Social support and self-efficacy multiply mediate the relationship between medical coping style and resilience in patients with type A aortic dissection

Hong, Miaoxuan; Zhang, Rong; Zhu, Jingde; Tan, Wenxuan

doi:10.3389/fpsyt.2023.1174038

Cited by 6 publications

(2 citation statements)

References 46 publications

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“…The assessment adopts a 4-point Likert scale methodology, wherein higher scores denote increased levels of hope. The retest reliability of the Chinese version was 0.920, and its Cronbach's α coefficient was 0.870 (Zhang, 2006).…”

Section: Herth Hope Indexmentioning

confidence: 96%

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Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Zhang,

Cheng,

Liang

et al. 2024

Front. Psychol.

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BackgroundCataracts, characterized by a decrease in vision due to the clouding of the lens, can progress to blindness in advanced stages. The rising incidence of cataract cases has led to a significant number of patients experiencing negative emotions associated with vision loss, thereby diminishing their quality of life. In clinical practice, it is imperative for healthcare professionals to consider the psychological well-being of cataract patients. Currently, there is a scarcity of research focusing on psychological evaluations, such as assessing feelings of meaninglessness among individuals with cataracts.ObjectiveThis study aims to investigate the factors influencing the anxiety of existential meaninglessness and to explore the relationships among existential anxiety, Herth hope index levels and fear of progression in the elderly cataract-affected population. Additionally, it evaluates the effectiveness of Orem’s nursing care strategies.MethodsUtilizing a sociodemographic questionnaire, the Existential Meaninglessness Anxiety Scale (EM-A), Herth Hope Index Level Scale, and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), this research employed convenience sampling for a cross-sectional and intervention study. The retrospective study sample comprised 1,029 individuals, while the intervention study included 317. The intervention design assessed psychological changes in existential meaninglessness following Orem’s preoperative nursing interventions. Multiple linear regression analysis was employed to ascertain the determinants of EM-A within the population of elderly patients with senile cataracts. Pearson correlation analysis elucidated the relationship between EM-A, levels of hope, and the FoP-Q-SF among this demographic. Subsequent investigations, utilizing a t-test, evaluated the effects by comparing the data before and after the implementation of the interventions.ResultsThe correlation between EM-A, hope levels, and FoP-Q-SF was statistically significant (p < 0.05). Factors such as age, education level, alcohol consumption habits, hope levels, and FoP-Q-SF scores significantly affected EM-A scores (p < 0.05). Orem’s nursing framework significantly reduced existential anxiety (p < 0.05).ConclusionAmong elderly patients with cataracts, existential anxiety was generally moderate. Hope levels and fear of progression were closely associated with the EM-A. The novel Orem preoperative care model effectively addresses clinical issues. In clinical practice, it is crucial to address psychological problems and enhance patients’ quality of life.

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Section: Herth Hope Indexmentioning

confidence: 96%

“…Participants were asked to complete the Chinese versions of the Existential Meaninglessness Anxiety Scale (EM-A) (Yanli et al, 2022), the Herth Hope Index (Zhang, 2006), and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF) (Qiyun et al, 2015).…”

Section: Measurementsmentioning

confidence: 99%

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Zhang,

Cheng,

Liang

et al. 2024

Front. Psychol.

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Relationship between perceived social support and postgraduate students’ general self-efficacy: a mediated model with moderation

Zhang,

Cao,

Lei

et al. 2023

Curr Psychol

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Hypertension self-management trajectory patterns and associated factors among Chinese patients with aortic dissection after surgical repair: A longitudinal study

Zeng,

Wang,

Cao

2024

European Journal of Cardiovascular Nursing

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Aims In patients with aortic dissection (AD) after surgical repair, especially those with hypertension, better management of blood pressure is associated with better health outcomes. The aim of this study is to identify hypertension self-management trajectory patterns and associated factors among Chinese aortic dissection patients after surgical repair to assist in developing tailored behavioural interventions for this population. Methods and results 178 patients with aortic dissection who underwent surgical repair were followed for 3 months. Data on hypertension self-management, hypertension knowledge, self-efficacy, and social support were collected before discharge and at 1 and 3 months after discharge. Sociodemographic and clinical data were also collected. A latent class growth model and generalized estimating equations were used to explore hypertension self-management trajectory patterns and factors associated with each pattern. The participants’ average age was 57.95 (± 11.27) years. Two hypertension self-management trajectory patterns were identified: ‘rapid ascent then suppressed growth’ (93.4%) and ‘continuously slow ascent’ (6.6%). For the ‘rapid ascent then suppressed growth’ pattern, age, educational background, type of health insurance, family monthly income, self-efficacy, and social support were associated with this pattern (P < 0.05). Conclusion Healthcare providers may prioritize hypertension self-management for patients who are younger, have lower educational levels, have resident or employee medical insurance and have a family monthly income between 5001 and 10 000 yuan. Self-efficacy and social support might serve as targets for future intervention to improve hypertension self-management. Registration ChiCTR2100050542.

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Social support and self-efficacy multiply mediate the relationship between medical coping style and resilience in patients with type A aortic dissection

Cited by 6 publications

References 46 publications

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Relationship between perceived social support and postgraduate students’ general self-efficacy: a mediated model with moderation

Hypertension self-management trajectory patterns and associated factors among Chinese patients with aortic dissection after surgical repair: A longitudinal study

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