Total Score Of Social Support Research Articles

Correlation between postpartum depression and spousal support and factors affecting postpartum depression

This study was conducted to investigate the relationship between postpartum depression (PPD) and women’s perceived spousal support during the early postpartum period and the prevalence of PPD and affecting factors. Data were collected using a Personal Information Form, the Edinburgh Postpartum Depression Scale (EPDS) and the Perceived Spousal Support among Women in Early Postpartum Period Scale (PSSAWEPP). The study was completed with 181 women. The prevalence of PPD was found as 28.2%. A significant negative correlation was found between the total EPDS score and total PSSAWEPP score and subscale scores of emotional support, social support and physical support (p < 0.01). It was also found that as spousal support perceived by women increased, PPD risk decreased. In our study, it was observed that spousal violence (aOR = 5.69, 95% CI: 1.65-19.55) and having an unintended pregnancy (aOR = 0.24, CI: 0.11-0.54) were two factors that significantly affected PPD.

Social Support and User Characteristics in Online Diabetes Communities: An In-Depth Survey of a Large-Scale Chinese Population.

Objective: To determine the characteristics of members of online diabetes communities as well as those factors affecting the provision and acceptance of social support. Methods: A cross-sectional STAR questionnaire survey was conducted among patients with diabetes who were members of online diabetes groups. Univariate and multivariate binary logistic regression analysis were adopted to explore the relative analysis of providing and accepting social support compared with the characteristics of members in virtual diabetics’ groups. Results: A total of 1297 respondents were collected. The map distribution of patients in China was mainly located in the Guangdong, Jiangsu, Shandong, Henan, and Hebei provinces. As for their demographic characteristics, respondents had diabetes or prediabetes and were between the ages of 21 and 50 years (Median age was 35.0 (interquartile range from 28.0 to 44.0)). Most respondents were married and lived in cities. The education level of patients was mainly distributed throughout junior high, technical secondary, high school, junior college, and undergraduate levels. Age, marital status, and education level varied by gender, and the total score of the patients aged 41 to 50 for social support had a statistical significance between male and female. In addition, when group members were in junior high school or below, or were undergraduate students, their total social support scores varied by gender. Binary logistic regression showed that in 21 independent variables the total score and the total score grade of relationship intensity in the online group and reorganize of age were significant. The patients’ social support acceptance of the map of respondents score grading of relationship intensity in the online group was 5.420 times higher than that of the lower score grading of relationship intensity in the group. At the same time, the patients’ social support acceptance of the patients at the age of less than or equal to 31 years old was 19.608 times higher than that of group members aged more than 31 years old. Conclusion: Age and education background of the patients affects scores of social supports between males and females. The higher the total score and the score grade of relationship intensity in the online group, the higher the patients’ social support acceptance. The younger patients had a better utilization of social support.

Yaşlı Bireylerde Algılanan Sosyal Destek ile Yaşam Doyumu İlişkisi: Bir Saha Çalışması

Aim: The aim of the study is to examine the relationship between perceived social support and life satisfaction. Methods: The cross - sectional and descriptive study was carried out between the dates of 01.11.2018 - 30.01.2019 among the elderly living in Adalar District of Istanbul. In the data collection phase, the volunteer consent form, sociodemographic information form, Multidimensional Scale of Perceived Social Support and Life Satisfaction Scale were applied to the sample group. Results: 383 people participated in this study. 47.8% were male and 52.2% were female. The mean Multidimensional Scale of Perceived Social Support scores of the participants were 4.7±1.55 points (min-max: 1-7 points). The mean Life Satisfaction Scale score of the participants was calculated as 23.2±5.8 (min-max: 5-35 points). There was a weak significant positive correlation between Life Satisfaction Scale scores and Multidimensional Scale of Perceived Social Support total score. There was a weak significant positive correlation between the Life Satisfaction Scale score and each sub-heading scores of Multidimensional Scale of Perceived Social Support. While 8.4% of the participants had an insufficient life satisfaction, 20.6% had a life satisfaction slightly below the average. Conclusion: As the social support perceived by the participants increases, life satisfaction increases significantly. Keywords: elderly, social support, personal satisfaction

Who is more important in stigmatization, family or friends?

