Mediating role of self-disclosure and family member support behaviors in diabetes-related stigma and women's role stress in middle-aged and young female diabetes patients
10.3760/cma.j.cn115682-20241223-07028
- VernacularTitle:自我表露和家庭成员支持行为在中青年女性糖尿病患者病耻感和妇女角色压力中的中介作用
- Author:
Jianjiao HUANG
1
;
Xuefei YU
1
;
Jiena JIN
1
Author Information
1. 温州市中心医院内分泌科，温州 325000
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Women's role stress;
Stigma;
Self-disclosure;
Family member support behavior;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(13):1798-1803
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of diabetes-related stigma on women's role stress in middle-aged and young female diabetes patients and the chain mediating effect of self-disclosure and family member support behaviors.Methods:A convenience sampling method was used to select 228 middle-aged and young female diabetes patients receiving treatment at Wenzhou Central Hospital from May 2022 to June 2024. General information surveys, the Diabetes Women's Role Stress Scale, the Chinese Version of Type 2 Diabetes Stigma Assessment Scale, Distress Disclosure Index, and the Chinese Diabetes Patient Family Member Behavior Scale were used for data collection. Pearson correlation analysis was conducted to examine the relationships between women's role stress, diabetes-related stigma, self-disclosure, and family member support behaviors. AMOS 26.0 software was used to investigate the chain mediating effects of self-disclosure and family member support behaviors between stigma and women's role stress. A total of 228 questionnaires were distributed, with 223 valid questionnaires returned, resulting in a valid response rate of 97.81% (223/228) .Results:The average score on the Women's Role Stress Scale for the 223 patients was (36.26±5.31) , with an average item score of (3.30±0.51) . Structural equation modeling showed that self-disclosure and family member support behaviors significantly mediated the relationship between diabetes-related stigma and women's role stress. The total indirect effect accounted for 35.52% of the total effect. Specifically, self-disclosure and family member support behaviors accounted for 12.36%, while self-disclosure alone accounted for 23.16% of the total effect.Conclusions:The level of women's role stress in middle-aged and young female diabetes patients is moderately high. Nursing staff should focus on reducing patients' diabetes-related stigma, actively guide self-disclosure, and enhance communication and collaboration with family members to increase their support, thereby effectively reducing the patients' women's role stress.
