Journal of Shanghai Jiao Tong University (Medical Science) ›› 2024, Vol. 44 ›› Issue (8): 959-967.doi: 10.3969/j.issn.1674-8115.2024.08.004
• Clinical nursing • Previous Articles Next Articles
XU Jiale1(), FU Liqin2, WU Hong2, ZAN Jiaojiao2, WU Jing1()
Received:
2023-10-05
Accepted:
2024-03-04
Online:
2024-08-28
Published:
2024-08-27
Contact:
WU Jing
E-mail:2547969055@qq.com;qingqing20030511@163.com
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CLC Number:
XU Jiale, FU Liqin, WU Hong, ZAN Jiaojiao, WU Jing. Mediating effect of rehabilitation self-efficacy on perceived social support and rehabilitation exercise adherence in hospitalized patients after hip/knee arthroplasty[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2024, 44(8): 959-967.
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URL: https://xuebao.shsmu.edu.cn/EN/10.3969/j.issn.1674-8115.2024.08.004
Item | Total/n(%) | PSSS score/score | REAS score/score | SER score/score |
---|---|---|---|---|
Gender | ||||
Male | 51 (36.2) | 66.76±11.14 | 11.98±2.42 | 100.86±22.25 |
Female | 90 (63.8) | 69.15±10.71 | 11.90±2.22 | 100.22±21.52 |
t value | 1.576 | 0.040 | 0.028 | |
P value | 0.211 | 0.842 | 0.867 | |
Age | ||||
≤60 years old | 39 (27.7) | 66.67±11.52 | 11.92±2.33 | 97.87±23.29 |
>60 years old | 102 (72.3) | 68.91±10.63 | 11.93±2.28 | 101.44±21.11 |
t value | 1.201 | 0.000 | 0.761 | |
P value | 0.275 | 0.985 | 0.384 | |
Job | ||||
Retirement | 78 (55.3) | 69.31±10.97 | 12.02±2.30 | 102.13±21.95 |
Worker | 13 (9.2) | 63.46±13.23 | 11.92±2.14 | 90.46±34.36 |
Farmer | 29 (20.6) | 67.59±10.58 | 11.59±2.47 | 101.72±15.06 |
Other | 21 (14.9) | 68.48±9.20 | 12.05±2.20 | 98.67±18.33 |
F value | 1.124 | 0.278 | 1.157 | |
P value | 0.341 | 0.841 | 0.329 | |
Education | ||||
Elementary school and below | 44 (31.2) | 69.18±11.59 | 11.84±2.21 | 103.23±24.69 |
Junior high school | 43 (30.5) | 66.05±10.43 | 11.70±2.50 | 97.09±21.21 |
High school/secondary school | 35 (24.8) | 68.94±10.57 | 12.34±2.11 | 100.63±21.72 |
Junior college and above | 19 (13.5) | 70.10±10.86 | 11.89±2.35 | 101.32±14.88 |
F value | 0.923 | 0.546 | 0.588 | |
P value | 0.431 | 0.652 | 0.624 | |
Family monthly income | ||||
≤3 000 yuan | 40 (28.4) | 66.95±11.37 | 11.05±2.36 | 99.75±20.00 |
3 001‒5 000 yuan | 49 (34.8) | 67.80±11.30 | 11.94±2.29 | 101.16±19.08 |
5 001‒10 000 yuan | 38 (27.0) | 67.84±10.03 | 12.68±1.93 | 101.08±24.19 |
>10 000 yuan | 14 (9.9) | 75.07±8.65 | 12.36±2.34 | 98.29±29.28 |
F value | 2.116 | 3.714 | 0.087 | |
P value | 0.101 | 0.013 | 0.967 | |
Place of residence | ||||
Town/city | 111 (78.7) | 68.44±10.91 | 11.96±2.32 | 101.23±20.25 |
Country | 30 (21.3) | 67.73±10.96 | 11.83±2.20 | 97.60±26.62 |
t value | 0.099 | 0.066 | 0.657 | |
P value | 0.753 | 0.797 | 0.419 | |
Living condition | ||||
Living alone | 21 (14.9) | 70.48±10.78 | 12.00±2.10 | 95.19±16.71 |
