Objective To explore the chain mediating effects of rumination contemplation and family resilience in perceived social support and health-promoting behaviors in patients with thoracolumbar compression fractures.
Methods A total of 132 patients with thoracolumbar compression fractures were selected as the study subjects. General information questionnaire, perceived social support scale (PSSS), health promotion lifestyle scale Ⅱ (HPLP-Ⅱ), Chinese version of event related ruminative inventory(C-ERRI) and family resilience assessment scale (FRAS) were used. Pearson analysis was used to analyze the correlation between rumination, family resilience, perceived social support and health-promoting behavior, and Amos 21.0 software was used to establish a structural equation model (SEM) and to test the mediating effect.
Results The 120 patients with thoracolumbar compression fractures in this study scored (30.73±4.62) points for rumination, (132.25±14.46) points for family resilience, (56.24±6.24) points for perceived social support, and (137.25±14.85) points for health-promoting behavior. Education level, marital status and monthly family income were the influencing factors of health-promoting behaviors in patients with thoracolumbar compression fractures. The health-promoting behaviors were positively correlated with perceived social support, rumination contemplation and family resilience (P < 0.05). The mediating effect of perceived social support on health-promoting behavior in patients with thoracolumbar compression fractures was established, and the total indirect effect accounted for 36.60% of the total effect. The specific mediating effect of rumination contemplation accounted for 17.10%, the specific mediating effect of family resilience accounted for 12.20%, and the chain mediating effect between rumination and family resilience in perceived social support and health-promoting behavior accounted for 7.30%.
Conclusions While focusing on the patient's perceived social support, clinicians should focus on assessing levels of rumination contemplation and family resilience, and targeting measures to enhance the impact of social support on health-promoting behaviors.
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