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. 2023 Oct;10(10):6935-6944.
doi: 10.1002/nop2.1947. Epub 2023 Jul 20.

Mediating effects of general self-efficacy on social support and quality of life in patients after surgical aortic valve replacement

Xuecui Zhang  1 , Xizhen Huang  2 , Yanchun Peng  3 , Long Huang  1 , Lingyu Lin  2 , Liangwan Chen  2   4 , Yanjuan Lin  2   3
Affiliations

Mediating effects of general self-efficacy on social support and quality of life in patients after surgical aortic valve replacement

Xuecui Zhang et al. Nurs Open. 2023 Oct.

Abstract

Aim: To explore whether general self-efficacy can mediate the relationship between social support and quality of life in patients after surgical aortic valve replacement.

Design: A cross-sectional design.

Methods: The final analysis included 283 patients who underwent surgical aortic valve replacement from May 2021 to September 2021. They completed a set of questionnaires, including the Chinese version of the General Self-Efficacy Scale, the Chinese Questionnaire of Quality of life in Patients with Cardiovascular Diseases and the Social Support Rating Scale. The PROCESS Macro in SPSS was used to analyse the mediating effect.

Results: Quality of life and all of its dimensions were significantly related to social support and general self-efficacy. A significant indirect effect of social support existed through general self-efficacy in relation to quality of life with the mediation effect ratio of 32.82%.

Keywords: general self-efficacy; mediation analysis; quality of life; social support; valve replacement.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
The social support of different dimensions. Social support was measured by the Social Support Rating Scale (SSRS). Higher score indicates higher social support.
FIGURE 2
FIGURE 2
The QoL scores of different dimensions. QoL, quality of life. QoL was measured by the Chinese Questionnaire of Quality of life in Patients with Cardiovascular Diseases (CQQC). Higher score indicates higher QoL.
FIGURE 3
FIGURE 3
The mediation effect of GSE in the relation between social support and QoL. *p < 0.05; **p < 0.01; ***p < 0.001. GSE, general self‐efficacy; QoL, quality of life. GSE was measured by the Chinese version of the General Self‐Efficacy Scale (GSES). Social support was measured by the Social Support Rating Scale (SSRS). QoL was measured by the Chinese Questionnaire of Quality of life in Patients with Cardiovascular Diseases (CQQC).
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