Full
Outline
To explore the mediating effect of empowerment on the relationship between social support and health literacy in patients with type 2 diabetes mellitus.
A cross-sectional survey was conducted with 243 patients with type 2 diabetes mellitus recruited by convenience sampling from a Grade III Class A hospital in Guiyang. Data were collected using a general information questionnaire, the Diabetes Health Literacy Scale (DHLS), the Diabetes Empowerment Scale-Short Form(DES-SF), and the MOS Social Support Survey (MOS-SSS). Statistical analyses in SPSS 26.0 included the Wilcoxon rank-sum test, Kruskal-Wallis H test, Spearman correlation analysis, and multiple linear regression analysis. A structural equation model was constructed using AMOS 24.0, and the mediating effect was tested through the bootstrap method.
The health literacy score was 53.00 (40.00, 61.00), the empowerment score was 31.00 (27.00, 36.00), and the social support score was 72.00 (61.00, 81.00) among the 243 patients with type 2 diabetes mellitus. Social support was positively correlated with health literacy (r=0.539, P<0.01), social support was positively correlated with empowerment (r=0.613, P<0.01), and empowerment was positively correlated with health literacy (r=0.597, P<0.01). Social support could directly and positively predict health literacy, and also indirectly predict health literacy through empowerment. The mediating effect value of empowerment was 1.036, accounting for 32.1% of the total effect.
Empowerment plays a partial mediating role between social support and health literacy in patients with type 2 diabetes mellitus. Therefore, by improving social support and strengthening empowerment, health literacy can be enhanced in patients with type 2 diabetes mellitus.
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| 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 |
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