Childhood maltreatment and suicide ideation: A possible mediation of social support

BACKGROUND Existing literature suggests a positive link between childhood maltreatment(CM)and suicide ideation(SI).Nevertheless,whether social support significantly mediates this association remains unknown.AIM To investigate whether social support significantly mediates the association between CM and SI.METHODS In this cross-sectional study of 4732 adolescents from southwest China,we intended to discuss the association between CM and multiple types of SI.In addition,the mediation of major types of social support in this association was also investigated.A self-administrated questionnaire was used to collect the data.A series of multivariate logistic regression models were employed to estimate the association between different types of CM,social support,and SI.The possible mediation of social support in the association between CM and SI was assessed using the path model.RESULTS Based on the cutoffs for subscales of Childhood Trauma Questionnaire,928(19.61%),1269(26.82%),595(12.57%),2337(49.39%),and 3067(64.81%)respondents reported physical abuse,emotional abuse,sexual abuse,physical neglect,and emotional neglect,respectively.Among all the social sources,parental support presented as a significant mediator in the association between emotional maltreatment,both abuse and neglect,and all three types of SI:1-wk,1-year,and lifetime.Parental social support mediated 5.31%and 29.23%,4.80%and 24.50%,and 7.04%and 44.42%of the overall emotional abuse-SI and emotional neglect-SI associations,respectively.CONCLUSION Our findings suggest that improving parental social support might be effective in preventing suicidal risk related to childhood emotional maltreatment in adolescents.

Multiple mediation effects of health locusof control and hope on the relationshipbetween stroke patients’ social supportand self-management

Objective:This study aimed to identify the mediation effects of health locus of control(HLC)and hope between stroke patients’social support and self-management.Methods:A cross-sectional study was conducted.A total of 300 Chinese stroke patients were recruited by convenient sampling from the acupuncture department of two Chinese Traditional Medical Hospitals in Tianjin Province from June to September 2018.The self-report questionnaires include Social Support Assessment Scale,Herth Hope Index,Mental Health Locus of Control Scale,Stroke Self-management Behavior Scale,and personal information questionnaires.All the survey data were entered in Excel and analyzed using the SPSS 24.0 program.Mediation was tested with Bootstrapping in AMOS 23.0 program.Results:The result showed that internal health locus of control(IHLC),chance health locus of control(CHLC)and hope were the mediators between social support and self-management.The direct,indirect,and total effects of social support on self-management behavior were 0.306 (P<0.01),0.109(P<0.01),and 0.415(P<0.01),respectively.Conclusions:Social support can directly influence self-management,and it can also indirectly influence self-management through IHLC,CHLC,and hope.

Community Workers’Social Support and Sleep Quality during the Coronavirus Disease 2019(COVID-19):A Moderated Mediation Model

To explore the relationship between social support and sleep quality of community workers in Wuhan during the coronavirus disease 2019(the COVID-19 infection epidemic),this research constructed a mediating effect model to explore the mediating psychological mechanism of social support influencing sleep quality of front-line community workers.A total of 500 front-line community workers in Wuhan were investigated.We used the perceived social support scale(PSSS),the Connor-Davidson Resilience Scale(CD-RISC),the perceived stress scale(PSS),and the Pittsburgh sleep quality index(PSQI)to measure social support,psychological resilience,perceived stress and sleep quality.Specifically,the higher the PSQI,the worse the sleep quality.Pearson correlation structural equation model was used to analyze the relationship between these factors.The results showed that:(1)There was a significant negative correlation between social support,psychological resilience,and perceived stress of community workers and PSQI,that means,the higher the level of social support,psychological resilience,and perceived stress,the higher the sleep quality.(2)Social support positively predicted psychological resilience and perceived stress,and perceived stress negatively predicted PSQI.(3)Social support can affect sleep quality through the mediating role of psychological resilience and perceived stress,and the mediating role includes two paths:the single mediating role of perceived stress and the chain mediating role of psychological resilience-perceived stress.(4)Gender moderates the relation-ship between social support and perceived stress,and the influence of social support on perceived stress of women is higher than that of men.Gender moderates the relationship between psychological resilience and PSQI,and only women’s psychological resilience had a negatively predictive effect on PSQI,while men did not,which means that psychological resilience of female frontline community workers can positively predict sleep quality.This research reveals the relationship between social support and sleep quality and its mechanism and verifies that social support can indirectly affect physical health through psychological resilience and perceived stress.It provides reference suggestions and intervention guidance for improving the sleep quality of community workers.

