Effect of social support and general self-efficacy on social participation of bladder cancer patients undergoing urinary diversion through abdominal wall stoma
Effect of social support and general self-efficacy on social participation of bladder cancer patients undergoing urinary diversion through abdominal wall stoma
Objective To explore the effects of social support and general self-efficacy on social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma,and to verify the mediating effects of general self-efficacy on social support and social participation.Methods A total of 145 bladder cancer patients undergoing urinary diversion through abdominal wall stoma and discharged 6 months after surgery from the Department of Urology of the Second Hospital of Dalian Medical University,the First Affiliated Hospital of Dalian Medical University and Dalian Municipal Cen-tral Hospital from November 2019 to December 2020 were selected as the research objects.Social support rating scale,gen-eral self-efficacy scale,social dysfunction screening list and general situation questionnaire were used to investigate the ef-fects of social support and general self-efficacy on social participation in bladder cancer patients undergoing urinary diver-sion through abdominal wall stoma.Results The total scores of social participation,social support and general self-efficacy were(5.98±4.12),(31.10±5.43)and(2.24±0.64)points in patients with bladder cancer.Correlation analysis showed that the total score of social participation,total score of social support and general self-efficacy were negatively correlated(P＜0.001).Regression analysis showed that the total score of social support and general self-efficacy were the influencing fac-tors of social participation score(P＜0.01).Pathway analysis showed that general self-efficacy had partial mediating effect between social support and social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma,and the mediating effect accounted for 50.088％of the total effect.Conclusion Both social support and general self-efficacy can significantly affect social participation in bladder cancer patients undergoing urinary diversion through ab-dominal wall stoma.General self-efficacy has partial mediating role in the influence of social support on social participation.
关键词
膀胱癌尿流改道腹壁造口/社会支持/一般自我效能感/社会参与/影响因素/中介效应
Key words
Bladder cancer undergoing urinary diversion through abdominal wall stoma/Social support/General self-effi-cacy/Social participation/Influencing factor/Mediating effect
维普
万方数据