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山东大学学报 (医学版) ›› 2025, Vol. 63 ›› Issue (3): 117-124.doi: 10.6040/j.issn.1671-7554.0.2024.1095

• 公共卫生与预防医学 • 上一篇    

社会支持在脊髓损伤致神经源性膀胱患者自我管理与出院准备度间的中介作用

张艳艳1,2,孙菁妮3,朱凤英4,杜以君2,赵常梅5,曹兴涛6,张媛7,8,吕明1,7,8   

  1. 1.山东大学齐鲁医学院公共卫生学院流行病与卫生统计学系, 山东 济南 250012;2.山东大学齐鲁医院康复中心, 山东 济南 250012;3.济南市第四人民医院康复医学科, 山东 济南 250031;4.成武县人民医院康复医学科, 山东 成武 274200;5.莒县人民医院骨科康复科, 山东 莒县 276599;6.临沂市康复医院康复医学三科, 山东 临沂 276023;7.山东大学齐鲁医院临床流行病学研究室, 山东 济南 250012;8.山东大学临床研究中心, 山东 济南 250012
  • 发布日期:2025-04-08
  • 通讯作者: 张媛. E-mail:zhangyuan@qiluhospital.com吕明. E-mail:lvming@sdu.edu.cn
  • 基金资助:
    山东省人文社会科学应用研究课题(2022-YYFX-10)

Mediating effect of social support between self-management and discharge readiness in patients with SCI neurogenic bladder

ZHANG Yanyan1,2, SUN Jingni3, ZHU Fengying4, DU Yijun2, ZHAO Changmei5, CAO Xingtao6, ZHANG Yuan7,8, LYU Ming1,7,8   

  1. 1. Department of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Rehabilitation Center, Qilu Hospital of Shangdong University, Jinan 250012, Shandong, China;
    3. Department of Rehabilitation Medicine, The Fourth Peoples Hospital of Jinan, Jinan 250031, Shandong, China;
    4. Department of Rehabilitation Medicine, Chengwu Peoples Hospital, Chengwu 274200, Shandong, China;
    5. Department of Orthopaedic Rehabilitation, Juxian Peoples Hospital, Juxian 276599, Shandong, China;
    6. Third Department of Rehabilitation Medicine, Linyi Rehabilitation Hospital, Linyi 276023, Shandong, China;
    7. Clinical Epidemiology Unit, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    8. Clinical Research Center of Shandong University, Jinan 250012, Shandong, China
  • Published:2025-04-08

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摘要： 目的 探讨脊髓损伤(spinal cord injury, SCI)致神经源性膀胱(neurogenic bladder, NB)患者自我管理、社会支持及出院准备度现状,分析社会支持在自我管理与出院准备度间的中介效应。 方法 选取2023年11月至2024年5月山东省内包括三级医院、康复专科医院、民营康复机构等20家医疗单位的222例SCI致NB患者进行面对面问卷调查。采用Pearson法、单因素分析、多元线性回归分析及Bootstrap法进行统计分析。 结果 222例SCI致NB患者的自我管理能力量表得分为(116.09±36.92)分,社会支持量表得分为(37.55±8.55)分,出院准备度量表得分为(67.17±23.36)分;自我管理与出院准备度呈正相关(r=0.304,P<0.001),社会支持与出院准备度呈正相关(r=0.311,P<0.001);受教育程度(β=0.178,P =0.008)、自我管理(β=0.206,P=0.003)和社会支持(β=0.172,P=0.012)正向预测出院准备度,缴费方式(β=-0.133,P=0.044)影响出院准备度;自我管理对出院准备度的总效应为0.19(P<0.001),其中直接效应为0.13(68.42%),社会支持在自我管理与出院准备度间的中介效应为0.06(31.58%)。 结论 SCI致NB患者出院准备度不足,社会支持在患者自我管理与出院准备度间起到部分中介效应。

关键词: 神经源性膀胱, 自我管理, 社会支持, 出院准备度, 中介效应

Abstract: Objective To investigate the status of self-management, social support and discharge readiness for patients with neurogenic bladder(NB)resulting from spinal cord injury(SCI), and to analyze the mediating effect of social support between self-management and discharge readiness in patients. Methods A total of 222 patients with NB due to SCI were recruited from 20 medical units in Shandong Province, including tertiary hospitals, specialist rehabilitation hospitals, and private rehabilitation institutions, from November 2023 to May 2024. Face-to-face questionnaire surveys were conducted. Pearson correlation, univariate analysis, multiple linear regression analysis, and bootstrap method were employed for statistical analysis. Results The mean scores for self-management ability, social support and readiness for discharge among 222 patients with NB caused by SCI were 116.09±36.92, 37.55±8.55 and 67.17±23.36, respectively. Self-management was positively correlated with discharge readiness (r=0.304, P<0.001), and social support was positively correlated with discharge readiness(r=0.311, P<0.001). Educational level (β=0.178, P=0.008), self-management(β=0.206, P=0.003), and social support(β=0.172, P=0.012)were positive predictors of discharge readiness, which was also affected by the payment method(β=-0.133, P=0.044). The total effect of self-management on discharge readiness was 0.19(P<0.001), and the direct effect was 0.13(68.42%), the mediating effect of social support between self-management and discharge readiness was 0.06(31.58%). Conclusion SCI resultes in insufficient discharge readiness of NB patients, and social support plays a partial mediating effect between their self-management ability and readiness for discharge.

Key words: Neurogenic bladder, Self-management, Social support, Readiness for hospital discharge, Mediating effect

中图分类号: 

  • R473.6
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