Mediating role of social support in dysphoria,despondency,and quality of life in patients undergoing maintenance hemodialysis

BACKGROUND Dysphoria and despondency are prevalent psychological issues in patients undergoing Maintenance Hemodialysis(MHD)that significantly affect their quality of life(QOL).High levels of social support can significantly improve the physical and mental well-being of patients undergoing MHD.Currently,there is limited research on how social support mediates the relationship between dysphoria,despondency,and overall QOL in patients undergoing MHD.It is imperative to investigate this mediating effect to mitigate dysphoria and despondency in patients undergoing MHD,ultimately enhancing their overall QOL.AIM To investigate the mediating role of social support in relationships between dysphoria,despondency,and QOL among patients undergoing MHD.METHODS Participants comprised 289 patients undergoing MHD,who were selected using a random sampling approach.The Social Support Rating Scale,Self-Rating Anxiety Scale,Self-Rating Depression Scale,and QOL Scale were administered.Correlation analysis was performed to examine the associations between social support,dysphoria,despondency,and QOL in patients undergoing MHD.To assess the mediating impact of social support on dysphoria,despondency,and QOL in patients undergoing MHD,a bootstrap method was applied.RESULTS Significant correlations among social support,dysphoria,despondency,and quality in patients undergoing MHD were observed(all P<0.01).Dysphoria and despondency negatively correlated with social support and QOL(P<0.01).Dysphoria and despondency had negative predictive impacts on the QOL of patients undergoing MHD(P<0.05).The direct effect of dysphoria on QOL was statistically significant(P<0.05).Social support mediated the relationship between dysphoria and QOL,and this mediating effect was significant(P<0.05).Similarly,the direct effect of despondency on QOL was significant(P<0.05).Moreover,social support played a mediating role between despondency and QOL,with a significant mediating effect(P<0.05).CONCLUSION These findings suggest that social support plays a significant mediating role in the relationship between dysphoria,despondency,and QOL in patients undergoing MHD.

The Relationship between Mental Health Literacy and Subjective Well-Being of Young and Middle-Aged Residents: Perceived the Mediating Role of Social Support and Its Urban-Rural Differences

This study investigates mental health literacy among young and middle-aged urban and rural residents and the differences in mental health literacy,perceived social support and subjective well-being.From January to February 2022,620 participants(320 rural and 300 urban residents)from three provinces of China were selected by con-venience sampling.A general data questionnaire,mental health literacy scale,perceived social support scale and subjective well-being scale were administered.The mental health literacy scores of urban residents were 3.34±0.57 and those of rural residents were 2.73±0.79.The results of multiple regression analysis showed that the mental health literacy scores of rural residents were more significant than those of urban residents in terms of sex and age,while urban residents’mental health literacy scores were more significant than those of rural resi-dents in terms of monthly income.Mental health literacy,perceived social support and subjective well-being of young and middle-aged urban and rural residents were all positively correlated(P<0.01).While the level of mental health literacy is better among urban residents than rural residents,perceived social support plays a partial mediating role between mental health literacy and subjective well-being of both urban and rural residents,and should be the focus of researchers seeking to improve the level of well-being of residents.

The Relationship between Rural Left-Behind Children’s Physical Activity and Hope:The Mediating Effects of Perceived Social Support

It has been confirmed in previous studies that there is a positive correlation between physical activity and hope.In this study,rural left-behind children in China was taken as the participants to investigate the impact of physical activity on hope in rural left-behind children and examine the mediating role of perceived social support in the relationship between physical activity and hope.797 valid copies of the questionnaire were collected from China.Pearson correlation coefficient was employed to analyze the relationship between physical activity and hope;SEM and Bootstrap were used to test the mediating effect of perceived social support.The results show that physical activity can not only directly and positively predict the level of hope in rural leftbehind children but can also predict the level of hope through perceived social support;perceived social support plays a mediating role in the relationship between physical activity and hope.These results highlight the necessity to pay more attention to the physical activity of left-behind children and the possibility to improve the level of hope by increasing their physical activity;at the same time,the acquisition of more material,emotional and psychological support from teachers and guardians is more conducive to improving the sense of hope in left-behind children.These findings can deepen the understanding of the sense of hope in left-behind children,and provide new methods for and enlightenments on improving the level of hope in left-behind children.