IntroductionAlthough the knowledge about epilepsy is rapidly increasing, the rate of stigmatization still remains high among patients. Since stigmatization is a condition that reduces the quality of life of patients and adversely affects the treatment response, it is very important to reveal the contributing factors. In this study, it was aimed to investigate which of the current social support resources of the patients are related to stigmatization, whether the support received from family or friends and a special person. Materials and methodsA total of 60 patients with epilepsy (30 males and 30 females) were included in the study. Sociodemographic data form, stigma scale of epilepsy, and multidimensional scale of perceived social support were administered to all participants. ResultsDuration of education from sociodemographic variables and duration of epilepsy from clinical variables were associated with stigma scores (for each other, p < 0.01). While a negative correlation was determined between friend support, special person support scores, and total social support score and stigma scores (p < 0.01, p < 0.001, p < 0.01, respectively), no significant relationship was detected between family support score and stigma score. ConclusionsThe findings of the study show that the support of a friend and a special person may be more important than the family support in patients with epilepsy. When evaluating these patients, questioning the type and adequacy of social support that they receive and taking necessary interventions (such as forming peer support groups) may be helpful in reducing the perceived stigmatization.

Investigation and analysis of influencing factors of health tenacity in unmarried female breast cancer patients after operation

Objective To explore the main influencing factors of health tenacity of unmarried female breast cancer patients after operation, and to provide theoretical basis for clinical nursing intervention. Methods A total of 222 unmarried female breast cancer patients were selected from 3 Grade 3A hospitals in Tianjin (Tianjin Cancer Hospital, Tianjin Central obstetrics and Gynecology Hospital, Tianjin People′s Hospital). The Simplified Coping Style Questionnaire (SCSQ), Social Support Rating Scale (SSRS), was used in the study. The Revised Health Hardiness Inventor (RHHl-24) and the self-designed general data questionnaire were used to analyze the main influence of the patient′s health tenacity. Results The total score of health tenacity among 222 unmarried female breast cancer patients after operation was 75.58 ± 8.87, which was located at the middle level; the score of positive coping was 2.16 ± 0.53 and negative coping was 1.56 ± 0.44; the total score of social support was 39.93 ± 8.45, which was higher than score of domestic norm. The regression analysis showed that the main factors of health tenacity were social support, the stages of breast cancer, the source of medical expenses, positive coping and place of residence in unmarried female breast cancer patients after operation (t=-5.403-5.908, P<0.05 or 0.01). Conclusions We should strengthen nursing intervention for unmarried female breast cancer patients with low social support, late course of disease, poor economic status, negative coping and non-urban residence, and encourage patients to adopt positive coping style. Provide all-round social support to patients in order to improve the patient's health and tenacity. Key words: Unmarried women; Breast cancer; Health tenacity; Influencing factors

Correlation between somatic symptoms and social support in patients with depressive disorder

Objective To investigate the prevalence of somatization symptoms and its correlation with social support in patients with depressive disorder. Methods Two hundred and fourteen hospitalized patients with depressive disorder were recruited. Patients were evaluated with Somatic Symptom Inventory (SSI), Perceived Social Support from Family Scale (PSS-Fa), Social Support Rating Scale (SSRS) and the general questionnaire. Results The average SSI scores of depressive patients was 49.63±15.53, with 26.2% (56/214) of the patients having moderate to severe level of somatic symptoms. The most common moderate to severe somatic symptoms in depressive patients were fatigued (61.3%, 131/214), weak (49.5%, 106/214), not feeling well (47.7%, 102/214), feeling faint or dizzy (48.6%, 104/214), or constipation (29.9%, 64/214) . The average SSRS scores of patients was low (33.24±7.16). The SSI scores and its non-painful dimension (39.05±12.14) were significantly negatively correlated with family support (11.03±3.45) (r=-0.150, P=0.03; r=-0.153, P=0.02) .The SSI scores, and its somatization dimension scores (49.63±15.53) and painful dimension scores (10.58±4.18) were negatively correlated with the total scores of social support (33.24±7.16) (r=-0.164, P=0.02; r=-0.183, P=0.01; r=-0.136, P<0.05) and subjective support (19.14±4.81) (r=-0.167, P=0.02; r=-0.163, P=0.02; r=-0.177, P=0.01) . The SSI scores and its non-painful dimension of patients were negatively correlated with support utilization (r=-0.179, P=0.01; r=-0.194, P=0.01) . Conclusion Somatic symptoms are prevalent and severe in patients with depressive disorder. The somatic symptoms of depressive patients was closely correlated with decreased social support, especially low subjective support and support utilization. Key words: Depressive disorder; Somatic symptoms; Social support