Not living alone | 120 (85.1) | 67.91±10.91 | 11.92±2.33 | 101.38±22.40 |
t value | 0.994 | 0.024 | 1.455 | |
P value | 0.321 | 0.878 | 0.230 | |
Previous hospitalisation history | ||||
Yes | 109 (77.3) | 68.72±11.28 | 11.92±2.23 | 98.89±19.92 |
No | 32 (22.7) | 66.84±9.44 | 11.97±2.51 | 105.78±26.62 |
t value | 0.730 | 0.012 | 2.520 | |
P value | 0.395 | 0.912 | 0.115 | |
Previous surgical history | ||||
Yes | 87 (61.7) | 69.97±10.71 | 12.02±2.25 | 98.77±20.37 |
No | 54 (38.3) | 65.59±10.73 | 11.78±2.37 | 103.17±23.65 |
t value | 5.548 | 0.381 | 1.370 | |
P value | 0.020 | 0.538 | 0.244 | |
Joint replacement history | ||||
Yes | 26 (18.4) | 67.31±12.18 | 11.87±2.29 | 98.35±22.53 |
No | 115 (81.6) | 68.51±10.62 | 12.19±2.32 | 100.93±21.59 |
t value | 0.258 | 0.420 | 0.299 | |
P value | 0.612 | 0.518 | 0.585 | |
Chronic medical history | ||||
Yes | 82 (58.2) | 68.54±10.43 | 12.01±2.29 | 101.17±17.25 |
No | 59 (41.8) | 67.95±11.58 | 11.81±2.31 | 99.46±26.84 |
t value | 0.099 | 0.257 | 0.212 | |
P value | 0.753 | 0.613 | 0.646 | |
Joint replacement site | ||||
Knee | 71 (50.4) | 69.31±10.99 | 11.68±2.10 | 102.45±22.48 |
Hip | 70 (49.6) | 67.26±10.77 | 12.19±2.46 | 98.43±20.87 |
t value | 1.255 | 1.757 | 1.212 | |
P value | 0.265 | 0.187 | 0.273 |
Tab 1 Comparison of PSSS, REAS and SER scores in patients after hip/knee arthroplasty with different demographic characteristics
Item | Total/n(%) | PSSS score/score | REAS score/score | SER score/score |
---|---|---|---|---|
Gender | ||||
Male | 51 (36.2) | 66.76±11.14 | 11.98±2.42 | 100.86±22.25 |
Female | 90 (63.8) | 69.15±10.71 | 11.90±2.22 | 100.22±21.52 |
t value | 1.576 | 0.040 | 0.028 | |
P value | 0.211 | 0.842 | 0.867 | |
Age | ||||
≤60 years old | 39 (27.7) | 66.67±11.52 | 11.92±2.33 | 97.87±23.29 |
>60 years old | 102 (72.3) | 68.91±10.63 | 11.93±2.28 | 101.44±21.11 |
t value | 1.201 | 0.000 | 0.761 | |
P value | 0.275 | 0.985 | 0.384 | |
Job | ||||
Retirement | 78 (55.3) | 69.31±10.97 | 12.02±2.30 | 102.13±21.95 |
Worker | 13 (9.2) | 63.46±13.23 | 11.92±2.14 | 90.46±34.36 |
Farmer | 29 (20.6) | 67.59±10.58 | 11.59±2.47 | 101.72±15.06 |
Other | 21 (14.9) | 68.48±9.20 | 12.05±2.20 | 98.67±18.33 |
F value | 1.124 | 0.278 | 1.157 | |
P value | 0.341 | 0.841 | 0.329 | |
Education | ||||
Elementary school and below | 44 (31.2) | 69.18±11.59 | 11.84±2.21 | 103.23±24.69 |
Junior high school | 43 (30.5) | 66.05±10.43 | 11.70±2.50 | 97.09±21.21 |
High school/secondary school | 35 (24.8) | 68.94±10.57 | 12.34±2.11 | 100.63±21.72 |
Junior college and above | 19 (13.5) | 70.10±10.86 | 11.89±2.35 | 101.32±14.88 |
F value | 0.923 | 0.546 | 0.588 | |
P value | 0.431 | 0.652 | 0.624 | |
Family monthly income | ||||
≤3 000 yuan | 40 (28.4) | 66.95±11.37 | 11.05±2.36 | 99.75±20.00 |
3 001‒5 000 yuan | 49 (34.8) | 67.80±11.30 | 11.94±2.29 | 101.16±19.08 |