留守儿童领悟社会支持对学业情绪的影响——基于链式中介效应检验

为探讨留守儿童领悟社会支持对学业情绪的影响,并检验自尊和希望在此影响过程中的中介效应,课题组运用问卷调查法对1210名被试进行调查.结果表明,留守儿童的领悟社会支持正向预测积极学业情绪,负向预测消极学业情绪;自尊、希望在留守儿童领悟社会支持与学业情绪间起着链式中介作用.因此,家庭、学校、社区应当三方协同,提升留守儿童的社会支持水平,促使他们融入社会;积极引导,提高留守儿童的自尊水平;主动干预,促进留守儿童希望感的发展;采取多方面的措施,改善留守儿童的学业情绪.

领悟社会支持对突发公共卫生事件中一线人员正念干预效用中的中介效应

目的研究正念干预在突发公共卫生事件中一线人员中的效果,并考察领悟社会支持在正念干预效用中的中介效应。方法选择2021年3月至2022年4月在医院一线工作的200名医务人员为研究对象,按照随机数字表法分为对照组和观察组,每组100名。对照组给予常规心理干预,观察组给予正念干预。干预后比较两组医护人员的正念水平、领悟社会支持能力、睡眠质量和心理情况。分析以上四者之间的相关性,采用中介效应模型分析领悟社会支持在正念干预效用中的中介效应。结果干预后,观察组医护人员的正念水平和领悟社会支持量表评分明显高于对照组(P<0.05),观察组分别为(89.59±8.45)分和(88.48±8.53)分,对照组分别为(71.35±7.47)分和(76.34±7.58)分。观察组医护人员的睡眠质量和焦虑-抑郁-压力量表评分明显低于对照组(P<0.05),分别为(7.35±1.24)分和(16.46±2.29)分,对照组分别为(13.56±2.31)分和(29.48±3.05)分。医护人员的正念水平与领悟社会能力呈正相关,两者分别与焦虑-抑郁-压力和睡眠质量呈负相关。领悟社会支持在正念水平和正念干预效果中发挥中介效应,正念与睡眠质量的总效应值为-0.347,与焦虑之间为-0.439,与抑郁之间为-0.508,与压力之间为-0.395。结论正念干预能可直接或通过领悟社会支持能力间接作用,显著提高突发公共卫生事件中一线人员改善其睡眠质量及负面情绪,具有重要临床应用价值。

临床护士感知社会支持和抗逆力在职业倦怠与抑郁间的链式中介效应

目的探讨感知社会支持和抗逆力在临床护士职业倦怠对抑郁影响机制的多重中介作用,为开展干预以促进护士心理健康提供参考。方法基于资源保护理论,采用职业倦怠量表、感知社会支持量表、抗逆力量表和抑郁量表对1574名临床护士进行调查,构建并检验链式中介模型。结果护士职业倦怠得分为2.19(1.33,3.02)分,感知社会支持得分为71.00(59.00,80.00)分,抗逆力得分为30.00(22.00,34.00)分,抑郁得分为8.00(2.00,10.00)分;职业倦怠与感知社会支持及抗逆力呈负相关,与抑郁呈正相关,感知社会支持和抗逆力与抑郁呈负相关(均P<0.05)。职业倦怠对抑郁影响的总效应为0.441,感知社会支持和抗逆力在职业倦怠对抑郁的影响中起部分中介作用,中介效应分别占11.56%和14.74%,两者的链式中介效应占总效应的14.51%。结论临床护士职业倦怠和抑郁负性心理问题仍较为严重。感知社会支持和抗逆力在护士职业倦怠与抑郁间起链式中介作用。可通过提高护士群体的感知社会支持和抗逆力水平,以帮助其缓解职业倦怠对抑郁的影响,改善其心理健康。

负性生活事件对大学生手机依赖的影响:有调节的中介模型

目的:探究负性生活事件对大学生手机依赖的影响机制,考察归属需要和领悟社会支持在其中的中介和调节作用。方法:采用负性生活事件强度、归属需要满足程度、领悟社会支持水平和手机依赖程度的问卷对502名武汉高校大学生进行了问卷调查。结果:①负性生活事件与手机依赖显著正相关(r=0.392,P<0.01)。②归属需要满足在负性生活事件与手机依赖之间起部分中介作用(β=-0.280,t=-6.915,P<0.001,中介作用占总效应的18.64%)。③领悟社会支持对直接效应(β=0.330,t=10.997,P<0.001)和中介效应的前半段路径(β=-0.214,t=-7.060,P<0.001)起着调节作用,在直接路径中,低领悟社会支持会加剧负性生活事件对手机依赖的影响。在中介路径中,高领悟社会支持时,高负性生活事件对归属需要的影响较小,进而对手机依赖的影响较小。结论:负性生活事件能够显著预测大学生手机依赖,归属需要在负性生活事件和手机依赖之间起部分中间作用,“负性生活事件-手机依赖”的直接路径和“负性生活事件-归属需要-手机依赖”的前半段路径受到领悟社会支持的调节。