Relationship research of childhood viral hepatitis of disease uncertainty and social support, psychological flexibility in their families before antiviral treatment

Objective To investigate the relationship between the uncertainty of pre-antiviral therapy and social support and psychological flexibility in children with viral hepatitis in their families. Methods From January to December 2017, 300 parents of children with viral hepatitis were investigated using the disease uncertainty scale, social support scale, mental resilience scale.Pearson correlation factors were used to analyze the relationship between disease uncertainty, social support and psychological resilience before antiviral treatment, and multivariate Logistic regression was used to analyze the influencing factors of parents' disease uncertainty. Results The parental uncertainty score of 300 children with viral hepatitis was(71.25±8.38)points, the total social support score was(28.12±5.56)points, and the psychological elasticity score was(62.98±4.22)points.There was negative correlation with disease uncertainty and social support and psychological elasticity of children with viral hepatitis before parental antiviral treatment by Pearson correlation factor analysis, and the differences were statistically significant(P<0.05). Conclusion There is a clear uncertainty of illness before antiviral treatment for children with viral hepatitis in children.In addition to paying attention to the psychological status of children, medical staff should also give information and emotional support to the families of the children to improve the psychological elasticity of the families of children.To relieve family members of anxiety and uncertainty. Key words: Viral hepatitis; Family antiviral; Disease uncertainty; Social support; Psychological flexibility; Relationship

Degree of social support in patients after coronary artery bypass grafting and its influence on acute stress disorder

Objective To explore the degree of social support in patients after Coronary Artery Bypass Grafting(CABG) and its influence on Acute Stress Disorder (ASD), in order to provide theory evidence for nursing intervention. Methods From June 2017 to Mar 2018, 359 patients after CABG in Tangshan Workers Hospital were recruited for the study. Their general information were collected, SASRQ, SSRS and PSS-Fa were used for professional evaluation. Results The degree of social support in patients after CABG was at medium level, the total score of social support was (41.69±0.28), higher than the normal domestic value[(34.56±3.73)score, n=128]; character (F=29.652), employment (t=6.526)and the type of health insurance (F=20.547)impacted on the degree of social support (P<0.05). Total score of social support had negative correlation with SASRQ total score (r=-0.528, P<0.05); character (β=0.262), family support (β=-0.281) and social support (β=-0.267) were picked in the regression equation (P<0.05), the results showed that introversion was a risk factor for ASD in patients after CABG, high degree of family support and social support were protective factors for ASD in patients after CABG. Conclusions Social support of patients after CABG needs to be improved, so as to reduce the incidence of acute stress disorder. Key words: Coronary artery bypass grafting; Social support; Acute stress disorder

Correlations among negative emotion, coping style and social support in patients with total laryngectomy

Objective To explore the mental state of laryngeal carcinoma patients after total laryngectomy and to analyze its correlations with coping style and social support. Methods From January 2017 to October 2017, we selected 36 laryngeal carcinoma patients with total laryngectomy in otolaryngology dead and neck surgery at Beijing Tongren Hospital, Capital Medical University as subjects by convenience sampling. All of the patients were investigated with the Self-rating Depression Scale (SDS) , Self-rating Anxiety Scale (SAS) , Medical Coping Modes Questionnaire (MCMQ) and Social Support Rating Scale (SSRS) . A total of 36 questionnaires were sent out and 34 of them were collected. Results Among 34 patients, the total scores of SAS and SDS were (45.38±10.27) and (50.32±11.82) respectively. The score of coping style of patients after total laryngectomy was higher than that of norm with a statistical difference (P<0.05) . Pearson correlation analysis showed that SAS and SDS were negatively correlated with the total score of social support (P<0.05) ; SAS and SDS were positively correlated with the confrontation dimension of coping style (P<0.05) , and were negatively correlated with the avoidance dimension (P<0.05) . Conclusions After total laryngectomy, patients are with high levela of anxiety and depression. Medical staff should guide patients to take correct coping styles after surgery to face diseases, and improve patients' social support to relieve patients' negative emotions and total laryngectomy, and to promote the rehabilitation of diseases. Key words: Laryngeal neoplasms; Total laryngectomy; Coping style; Social support; Emotions

