School of Nursing, Suzhou Medical College of Soochow University, Suzhou, China.
Department of Neurosurgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Jpn J Nurs Sci. 2023 Jul;20(3):e12532. doi: 10.1111/jjns.12532. Epub 2023 Mar 25.
To test the contributions of self-efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI).
One hundred and twenty-two participants with SCI were recruited from the spinal surgery department at a large general hospital. During the period before discharge after surgery, standardized self-assessment questionnaires were used to collect data on patient activation, self-efficacy, resilience, social support, anxiety, depression, demographics (age, gender, education, marital status), and disease-related information (etiologies, level of injury, American Spinal Injury Association Impairment Scale score). Hierarchical regression analysis, mediation analysis, and moderation analysis were performed in SPSS, Amos, and Jamovi to determine the influencing factors of patient activation.
Self-efficacy, resilience, social support, anxiety, and depression uniquely explained 38.2% (p < .001) of the variance in patient activation after controlling for demographic and disease-related covariates. The full model explained 53.7% (p < .001) of the variance in patient activation. In the mediation analysis, self-efficacy, resilience, and social support had partial mediating effects (p < .05). In the moderation analysis, marital status moderated the relationship between self-efficacy and patient activation (p < .05).
Activation of persons with SCI is a positive psychosocial resource related to higher self-efficacy, resilience, and social support. Marital status may affect activation in persons with SCI. The causal relationship between these psychosocial variables needs to be proved by further intervention studies.
测试自我效能感、韧性、社会支持以及负面情绪（即焦虑、抑郁）对脊髓损伤（SCI）患者患者激活的贡献。
从一家大型综合医院的脊柱外科部门招募了 122 名 SCI 参与者。在手术出院前期间，使用标准化自我评估问卷收集患者激活、自我效能感、韧性、社会支持、焦虑、抑郁、人口统计学（年龄、性别、教育、婚姻状况）和疾病相关信息（病因、损伤程度、美国脊髓损伤协会损伤量表评分）的数据。在 SPSS、Amos 和 Jamovi 中进行层次回归分析、中介分析和调节分析，以确定患者激活的影响因素。
在控制人口统计学和疾病相关协变量后，自我效能感、韧性、社会支持、焦虑和抑郁共同解释了患者激活的 38.2%（p<0.001）的方差。全模型解释了患者激活的 53.7%（p<0.001）的方差。在中介分析中，自我效能感、韧性和社会支持具有部分中介效应（p<0.05）。在调节分析中，婚姻状况调节了自我效能感和患者激活之间的关系（p<0.05）。
SCI 患者的激活是一种积极的社会心理资源，与更高的自我效能感、韧性和社会支持有关。婚姻状况可能会影响 SCI 患者的激活。这些社会心理变量之间的因果关系需要通过进一步的干预研究来证明。