感恩对大学生生活满意度的影响:领悟社会支持和核心自我评价的链式中介作用

目的:探讨感恩与大学生生活满意度之间的关系,并考察领悟社会支持和核心自我评价在感恩对大学生生活满意度影响中的链式中介作用。方法:采用感恩量表(CGQ-6)、领悟社会支持量表(PSSS)、核心自我评价量表(CSES)和生活满意度量表(SWLS)对江苏省2所高校的大一到大五的508名大学生进行调查。结果:①相关分析结果表明,大学生的感恩、领悟社会支持、核心自我评价与生活满意度两两之间均呈显著性正相关(r=0.358~0.530,P<0.001);②在控制了性别、年级、独生子女和家庭所在地后,感恩对大学生生活满意度不存在直接影响(β=0.012,t=0.148,P>0.05),而是通过3条中介路径对大学生生活满意度产生影响:一是领悟社会支持的单独中介作用;二是核心自我评价的单独中介作用;三是领悟社会支持-核心自我评价的链式中介作用。多重中介效应的95%置信区间分别为[0.134,0.325]、[0.087,0.238]、[0.027,0.096],效果量分别为49.327%、34.753%和13.229%。结论:①感恩对大学生生活满意度不存在直接影响;②感恩既能通过领悟社会支持或核心自我评价独立影响大学生生活满意度,同时也能通过领悟社会支持-核心自我评价的链式中介影响大学生的生活满意度。

大学生领悟社会支持和亲社会行为的关系——感恩的中介作用与公正世界信念的调节作用

为探讨大学生领悟社会支持与亲社会行为的内在关联机制——感恩的中介作用与公正世界信念的调节作用。采用领悟社会支持量表、亲社会行为量表、感恩量表、公正世界信念量表对954名本科生进行测量,最终回收有效问卷742份。结果显示,领悟社会支持正向预测亲社会行为(β=0.18,p<0.001);领悟社会支持正向预测感恩(β=0.42,p<0.001);感恩正向预测亲社会行为(β=0.20,p<0.001)。感恩在领悟社会支持和亲社会行为间起中介作用。公正世界信念在领悟社会支持和亲社会行为间起调节作用(β=0.19,p<0.001)。领悟社会支持不仅能直接正向预测亲社会行为,还能通过感恩间接对亲社会行为产生影响;公正世界信念在领悟社会支持和亲社会行为间起调节作用。

社会支持和心理弹性在等待移植患者疾病家庭负担和生命质量间的中介效应

目的探讨等待移植患者疾病家庭负担和患者生命质量的关系,分析社会支持和心理弹性因素在疾病家庭负担和生命质量之间的中介效应。方法以2019年6月-2021年12月在新疆维吾尔自治区人民医院移植中心住院的190例等待移植的患者为研究对象,采用一般资料调查、心理弹性量表(CD-RISC)、MOS社会支持量表(MOS-SSS)、疾病家庭负担量表(FBS)、生命质量量表(GQOLI-74)对患者进行问卷调查,而后采用结构方程模型分析患者的心理弹性和社会支持在疾病家庭负担和生命质量间的中介效应。结果FBS评分方面,生命质量好组经济负担、家庭日常活动、娱乐活动、家庭成员躯体健康、家庭关系及心理健康6个维度得分及总得分均低于生命质量差组(均P<0.05);生命质量好组心理弹性量表各维度及总得分、社会支持问卷中讯息与情绪性支持、情感性支持及总得分高于生命质量差组(均P<0.05);中介效应模型的总效应为0.91,直接效应为0.22,中介效应为-0.69(均P<0.05),直接效应占24.18%,中介效应占总效应的75.82%,其中,心理弹性占50.55%(0.46),社会支持占25.27%(0.23)。结论等待移植患者疾病家庭负担和患者生命质量之间存在一定关系,患者的心理弹性和社会支持在等待移植患者疾病家庭负担与生命质量间的中介效应明显。

