The mediation effect of self-efficacy and mental toughness on self-management and postoperative rehabilitation in patients with cervical spondylotic radiculopathy
10.3969/j.issn.1673-9701.2025.04.004
- VernacularTitle:自我效能和心理韧性在神经根型颈椎病患者自我管理与术后康复间的中介效应
- Author:
Fang HUANG
1
;
Qifang LIU
;
Meiqing SHEN
;
Chunmei YU
;
Rubing LI
Author Information
1. 南昌市第一医院康复医学科,江西南昌 330000
- Publication Type:Journal Article
- Keywords:
Self-efficacy;
Mental toughness;
Cervical spondylotic radiculopathy;
Self-management behavior;
Postoperative rehabilitation;
Chain mediation
- From:
China Modern Doctor
2025;63(4):16-19,39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the mediation effect of self-efficacy and mental toughness between self-management behavior and postoperative rehabilitation in patients with cervical spondylotic radiculopathy.Methods A total of 180 patients with cervical spondylotic radiculopathy diagnosed and treated in the First Hospital ofNanchang from April 2022 to April 2024 were selected by convenience sampling method.The patients were investigated by general data questionnaire,Connor-Davidson resilience scale(CD-RISC),chronic disease self-efficacy scale(CDES),rehabilitation evaluation scale for cervical spondylotic radiculopathy(RES-CSR)and chronic disease self-management scale(CDSMS).Results The scores of CD-RISC,RES-CSR,CDES and CDSMS were(64.41±10.12)points,(78.84±12.07)points,(41.26±3.18)points and(53.14±6.38)points respectively.The results of correlation analysis showed that postoperative rehabilitation was significantly positively correlated with mental toughness,self-efficacy and self-management,self-management was significantly positively correlated with mental toughness and self-efficacy,mental toughness was significantly positively correlated with self-efficacy(P＜0.05).Mental toughness and self-efficacy played a mediating role in the relationship between self-management and postoperative rehabilitation of patients with cervical spondylotic radiculopathy,and the mediating effect value was 0.270 and 0.136.The two continuous paths had a chain mediating effect,and the mediating effect value was 0.150,accounting for 18.70％,9.42％and 10.39％of the total effect value,respectively.Conclusion The self-management behavior of patients with cervical spondylotic radiculopathy has an important impact on their postoperative rehabilitation,in which mental toughness and self-efficacy play a chain intermediary role.Nursing intervention can enhance the self-management behavior and mental toughness of patients with cervical spondylotic radiculopathy and improve their self-efficacy,so as to improve their postoperative rehabilitation level.
