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.
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.
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.
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.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 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 |