Mediating role of self-perceived aging in the relationship between perceived social support and self-efficacy for exercise among aged patients undergoing surgery for lung cancer
10.3760/cma.j.cn115682-20240717-04009
- VernacularTitle:自我感知老化在老年肺癌术后患者领悟社会支持与运动自我效能间的中介效应分析
- Author:
Xuejiao CHEN
1
;
Fengxia YU
1
;
Lin DING
1
;
Shuang WANG
1
;
Yuan YU
1
Author Information
1. 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胸外科，北京 100021
- Publication Type:Journal Article
- Keywords:
Lung cancer;
Aged;
Self-perceived aging;
Perceived social support;
Self-efficacy for exercise
- From:
Chinese Journal of Modern Nursing
2025;31(6):791-796
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of self-perceived aging in the relationship between perceived social support and self-efficacy for exercise in aged patients undergoing surgery for lung cancer and provide a basis for formulating relevant clinical intervention strategies.Methods:Totally 220 aged lung cancer patients who underwent surgery and were hospitalized at the Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, from April to June 2024 were recruited by convenience sampling. Patients completed a demographic questionnaire, the Self-Efficacy for Exercise (SEE) , the Ageing Perceptions Questionnaire (B-APQ) , and the Perceived Social Support Scale (PSSS) . The mediation effect of self-perceived aging between perceived social support and self-efficacy for exercise was analyzed using Model 4 in the SPSS Process macro.Results:A total of 220 questionnaires were distributed, and 207 valid questionnaires were returned, with an effective recovery rate of 94.09%. The total score for B-APQ was (46.93±11.35) , the SEE score was (44.12±12.83) , and the PSSS score was (53.18±13.53) . Perceived social support had a direct effect on self-efficacy for exercise (effect value: 0.278; P<0.01) . Self-perceived aging played a partial mediating role between perceived social support and self-efficacy for exercise, with a mediation effect value of 0.138 ( P<0.01) , accounting for 33.17% of the total effect (0.138/0.416) . Conclusions:Perceived social support directly influences self-efficacy for exercise in aged patients undergoing surgery for lung cancer and also exerts an indirect effect through self-perceived aging. It is recommended that healthcare providers guide these patients to establish a positive perception of aging while focusing on enhancing their social support levels to improve their self-efficacy for exercise and promote recovery.
