Effect of social support and general self-efficacy on social participation of bladder cancer patients undergoing urinary diversion through abdominal wall stoma
MA Sihui LIU Fei▲
1.The First Department of Stomach Enterochirurgia,the Second Hospital of Dalian Medical University,Liaoning Province,Dalian 116000,China;
2.Department of International Medical,the Second Hospital of Dalian Medical University,Liaoning Province,Dalian 116000,China
Abstract：Objective To explore the effects of social support and general self-efficacy on social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma,and to verify the mediating effects of general self-efficacy on social support and social participation.Methods A total of 145 bladder cancer patients undergoing urinary diversion through abdominal wall stoma and discharged 6 months after surgery from the Department of Urology of the Second Hospital of Dalian Medical University,the First Affiliated Hospital of Dalian Medical University and Dalian Municipal Central Hospital from November 2019 to December 2020 were selected as the research objects.Social support rating scale,general self-efficacy scale,social dysfunction screening list and general situation questionnaire were used to investigate the effects of social support and general self-efficacy on social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma.Results The total scores of social participation,social support and general self-efficacy were(5.98±4.12),(31.10±5.43)and(2.24±0.64)points in patients with bladder cancer.Correlation analysis showed that the total score of social participation,total score of social support and general self-efficacy were negatively correlated (P＜0.001).Regression analysis showed that the total score of social support and general self-efficacy were the influencing factors of social participation score (P＜0.01).Pathway analysis showed that general self-efficacy had partial mediating effect between social support and social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma,and the mediating effect accounted for 50.088%of the total effect.Conclusion Both social support and general self-efficacy can significantly affect social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma.General self-efficacy has partial mediating role in the influence of social support on social participation.
马思慧； 刘飞▲. 膀胱癌尿流改道腹壁造口患者社会支持、一般自我效能感对社会参与的影响[J]. 中国当代医药, 2024, 31(13): 92-96.
MA Sihui LIU Fei▲. Effect of social support and general self-efficacy on social participation of bladder cancer patients undergoing urinary diversion through abdominal wall stoma. 中国当代医药, 2024, 31(13): 92-96.
Rodríguez AR，Lockhart A，King J，et al.Cutaneous ureterostomy technique for adults and effects of ureteral stenting：an alternative to the ileal conduit[J].J Urol，2011，186（5）：1939-1943.
[5]
Pfister D，Niegisch G.Bladder cancer-complications related to urinary diversion [Bladder cancer -complications related to urinary diversion][J].Aktuelle Urol，2020，51（5）：456-462.
Martins AC.Using the International Classification of Functioning，Disability and Health（ICF）to address facilitators and barriers to participation at work[J].Work，2015，50（4）：585-593.
京公网安备 11010502046607号