Distress disclosure and health behaviours in patients with stroke: a theory-informed serial mediation model of social support, self-efficacy, and self-management - Takeaways - MDSpire
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The Relationship Between Distress Disclosure and Health Behaviors in Stroke Patients: A Theory-Based Serial Mediation Analysis of Social Support, Self-Efficacy, and Self-Management

  • By

  • Xiaoqin Yang

  • Yan Han

  • Yuntian Liu

  • Huaqing Fan

  • Jie Wang

  • Feipeng Li

  • Yan He

  • August 21, 2026

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  • 1

    The study involved 473 stroke patients from Baotou Central Hospital, examining distress disclosure's impact on health behaviors.

  • 2

    A positive correlation was found between distress disclosure and health behaviors, with a significant association after covariate adjustment.

  • 3

    Social support, self-efficacy, and self-management were identified as significant mediators in the relationship between distress disclosure and health behaviors.

  • 4

    Social support had the largest specific indirect effect on health behaviors, accounting for 35.63% of the total effect.

  • 5

    The findings support a framework for developing communication-centered, self-management-oriented nursing interventions for stroke patients.

Original Source(s)

Distress disclosure and health behaviours in patients with stroke: a theory-informed serial mediation model of social support, self-efficacy, and self-management

  • by Xiaoqin Yang, Yan Han, Yuntian Liu, Huaqing Fan, Jie Wang, Feipeng Li, Yan He

  • August 21, 2026

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