Study on the psychological health and related risk factors in 245 patients with psoriasis in Inner Mongolia

ABSTRACTTo investigate the psychological health and related risk factors in patients suffering from psoriasis. A total of 245 inpatients and outpatients with psoriasis were selected from January 2014 to December 2015. Patients with psoriasis were assessed a homemade questionnaire as well as the Psoriasis Area and Severity Index (PASI), Selfrating Anxiety Scale, Self-rating Depression Scale, Trait Coping Style Questionnaire and Social Avoidance and Distress Scale.Differences in sex, age, marital status, type of medical payment, occupation, economic situation, disease severity, and type of psychological state of psoriasis patients were significant, there was no significant difference in psychological health between psoriasis patients with different levels of educational attainment. Scores for anxiety, depression, social avoidance, and social distress were positively correlated with disease severity and negative-coping scores, but a significant negative correlation was observed with scores for social support and positive coping. Stepwise regression analysis of factors influencing psychological health showed that total social support and negative-coping scores could explain 65.2% of the variation. Patients with psoriasis can suffer from anxiety, depression, social distress, and social avoidance. Physicians should pay greater attention to deterioration in mental health of psoriasis patients.

Relationship between post-traumatic growth and self-efficacy and social support in burn patients

Objective To explore the relationship of post-traumatic growth and self-efficacy and social support in burned patients. Methods A total of 80 cases of patients with burns admitted to the hospital from January 2016 to December 2016 were investigated by post-traumatic growth inventory(PTGI), self-efficacy scale and social support scale.The relationship between post-traumatic growth and self-efficacy and social support in burn patients was analyzed. Results Total posttraumatic growth score of the burn patients was(65.98±4.98)points, self-efficacy score was(32.25±3.98)points and the total score of social support was(3.25±4.85)points. There were statistically significant differences in posttraumatic growth, self-efficacy and social support scores among patients of different ages, education levels, family economic status and burn severity(P<0.05). Married patients received more social support than unmarried patients(P<0.05). Pearson single factor analysis showed that the total growth score of burn patients after trauma was positively correlated with the total self-efficacy and social support score(P<0.05). It was positively correlated with other people's relationship, self-efficacy, total social support score and support utilization(P<0.05). Conclusions Post-traumatic growth of burn patients is closely related to self-efficacy and social support.Enhancing self-efficacy of burn patients and giving them adequate social support are helpful to improve their post-traumatic growth. Key words: Burns; Post-traumatic growth; Self-efficacy; Social support; Correlation

Focus on Cancer Pain at Home: A Prospective Study of Quality of Life and Its Influencing Factors on Patients

Background and Aims: The treatment of patients with advanced cancer pain is mainly concentrated in the outpatient department, and most of the time in their family, these patients are easy to be ignored, To study the quality of life and its influencing factors of cancer pain patients at home is of great significance to improve the quality of life of patients. Meanwhile, it provides theoretical and practical basis for medical personnel to develop and implement individualized comprehensive intervention programs. Patients and Methods: According to the inclusion and exclusion criteria, 200 patients with cancer pain at home are selected to treat, and their quality of life conditions are observed before treatment, 1 week after treatment and 1 month after treatment, and their influencing factors are analyzed. Results: The patients’ scores of body function, emotional function, cognitive function and social function exist significant difference before and after treatment (p scores of role function and the overall evaluation scores before and after treatment, two stages after treatment exist significant difference (p p appetite loss score before a month and a week after treatment and treatment exists significant difference (p the scores of constipation symptom before treatment and a month after treatment exist significant difference (p p . One week after treatment, tumor staging and metastasis have impact on overall health evaluation, role function, cognitive function and emotional function (p The location of metastasis and the type of pain affect the role function and emotional function respectively (p . One month after treatment, age, metastasis, metastasis site and pain type have influence on cognitive function, emotional function, overall health evaluation and role function respectively (p The overall health status, body function, role function, emotional function, cognitive function and social function of the patients are lower than those of the Norwegian norm (p and vomiting are higher than those of the Norwegian norm before and after treatment (p There was a significant positive correlation between quality of life and total score of social support (p Conclusion: Cognitive interventions should be individualized. The effectiveness of cancer treatment and the control of cancer recurrence and metastasis have influence on the quality of life of patients with cancer pain at home. Although the patients’ function indexes have been improved after treatment, there exist differences in the improvement after treatment. The symptoms of nausea, vomiting, pain and appetite should be intervened promptly. The management of symptoms such as dyspnea, fatigue, constipation should be focused persistently. Objective support and subjective support were the influencing factors of patients’ quality of life, the construction of social support system should be strengthened, we should help them to overcome negative emotions, return to normal family and social roles, seek help in a positive manner and use support to improve the quality of life.

