Li Pin, Li Yongheng, He Caiyun, Wang Hengxu, Yin Xiaomin, Jiang Yuanyuan, Yin Tao
Department of Nursing, The Fourth Hospital of Changsha (Integrated Traditional Chinese and Western Medicine Hospital of Changsha, Changsha Hospital of Hunan Normal University), Changsha, 410006, People's Republic of China.
School of Nursing, Department of Medicine, Hunan Normal University, Changsha, 410013, People's Republic of China.
J Multidiscip Healthc. 2025 Apr 16;18:2131-2140. doi: 10.2147/JMDH.S510415. eCollection 2025.
This study aimed to explore social support on health promotion behavior among patient with thyroid cancer and to investigate the mediating effect of patient activation in this relationship.
This study used a cross-sectional correlational design. A convenience sample of 618 thyroid cancer patients from two hospitals in Hunan Province, China, was included in the study. Data were collected from April to November 2023. The survey tools include: the General Information Questionnaire, Patient Activation Scale, Health Promoting Lifestyle Scale Chinese Revised Version, Social Support Rating Scale. Structural equation modeling and bootstrapping were used to analyze the mediating effect of patient activation on social support and health promotion behavior.
Social support was positively correlated with health promotion behavior (= 0.360, <0.001), social support was positively correlated with patient activation (=0.293, <0.001), patient activation was positively correlated with health promotion behavior (=0.541, <0.001). Patient activation partially mediated the impact of social support and health promotion behavior, accounting for 33.03% of the total effect.
Thyroid cancer patients' health behavior need to be improved. Medical professionals ought to devise an intervention strategy based on pathways that influence health promotion behaviors among thyroid cancer patients. This approach aims to improve social support and patient activation, in order to promote the improvement of health promotion behavior, ultimately reducing the burden of medical care.
本研究旨在探讨社会支持对甲状腺癌患者健康促进行为的影响，并调查患者激活在这种关系中的中介作用。
本研究采用横断面相关设计。研究纳入了来自中国湖南省两家医院的618例甲状腺癌患者的便利样本。数据收集于2023年4月至11月。调查工具包括：一般信息问卷、患者激活量表、健康促进生活方式量表中文版、社会支持评定量表。采用结构方程模型和Bootstrap法分析患者激活在社会支持与健康促进行为之间的中介作用。
社会支持与健康促进行为呈正相关（= 0.360，<0.001），社会支持与患者激活呈正相关（=0.293，<0.001），患者激活与健康促进行为呈正相关（=0.541，<0.001）。患者激活部分中介了社会支持与健康促进行为之间的关系，占总效应的33.03%。
甲状腺癌患者的健康行为有待改善。医学专业人员应基于影响甲状腺癌患者健康促进行为的途径制定干预策略。这种方法旨在提高社会支持和患者激活水平，以促进健康促进行为的改善，最终减轻医疗负担。
