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The mediating role of self-efficacy in the relationship between social capital and patient activation of rural empty-nest elderly patients with chronic diseases
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Ya-juan WANG1, Meng-ze XU1, Ling-yu TIAN1, Xiu-na SUN1, Chun-yu TIAN2
Modern Preventive Medicine | 2025, 52(18) : 3396 - 3402
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Modern Preventive Medicine | 2025, 52(18): 3396-3402
Health and Social Behavior
The mediating role of self-efficacy in the relationship between social capital and patient activation of rural empty-nest elderly patients with chronic diseases
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Ya-juan WANG1, Meng-ze XU1, Ling-yu TIAN1, Xiu-na SUN1, Chun-yu TIAN2
Affiliations
  • School of Nursing, Chengde Medical College, Chengde, Hebei 067000, China
Published: 2025-09-25 doi: 10.20043/j.cnki.MPM.202504392
Outline
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Objective

To investigate the impact of social capital on the patient activation of rural empty-nest elderly patients with chronic diseases and the mediating role of self-efficacy.

Methods

A questionnaire survey was conducted among 425 rural empty-nest older adults with chronic diseases using multistage stratified random sampling combined with convenience sampling. Pearson correlation analysis was employed to examine the relationships between variables. Independent t-tests and ANOVA were used for group comparisons. Multiple linear regression analysis was conducted to examine the effects of social capital and self-efficacy on patient activation. The mediating role of self-efficacy between social capital and patient activation was analyzed using the PROCESS macro.

Results

Correlation analysis showed that social capital, self-efficacy, and patient activation were positively correlated with each other (r=0.300, 0.224, and 0.312, P<0.001). The mediation effect analysis indicated that social capital (β=0.224, 95% CI:0.116-0.283), social participation (β=0.141, 95% CI:0.035-0.166), social support (β=0.189, 95% CI: 0.075-0.215), and social connections (β=0.180, 95% CI:0.049-0.152) had significant direct predictive effects on patient activation. Additionally, self-efficacy played a partial mediating role, accounting for 12.50% of the total effect.

Conclusion

Primary healthcare teams and government authorities should focus on and strengthen the dual-pathway intervention of social capital development and self-efficacy enhancement for rural empty-nest elderly patients with chronic diseases. This approach can more effectively activate their engagement in autonomous health management.

Social capital  /  Rural empty-nest elderly  /  Chronic diseases  /  Patient activation  /  Self-efficacy
Ya-juan WANG, Meng-ze XU, Ling-yu TIAN, Xiu-na SUN, Chun-yu TIAN. The mediating role of self-efficacy in the relationship between social capital and patient activation of rural empty-nest elderly patients with chronic diseases[J]. Modern Preventive Medicine, 2025 , 52 (18) : 3396 -3402 . DOI: 10.20043/j.cnki.MPM.202504392
Year 2025 volume 52 Issue 18
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doi: 10.20043/j.cnki.MPM.202504392
  • Receive Date:2025-04-21
  • Online Date:2026-02-10
  • Published:2025-09-25
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  • Received:2025-04-21
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    School of Nursing, Chengde Medical College, Chengde, Hebei 067000, China
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表12种不同金属材料的力学参数

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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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