5 001‒10 000 yuan | 38 (27.0) | 67.84±10.03 | 12.68±1.93 | 101.08±24.19 |
>10 000 yuan | 14 (9.9) | 75.07±8.65 | 12.36±2.34 | 98.29±29.28 |
F value | 2.116 | 3.714 | 0.087 | |
P value | 0.101 | 0.013 | 0.967 | |
Place of residence | ||||
Town/city | 111 (78.7) | 68.44±10.91 | 11.96±2.32 | 101.23±20.25 |
Country | 30 (21.3) | 67.73±10.96 | 11.83±2.20 | 97.60±26.62 |
t value | 0.099 | 0.066 | 0.657 | |
P value | 0.753 | 0.797 | 0.419 | |
Living condition | ||||
Living alone | 21 (14.9) | 70.48±10.78 | 12.00±2.10 | 95.19±16.71 |
Not living alone | 120 (85.1) | 67.91±10.91 | 11.92±2.33 | 101.38±22.40 |
t value | 0.994 | 0.024 | 1.455 | |
P value | 0.321 | 0.878 | 0.230 | |
Previous hospitalisation history | ||||
Yes | 109 (77.3) | 68.72±11.28 | 11.92±2.23 | 98.89±19.92 |
No | 32 (22.7) | 66.84±9.44 | 11.97±2.51 | 105.78±26.62 |
t value | 0.730 | 0.012 | 2.520 | |
P value | 0.395 | 0.912 | 0.115 | |
Previous surgical history | ||||
Yes | 87 (61.7) | 69.97±10.71 | 12.02±2.25 | 98.77±20.37 |
No | 54 (38.3) | 65.59±10.73 | 11.78±2.37 | 103.17±23.65 |
t value | 5.548 | 0.381 | 1.370 | |
P value | 0.020 | 0.538 | 0.244 | |
Joint replacement history | ||||
Yes | 26 (18.4) | 67.31±12.18 | 11.87±2.29 | 98.35±22.53 |
No | 115 (81.6) | 68.51±10.62 | 12.19±2.32 | 100.93±21.59 |
t value | 0.258 | 0.420 | 0.299 | |
P value | 0.612 | 0.518 | 0.585 | |
Chronic medical history | ||||
Yes | 82 (58.2) | 68.54±10.43 | 12.01±2.29 | 101.17±17.25 |
No | 59 (41.8) | 67.95±11.58 | 11.81±2.31 | 99.46±26.84 |
t value | 0.099 | 0.257 | 0.212 | |
P value | 0.753 | 0.613 | 0.646 | |
Joint replacement site | ||||
Knee | 71 (50.4) | 69.31±10.99 | 11.68±2.10 | 102.45±22.48 |
Hip | 70 (49.6) | 67.26±10.77 | 12.19±2.46 | 98.43±20.87 |
t value | 1.255 | 1.757 | 1.212 | |
P value | 0.265 | 0.187 | 0.273 |
Effect | Effect value | 95%CI | P value |
---|---|---|---|
Perceived social support →Rehabilitation self-efficacy→ Rehabilitation exercise adherence (indirect effect) | 0.033 | 0.017‒0.058 | 0.000 |
Perceived social support →Rehabilitation exercise adherence (direct effect) | 0.027 | -0.008‒0.065 | 0.130 |
Perceived social support →Rehabilitation exercise adherence (total effect) | 0.060 | 0.025‒0.107 | 0.002 |
Tab 2 Bootstrap results on the mediating effect of rehabilitation self-efficacy between perceived social support and rehabilitation exercise adherence
Effect | Effect value | 95%CI | P value |
---|---|---|---|
Perceived social support →Rehabilitation self-efficacy→ Rehabilitation exercise adherence (indirect effect) | 0.033 | 0.017‒0.058 | 0.000 |
Perceived social support →Rehabilitation exercise adherence (direct effect) | 0.027 | -0.008‒0.065 | 0.130 |
Perceived social support →Rehabilitation exercise adherence (total effect) | 0.060 | 0.025‒0.107 | 0.002 |
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