摘要
目的探讨脊髓损伤(spinal cord injury,SCI)致神经源性膀胱(neurogenic bladder,NB)患者自我管理、社会支持及出院准备度现状,分析社会支持在自我管理与出院准备度间的中介效应。方法选取2023年11月至2024年5月山东省内包括三级医院、康复专科医院、民营康复机构等20家医疗单位的222例SCI致NB患者进行面对面问卷调查。采用Pearson法、单因素分析、多元线性回归分析及Bootstrap法进行统计分析。结果222例SCI致NB患者的自我管理能力量表得分为(116.09±36.92)分,社会支持量表得分为(37.55±8.55)分,出院准备度量表得分为(67.17±23.36)分;自我管理与出院准备度呈正相关(r=0.304,P<0.001),社会支持与出院准备度呈正相关(r=0.311,P<0.001);受教育程度(β=0.178,P=0.008)、自我管理(β=0.206,P=0.003)和社会支持(β=0.172,P=0.012)正向预测出院准备度,缴费方式(β=-0.133,P=0.044)影响出院准备度;自我管理对出院准备度的总效应为0.19(P<0.001),其中直接效应为0.13(68.42%),社会支持在自我管理与出院准备度间的中介效应为0.06(31.58%)。结论SCI致NB患者出院准备度不足,社会支持在患者自我管理与出院准备度间起到部分中介效应。
Objective To investigate the status of self-management,social support and discharge readiness for patients with neurogenic bladder(NB)resulting from spinal cord injury(SCI),and to analyze the mediating effect of social support between self-management and discharge readiness in patients.Methods A total of 222 patients with NB due to SCI were recruited from 20 medical units in Shandong Province,including tertiary hospitals,specialist rehabilitation hospitals,and private rehabilitation institutions,from November 2023 to May 2024.Face-to-face questionnaire surveys were conducted.Pearson correlation,univariate analysis,multiple linear regression analysis,and bootstrap method were employed for statistical analysis.Results The mean scores for self-management ability,social support and readiness for discharge among 222 patients with NB caused by SCI were 116.09±36.92,37.55±8.55 and 67.17±23.36,respectively.Self-management was positively correlated with discharge readiness(r=0.304,P<0.001),and social support was positively correlated with discharge readiness(r=0.311,P<0.001).Educational level(β=0.178,P=0.008),self-management(β=0.206,P=0.003),and social support(β=0.172,P=0.012)were positive predictors of discharge readiness,which was also affected by the payment method(β=-0.133,P=0.044).The total effect of self-management on discharge readiness was 0.19(P<0.001),and the direct effect was 0.13(68.42%),the mediating effect of social support between self-management and discharge readiness was 0.06(31.58%).Conclusion SCI resultes in insufficient discharge readiness of NB patients,and social support plays a partial mediating effect between their self-management ability and readiness for discharge.
作者
张艳艳
孙菁妮
朱凤英
杜以君
赵常梅
曹兴涛
张媛
吕明
ZHANG Yanyan;SUN Jingni;ZHU Fengying;DU Yijun;ZHAO Changmei;CAO Xingtao;ZHANG Yuan;LYU Ming(Department of Epidemiology and Health Statistics,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,Shandong,China;Rehabilitation Center,Qilu Hospital of Shangdong University,Jinan 250012,Shandong,China;Department of Rehabilitation Medicine,The Fourth People's Hospital of Jinan,Jinan 250031,Shandong,China;Department of Rehabilitation Medicine,Chengwu People's Hospital,Chengwu 274200,Shandong,China;Department of Orthopaedic Rehabilitation,Juxian People's Hospital,Juxian 276599,Shandong,China;Third Department of Rehabilitation Medicine,Linyi Rehabilitation Hospital,Linyi 276023,Shandong,China;Clinical Epidemiology Unit,Qilu Hospital of Shandong University,Jinan 250012,Shandong,China;Clinical Research Center of Shandong University,Jinan 250012,Shandong,China)
出处
《山东大学学报(医学版)》
北大核心
2025年第3期117-124,共8页
Journal of Shandong University:Health Sciences
基金
山东省人文社会科学应用研究课题(2022-YYFX-10)。
关键词
神经源性膀胱
自我管理
社会支持
出院准备度
中介效应
Neurogenic bladder
Self-management
Social support
Readiness for hospital discharge
Mediating effect
