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The impact of health literacy on self-management among community patients with peptic ulcers: the chain mediating effects of social support and self-efficacy
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Li-li HUANG, Xin-ru MENG, Tong PENG, Tong-tong DING, Ge-hui FENG, Ying ZENG
Modern Preventive Medicine | 2025, 52(11) : 2021 - 2026
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Modern Preventive Medicine | 2025, 52(11): 2021-2026
• Primary Health Services •
The impact of health literacy on self-management among community patients with peptic ulcers: the chain mediating effects of social support and self-efficacy
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Li-li HUANG, Xin-ru MENG, Tong PENG, Tong-tong DING, Ge-hui FENG, Ying ZENG
Affiliations
  • Nanhua University School of Nursing, Hengyang, Hunan 421001, China
Published: 2025-06-10 doi: 10.20043/j.cnki.MPM.202411504
Outline
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Objective

To explore the potential pathways influencing self-management behaviors among community patients with peptic ulcers, providing a basis for interventions aimed at enhancing self-management in this population.

Methods

From March to August 2024, a stratified cluster sampling combined with convenience sampling was employed to randomly select 640 community patients with peptic ulcers from five administrative districts in Hengyang city for a questionnaire survey. Data analysis was conducted using SPSS 26.0 for t-tests, ANOVA, and partial correlation analysis, and a chain mediation model was constructed using Process 4.0 plugin model 6.

Results

Health literacy had a significant direct effect on self-management (b=0.322, 95%CI: 0.254-0.390); the mediating effects of social support and self-efficacy between health literacy and self-management were 0.067 (95%CI: 0.043-0.098) and 0.100 (95%CI: 0.069-0.135), respectively. The chain mediating effect of social support and self-efficacy was also significant (b=0.016, 95%CI: 0.008-0.025).

Conclusion

Enhancing the level of health literacy among community patients with peptic ulcers is beneficial for improving social support and increasing self-efficacy, thereby enhancing self-management levels.

Peptic ulcer  /  Health literacy  /  Social support  /  Self-efficacy  /  Self-management
Li-li HUANG, Xin-ru MENG, Tong PENG, Tong-tong DING, Ge-hui FENG, Ying ZENG. The impact of health literacy on self-management among community patients with peptic ulcers: the chain mediating effects of social support and self-efficacy[J]. Modern Preventive Medicine, 2025 , 52 (11) : 2021 -2026 . DOI: 10.20043/j.cnki.MPM.202411504
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Year 2025 volume 52 Issue 11
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Article Info
doi: 10.20043/j.cnki.MPM.202411504
  • Receive Date：2024-11-27
  • Online Date：2026-03-18
  • Published：2025-06-10
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  • Received：2024-11-27
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    Nanhua University School of Nursing, Hengyang, Hunan 421001, China
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表12种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage 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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