Correlation between resilience and social support and anxiety in obstetric nurses

Abstract Objective The aim of this study was to explore the correlation between psychological resilience and social support and anxiety in obstetric nurses and to provide theoretical basis for improving the mental health of obstetric nurses. Methods In this study, 190 obstetric nurses were included, using the general information questionnaire and The Connor-Davidson Resilience Scale (CD-RISC), Social Support Rating Scale, and survey of Self-evaluation of Anxiety Scale. Results There are differences in the type of work and the score of psychological resilience (P &lt;0.05), obstetric nurses’ resilience score was 65.58±10.65; self-rating anxiety score of obstetric nurses was 36.89±6.87; and social support score of obstetric nurses was 44.37±7.86. The psychological elasticity score and anxiety were negatively related (P &lt;0.01), whereas the resilience score and total score of social support were positively related (P &lt;0.01). Conclusions Obstetric nurses have many responsibilities and stress. Nursing managers should focus on obstetric nurses’ mental health, lighten the obstetric nurses’ anxiety, and thus improve their mental flexibility and optimize the quality of nursing service better, with more passion into work.

Status quo of burden on family caregivers of elderly patients with chronic obstructive pulmonary disease and its influencing factors

Objective To explore burden on family caregivers of elderly patients with chronic obstructive pulmonary disease (COPD) and to discuss the influencing factors of caregiver burden. Methods Totally 190 family caregivers of elderly COPD patients treated in a Class III Grade A hospital in a city between January and December 2017 were selected by convenient sampling. The caregiver burden of these elderly COPD patients were investigated with the general information questionnaire, Zarit Burden Interview (ZBI) and Social Support Rating Scale (SSRS) . Multiple linear regression analysis was used to analyze the influencing factors to caregiver burden. Results The total score of caregiver burden of elderly COPD patients was (52.32±7.42) , and the total score of social support was (25.23±5.93) . Multiple linear regression analysis showed that age, occupation, time of daily care, medical service availability and social support were the main influencing factors to caregiver burden (P<0.05) . Conclusions The caregiver burden of elderly COPD patients is at a medium level and is affected by multiple factors. More disease and nursing care related knowledge and information should be provided to the caregivers based on their actual conditions so as to improve the social support for caregivers as well as the caregivers' physiological and mental health and their quality of life. Key words: Aged; Pulmonary disease, chronic obstructive; Family caregivers; Burden; Influencing factors

Comparative Study for Pattern of Social Support among Systemic Lupus Erythematous Patients' at Out-patient Clinics, Assiut University Hospital

People with Systemic Lupus Erythematous need for social support more than others due to Systemic Lupus Erythematous' often caused severe and unpredictable symptoms; also can be affected multiple system. The study aimed to determine the pattern of Social support among Systemic Lupus Erythematous patients; also to identify the risk factors among Systemic Lupus Erythematous patients at out-patient clinics, Assiut university hospital. Patients and methods: The study was conducted in Rheumatology clinic at Assiut university hospital. The total sample size was (104); total coverage technique used in this study. Tools: Two tools were used, first tool: A structured interview questionnaire sheet which included two parts; demographic data and questions regarding risk factors and the second tool; it included Social Support Assessment scale. Results: more than half (55.8%) of patients had high level of social support after disease compared to 39.4% of them had moderate and high level of social support before disease also, Sunlight exposure was the most risk factors among Systemic Lupus Erythematous patients. Conclusion: there was statistically significant differences between total score of social support before and after disease (P value=0.001*). Recommendation: Health education about rheumatologic services for community to early detection, diagnosis and treatment.

