the Trauma Center of the Affiliated Provincial Hospital of Shandong First Medical University from June 2022 to October 2023. The General Information Questionnaire, Distress Disclosure Index (DDI), Social Support Rating Scale (SSRS), and the Mandarin Version of the Demoralization Scale (DS-MV) were used to survey the patients. Structural equation modeling was used to analyze the mediating mechanism of social support between self-disclosure and demoralization.Results:A total of 390 questionnaires were distributed, with 380 valid responses (effective response rate was 97.44%). Among the 380 patients, the DDI score was (33.88±14.57), SSRS score was (34.83±8.90), and DS-MV score was (47.27±4.23). Both self-disclosure and social support directly and negatively predicted demoralization ( P<0.05). Social support partially mediated the relationship between self-disclosure and demoralization, with an indirect negative effect of -0.600, accounting for 64.45% of the total effect. Conclusions:Social support serves as a mediating variable between self-disclosure and demoralization in postoperative patients with chronic osteomyelitis. Clinical healthcare providers should encourage patients to express their feelings, enhance their self-disclosure, and strengthen their social support systems to reduce demoralization.