护生积极心理资本在领悟社会支持与职业使命感间的中介作用

目的 探讨护生领悟社会支持与职业使命感的关系,分析积极心理资本在其间的中介作用。方法 采用便利抽样法于2021年5-6月选择我校所有就读于护理学专业的1 196名护生为研究对象,采用一般资料调查问卷、领悟社会支持量表(perceived social support scale, PSSS)、积极心理资本量表(positive psychological capital questionnaire, PPQ)、职业使命感问卷(Chinese calling scale, CCS)进行问卷调查,并分析其关系。结果 护生PSSS、PPQ及CCS总分分别为(68.19±11.90)分、(123.94±18.74)分和(40.93±6.36)分。Pearson相关分析显示:护生领悟社会支持与职业使命感呈正相关(r=0.472,P<0.01)。中介分析结果显示:积极心理资本在领悟社会支持与职业使命感间起部分中介作用,中介效应占总效应的50.14%。结论 护生领悟社会支持对职业使命感的影响较为显著,也能通过积极心理资本对职业使命感产生影响。提示护理教育工作者需重点关注较低社会支持的护生,可通过增加其社会支持和提高其心理资本,增强其职业使命感,从而促进护理人才队伍的健康发展。

领悟社会支持在维持性血液透析患者疾病感知与疾病接受度间的中介作用

目的:探讨维持性血液透析(MHD)患者领悟社会支持程度在疾病感知与疾病接受度之间的中介作用。方法:采用便利抽样法,选取2022年8月至2023年2月在广西医科大学第一附属医院血液净化部维持治疗的236例血液透析患者为研究对象,使用一般资料调查表、疾病接受度量表(AIS)、简易疾病感知问卷(BIPQ)、领悟社会支持量表(PSSS)对其进行调查。结果:MHD患者疾病接受度得分为19.00(15.00~26.00)分,疾病感知得分为53.00(40.00~61.00)分,领悟社会支持得分为48.50(41.00~60.00)分;领悟社会支持水平与疾病接受度呈正相关关系(r=0.797,P<0.001),与疾病感知呈负相关关系(r=-0.807,P<0.001),疾病接受度与疾病感知呈负相关关系(r=-0.917,P<0.001);领悟社会支持在疾病感知与疾病接受度之间存在部分中介效应,中介效应量为11.1%。结论:领悟社会支持是疾病感知与疾病接受度的中介变量,临床医务工作者可以通过提高患者领悟社会支持水平,改善患者消极的疾病感知,从而提高其疾病接受度。

双向社会支持和家庭关怀度对社区老年人总体幸福感的影响

目的探讨社区老年人双向社会支持、家庭关怀度和总体幸福感的关系,分析家庭关怀度在社区老年人双向社会支持和总体幸福感中的中介效应。方法2022年2-7月采用便利抽样法,选取浙江省6个城市的383名社区老年人为研究对象,运用一般人口学问卷、简版双向社会支持量表、总体幸福感量表和家庭关怀度指数问卷对其进行调查,通过结构方程模型构建家庭关怀度在老年人双向社会支持对总体幸福感影响的中介效应模型。结果双向社会支持中的接受社会支持和提供社会支持与家庭关怀度、总体幸福感均呈正相关(均P<0.05);接受社会支持可通过给予社会支持的中介作用以及给予社会支持和家庭关怀度的链式中介对总体幸福感产生间接效应,中介效应分别占总效应的45.6%和29.1%。结论接受社会支持可通过给予社会支持和家庭关怀度对老年人的总体幸福感产生间接影响,提示政府和有关部门可构建促进老年人双向社会支持和家庭关怀度的相关措施,以提升其幸福感。

