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Multiple mediation effects of health locus of control and hope on the relationship between stroke patients’ social support and self-management

Frontiers of Nursing
Volume 7 (2020): Issue 1 (March 2020)
By:
Open Access
|Mar 2020

Figures & Tables

Figure 1

The hypothesis model between social support, HLC, hope, and self-management.
The hypothesis model between social support, HLC, hope, and self-management.

Figure 2

Serial-multiple mediation role of health locus of control and hope in the relationship between self-management and social support.Note: *P<0.05, **P<0.01.
Serial-multiple mediation role of health locus of control and hope in the relationship between self-management and social support.Note: *P<0.05, **P<0.01.

Correlation analysis among study variables (r)_

Social supportHopeIHLCPHLCCHLCSelf-management
Social support1
Hope0.224**1
IHLC0.216**0.313**1
PHLC0.0160.0920.119*1
CHLC−0.194**−0.203**−0.153*−0.1011
Self-management0.414**0.385**0.302**0.309**−0.248**1

Direct and indirect effects_

OutcomeDirect effectIndirect effectTotal effect
Self-management behavior
  Socialsupport-Self-management0.306**0.109**0.415**
  Hope-Self-management0.249**0.059**0.308*
  CHLC-self-management−0.117**−0.117**
  IHLC-self-management0.141**0.141**
IHLC
  Social support-IHLC0.154**0.062**0.216**
  Hope-IHLC0.278**0.278**
CHLC
  Social support-CHLC−0.156**−0.038**−0.194**
  Hope-CHLC−0.168*−0.168**
Hope
  Social support-Hope0.224**0.224**

Participants’ characteristics (N = 285)_

CharacteristicsN%
Gender
  Male16758.6
  Female11841.4
Age (years)
  ≤44155.3
  45–598429.5
  60–7415654.7
  ≥753010.5
Educational level
  Primary education (1–6 years)4114.4
  Junior education (7–12 years)19367.7
  Senior education (>12 years)5117.9
Residence
  Urban23181.0
  Village5419.0
Work status
  Employed7827.4
  Unemployed20772.6
Health insurance23682.8
Stroke subtype
  Ischemic stroke26392.3
  Hemorrhagic stroke165.6
  Mixed-stroke62.1
Stroke frequency
  One time19668.8
  More than one time8931.2
Barthel index
  Independent12945.3
  Mild disability9734.0
  Moderate disability5318.6
  Severe disability62.1

Descriptive statistics among study variables (N = 285)_

MeanSDSkewnessKurtosis
Social support34.124.42−0.070−0.181
Hope36.003.790.150−0.185
IHLC25.032.95−0.133−0.172
PHLC27.052.44−0.058−0.481
CHLC14.253.770.1440.288
Self-management159.3513.400.0940.083
DOI: https://doi.org/10.2478/fon-2020-0005 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
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Language: English
Page range: 49 - 57
Submitted on: May 10, 2019
Accepted on: Jun 12, 2019
Published on: Mar 31, 2020
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year
Keywords:
social support,
health locus of control,
hope,
self-management,
multiple mediation effects
Related subjects:
Medicine,
Assistive professions, nursing

© 2020 Ting-Ting Lei, Hong-Mei Han, Xiao-Jing Liu, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

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