Multiple mediation effects of health locus of control and hope on the relationship between stroke patients’ social support and self-management

Abstract

ObjectiveThis study aimed to identify the mediation effects of health locus of control (HLC) and hope between stroke patients’ social support and self-management.MethodsA cross-sectional study was conducted. A total of 300 Chinese stroke patients were recruited by convenient sampling from the acupuncture department of two Chinese Traditional Medical Hospitals in Tianjin Province from June to September 2018. The self-report questionnaires include Social Support Assessment Scale, Herth Hope Index, Mental Health Locus of Control Scale, Stroke Self-management Behavior Scale, and personal information questionnaires. All the survey data were entered in Excel and analyzed using the SPSS 24.0 program. Mediation was tested with Bootstrapping in AMOS 23.0 program.ResultsThe result showed that internal health locus of control (IHLC), chance health locus of control (CHLC) and hope were the mediators between social support and self-management. The direct, indirect, and total effects of social support on self-management behavior were 0.306 P < 0.01), 0.109 (P < 0.01), and 0.415 (P < 0.01), respectively.ConclusionsSocial support can directly influence self-management, and it can also indirectly influence self-management through IHLC, CHLC, and hope.

Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study

“…More importantly, hope plays a partial mediating role between social support and self-management. Lei et al (2020) demonstrated that hope plays a mediating role in social support and self-management in stroke patients. Bao et al (2019) reported that hope can function as a mediator between social support and depressive symptoms among patients with central nervous system tumors.…”

Umiestnenie kontroly vo vzťahu ku zdraviu, adherencia k liečbe a sociálna opora pri rekonvalescencii pacientov po prekonaní cievnej mozgovej príhody

“…Výsledky ukázali pozitívny vzťah medzi interným presvedčením a self managementom po prekonaní CMP a negatívny vzťah medzi externým presvedčením a self-managementom po prekonaní CMP. Interné presvedčenie tiež pozitívne mediovalo vzťah medzi sociálnou oporou a self-managementom po prekonaní CMP (Lei, 2020).…”