医学应对方式在1型糖尿病患者领悟社会支持与疾病痛苦间的中介效应

目的探讨医学应对方式在领悟社会支持与疾病痛苦间的中介效应,为1型糖尿病患者疾病管理提供依据。方法应用一般资料调查表、医学应对方式问卷、领悟社会支持量表、疾病痛苦量表,对2020年4月-2022年1月在南京鼓楼医院住院治疗的309例1型糖尿病患者进行调查,采用SPSS 25.0进行相关性分析,AMOS 24.0进行中介效应分析。结果医学应对方式各维度得分显示,面对应对方式(19.63±3.55)分、回避应对方式(15.48±3.59)分、屈服应对方式(9.42±3.04)分;面对与领悟社会支持呈正相关(r=0.132,P<0.05),与疾病痛苦呈负相关(r=-0.247,P<0.01);回避、屈服与领悟社会支持呈负相关(r=-0.657、-0.724,P<0.05)、与疾病痛苦呈正相关(r=0.216、0.201,P<0.01)。领悟社会支持对糖尿病痛苦有直接负向预测作用(β=-0.233,P<0.01),面对应对方式在领悟社会支持与糖尿病痛苦间存在部分中介作用(β=-0.033,P<0.05),中介效应占总效应的12.41%。结论鼓励1型糖尿病患者采用积极的医学应对方式可增强其领悟社会支持水平对糖尿病痛苦的抑制作用,关注患者的疾病应对方式,便于拟定特异性的社会支持政策和措施,以减轻其糖尿病痛苦。

大学生学业适应性影响机制研究

从中学升入大学后,大学生的学习内容和方法面临较大调整,影响学业适应性的各类因素持续受到关注。随着大学生数量的增长和心理问题的增加,从大学生个人特质角度研究学业适应问题显得尤为重要。在大学生宿舍内,每位同学的学业适应情况因个体羞耻感水平的高低而变化。一般而言,羞耻感高的个体更容易产生社交障碍,影响人际交往,从而降低对社会支持的感知,导致适应困难。学业适应是大学生适应过程中的重要一环,通过分析羞耻感、宿舍关系、领悟社会支持与学业适应性四个变量可以看出,宿舍关系、领悟社会支持在羞耻感与大学生学业适应性之间的链式中介作用,降低羞耻感有助于改善宿舍关系,提升领悟社会支持能力,改善大学生学业适应情况。

ICU护士职业应对自我效能与健康生产力受损的关系:领悟社会支持的作用路径

背景相对于显性缺勤而言,护士健康生产力受损的影响更持久,危害和损失也更大。健康生产力受损受自我效能的影响,社会支持程度又会影响健康生产力受损行为,但三者间的影响机制有待进一步研究。目的调查ICU护士领悟社会支持、职业应对自我效能与健康生产力受损现状,并分析领悟社会支持在职业应对自我效能与健康生产力受损之间的作用路径。方法于2021年9月—11月,采用目的抽样法选取四川省8所三级甲等医院的468名ICU护士为研究对象。采用自编一般资料调查表、领悟社会支持量表(PSSS)、护士职业应对自我效能量表(OCSE-N)和健康生产力受损量表(SPS-6)进行调查。采用Pearson相关分析考查各量表评分的相关性,采用Amos 24.0分析领悟社会支持在职业应对自我效能与健康生产力受损之间的作用路径。结果共415名ICU护士完成有效问卷调查。ICU护士PSSS评分为(63.13±11.62)分,OCSE-N评分为(22.24±6.15)分,SPS-6评分为(16.83±4.24)分。检出存在高健康生产力受损的ICU护士共279人(67.23%)。相关分析结果显示,ICU护士PSSS总评分与OCSE-N总评分呈正相关(r=0.348,P<0.05),PSSS总评分与SPS-6总评分呈负相关(r=-0.274,P<0.05),OCSE-N总评分与SPS-6总评分呈负相关(r=-0.421,P<0.05)。ICU护士职业应对自我效能与健康生产力受损的直接效应值为-0.401,领悟社会支持可能是职业应对自我效能与健康生产力受损之间的作用路径(间接效应值为-0.052,占总效应的11.48%)。结论ICU护士职业应对自我效能可能通过领悟社会支持的作用路径影响健康生产力受损。

自我效能与社会支持在尿路造口患者病耻感与生活质量间的中介效应

目的 探讨自我效能和社会支持在尿路造口患者病耻感对生活质量影响中的中介作用,为提高患者的生活质量提供参考。方法 采用一般资料调查表、社会影响量表、社会支持量表、自我效能量表、生活质量量表对298例尿路造口患者进行问卷调查,构建结构方程模型。结果 尿路造口患者病耻感总分为(55.88±9.23)分,生活质量总分为(136.36±18.79)分。尿路造口患者病耻感与生活质量呈负相关(P<0.05);自我效能和社会支持在病耻感与生活质量之间起中介作用,中介效应占总效应的69.83%。结论 尿路造口患者的生活质量处于低水平。社会支持、自我效能在尿路造口患者病耻感对生活质量的影响中起中介作用。护理人员应采取积极有效的干预措施,减轻尿路造口患者的病耻感,提高患者的自我效能和社会支持,以促进生活质量的提高。