Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (3): 117-124.doi: 10.6040/j.issn.1671-7554.0.2024.1095

• Public Health & Preventive Medicine • Previous Articles    

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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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

CLC Number: 

  • R473.6
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