The Correlation between Adaptation to the Maternal Role and Social Support in a Sample of Iranian Primiparous Women

Abstract Introduction: Adaptation to the maternal role is an important factor for health of mothers and infants. With regards to numerous stresses after childbirth and effect of social support in modifying stresses, the present study was conducted for detecting the correlation between adaptation to the maternal role and social support in primiparous females. Methods: This cross-sectional study was performed on 260 primiparous females, who had referred to public health centers of Shahid Beheshti University of Medical Sciences in Tehran, during year 2016. Data gathering tools included the «Demographic Questionnaire», «Adaptation to the Maternal Role in Iranian Primiparous Women Questionnaire», «Multidimensional Scale of Perceived Social Support», and Edinburgh Postnatal Depression Scale. Data analysis was done using the SPSS software (version 22) and it was based on descriptive statistics and statistical independent t-test, Analysis of Variance (ANOVA), Spearman correlation, and linear regression. P value < 0.05 was considered significant. Results: The score of adaptation to a maternal role had a significant correlation with a total score of social support and its subscales (P = 0.001). Also, the adaptation to a maternal role had a reverse significant correlation with the mother and father’s education and the rate of family income, yet the results of the linear regression demonstrated that only two variables, “social support” and “mother’s education”, were significant in predicting the adaptation to a maternal role (P = 0.001), and they could predict 15% of variance for adapting to a maternal role. Conclusions: Social support is an effective factor for adaptation to the maternal role in primiparous females. Therefore, providing an appropriate situation for these supports is recommended. Also, it is required for health care providers to make sure about an adaptation to a maternal role, especially in mothers with higher education.

A Descriptive, Cross-sectional Study Among Chinese Patients to Identify Factors that Affect Psychosocial Adjustment to an Enterostomy

Physiological, psychological, and social problems may affect adaptation to living with a stoma. A descriptive, cross-sectional study was conducted between March 2017 and June 2017 among patients culled from a manufacturer's database to identify factors that influence psychosocial adjustment in Chinese patients with an enterostoma. Patients with a history of ostomy surgery ≥1 month prior and who were ≥18 years of age, completed a primary school education, and able to communicate in Chinese were eligible to participate unless they had a history of psychosis, cognitive impairment, or participation in other research programs. After providing informed consent, participants completed a questionnaire that addressed demographic (age, gender, employment, educational level, marital status, medical payment method, living status, and area of residence) and stoma-related (date of surgery, preoperative stoma siting, ostomy appliance type, peristomal complications, regular defecation, stoma self-care ability, stoma-related communication with medical staff, level of understanding regarding stoma knowledge and care skills, appliance change knowledge/experience, and leakage history) factors. Social support was assessed using the 10-item Social Support Revalued Scale (SSRS), and 3 dimensions of adjustment (acceptance, continuous worry, and positive life attitude) were assessed using the 20-item Chinese version of the Ostomy Adjustment Inventory (OAI). Questionnaires were administered via an online survey platform. Data were analyzed descriptively, and single-factor analysis and stepwise multiple linear regression were applied to identify the factors that influenced the adjustment level. Incomplete (missing >2 questions), incorrect, or hastily completed (within 600 seconds) records were excluded from analysis. Of the 1109 persons who returned the questionnaire, 1010 (91.1%) completed the entire survey (564 men [55.8%] and 446 women [44.2%], mean age 56.62 ± 15.62 years); 823 (81.5%) had a colostomy and 187 (18.5%) had an ileostomy. The OAI dimension continuous worry was negatively and significantly associated with all 3 dimensions of the SSRS, including subjective support (r = 0.259), objective support (r = 0.259), and utilization of support (r = 0.289), while the dimension acceptance was positively associated with both subjective support (r = 0.082) and objective support (r = 0.074) (all P values <.05). Using multiple linear regression, residence area, peristomal complication, regular defecation, leaking, self-care ability, communication with medical staff regarding ostomy, understanding knowledge or skill needed for stoma care, utilization of social support, and total score of social support were found to be significantly associated with ostomy adjustment level (all P values <.05). Patients living in an urban area, with no history of peristomal complications, who had regular defecation, had not experienced leaking, had better self-care ability, frequently communicated with medical staff, had a high level understanding about knowledge or skill of stoma, and had higher social support scores had higher adjustment scores. Knowledge of the factors that enhance or hinder adaptation of the patient to the ostomy is an important tool in the clinician's care armamentarium.

Quality of Life, Adherence Behavior, and Social Support Among Renal Transplant Recipients in China: A Descriptive Correlational Study

BackgroundQuality of life (QoL) is an important indicator for evaluating therapeutic outcomes and mortality in renal transplant recipients, but there is scarce information regarding QoL, adherence behavior, social support and their relationships. This study assessed these factors among renal transplant recipients. MethodsUsing a descriptive, correlational, cross-sectional design, this study included a convenience sample of 253 kidney transplant recipients. Structured questionnaires were used to collect data. ResultsThe scores on QoL domains (except the social functioning domain [P = .909]) were lower in our recipients than in the general Chinese population norm (P = .0000001). Time since transplantation (P = .041) and education (P = .013) were factors affecting QoL scores. The mean total adherence behavior score was 60.64 ± 7.71. Occupation and time since transplantation affected the total adherence behavior score. There was an alarming percentage of nonadherence in our transplant recipients (27.5%-72.3%). The mean total social support score was 40.76 ± 9.51. The total social support score (P = .0000087) was lower than the general Chinese population norm. Occupation (P = .0000087) education (P = .010), marital status (P = .013), payment method (P = .028) and monthly income (P = .007) affected the total social support score; there were significant relationships between physical health, psychological health, adherence behavior (r = .145, P = .022; r = .153, P = .016), and social support (r = .211, P = .001; r = .301, P = .000). ConclusionsThe findings demonstrate somewhat deficient QoL among renal transplant recipients compared with the general population. Social support, adherence behavior, time since transplantation and education significantly influenced QoL for our recipients, and social support had the most significant influence on adherence behavior and QoL.

Correlation analysis of social support and self-efficacy management of postoperative patients with gastrointestinal tumor

Objective To investigate the status of social support and self-efficacy management of postoperative patients with gastrointestinal tumor and explore the correlation between them. Methods From March 2016 to February 2017, 114 patients from the First Affiliated Hospital of Anhui Medical University with gastrointestinal tumor who underwent surgery were selected as the research object by convenient sampling method. They were investigated by the Strategies Used by People to Promote Health and Social Support Revalued Scale. Results The total score of self-management efficacy of patients was (91.73±28.48) , the total score of social support was (41.73±7.79) ; the total score of social support was positively correlated with the total score of self-management efficacy (r=0.418, P<0.01) . Conclusions Social support and self-management efficacy are closely related among postoperative patients with gastrointestinal tumor. Medical stuff should help postoperative patients with gastrointestinal tumor to build perfect social support system, so as to improve their self confidence and ability to manage disease. Key words: Gastrointestinal neoplasms; Postoperative period; Social support; Self-efficacy management

Effects of social support and impact of event on posttraumatic growth of patients after percutaneous coronary intervention

Objective To identify the effects of social support and impact of event on posttraumatic growth of patients after percutaneous coronary intervention, and to provided basis for individualized interventions. Methods A cross-sectional survey was conducted on 337 patients after percutaneous coronary intervention. The instruments included the social support rating Scale(SSRS), impact of event scale-revised (IES-R), the posttraumatic growth inventory(PTGI). Results The patients′ PTG level was 57.16±14.96, the total score of Impact of Event Scale-Revised was (31.83±12.94),and the total score of Social support was 3(9.17±9.70). Social support was positively correlated with posttraumatic growth, whereas impact of event was negatively correlated with posttraumatic growth (P<0.05) . Structural equation modeling analysis showed that impact of event directly negative effect PTG and social support, and indirectly affected PTG through social support. Conclusions The level of posttraumatic growth of patients after percutaneous coronary intervention was medium, and the posttraumatic stress symptoms was serious, while the patients′ have acquired social support was better. Clinical medical works should give more social support to patients in order to improve the effect of percutaneous coronary intervention and relieve symptoms of post-traumatic stress, so as to promote the posttraumatic growth of patient with coronary heart disease. Key words: Coronary heart disease; Percutaneous coronary intervention; Social support; Stress; Posttraumatic growth