Investigation of social support as a mediator of the relationship between physical and psychological health among hospitalised patients.
inpatients
mediation analysis
physical health
psychological health
social support
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
12
08
2023
received:
20
04
2023
accepted:
21
08
2023
pubmed:
2
9
2023
medline:
2
9
2023
entrez:
2
9
2023
Statut:
ppublish
Résumé
To investigate the self-reported levels of social support from friends and family and from nurses as mediators of the relationship between self-rated physical and psychological condition in hospitalised patients. Cross-sectional study of adult inpatients at a large tertiary-care hospital in the northeast United States. Multiple mediation analysis of survey data. In surveys received from 324 inpatients, one fourth of the variation in patients' self-rated psychological condition was explained by self-rated physical condition. Social support from family and friends mediated a significant proportion (11.0%) of the relationship between self-rated physical and psychological condition, however social support from nurses did not. Social support from family and friends can positively influence the psychological health of inpatients, but nurses are not an adequate replacement for the social support provided by family and friends. Although nurses cannot replace the social support provided by family and friends, the assessment of social isolation and care planning of interventions to support patients is a fundamental nursing role. Technology to connect patients with friends and family should be used to mitigate isolation for hospitalised patients unable to receive in-person visits from loved ones. The influence of social support from family and friends and nurses was addressed. The study found social support from family and friends, but not nurses, to influence the relationship between physical and psychological ratings. This finding has implications for the role of nurses in the hospital setting. Strengthening the Reporting of Observational Studies in Epidemiology guidelines were followed.
Types de publication
Journal Article
Langues
eng
Pagination
7812-7821Informations de copyright
© 2023 John Wiley & Sons Ltd.
Références
Alloway, R., & Bebbington, P. (1987). The buffer theory of social support-A review of the literature. Psychological Medicine, 17(1), 91-108. https://doi.org/10.1017/S0033291700013015
Austin, P. C., & Steyerberg, E. W. (2015). The number of subjects required per variable in linear regression analyses. Journal of Clinical Epidemiology, 68(6), 627-636. https://doi.org/10.1016/j.jclinepi.2014.12.014
Baniqued, M. G., Ballecer, B. A. P., Ballesteros, B. D. C., Balmonte, J. R. R., Bancud, E. M. F., Rebueno, M. C. D. R., & Macindo, J. R. B. (2020). Social support from nurses and non-adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in metro Manila, Philippines. Public Health Nursing, 37(3), 339-346. https://doi.org/10.1111/phn.12714
Broadhead, W. E., Kaplan, B. H., James, S. A., Wagner, E. H., Schoenbach, V. J., Grimson, R., Heyden, S., Tibblin, G., & Gehlbach, S. H. (1983). The epidemiologic evidence for a relationship between social support and health. American Journal of Epidemiology, 117, 5212-5537. https://doi.org/10.1093/oxfordjournals.aje.a113575
Cassel, J. (1976). The contribution of the social environment to host resistance. American Journal of Epidemiology, 104, 107-123. https://doi.org/10.1093/oxfordjournals.aje.a112281
Corless, I. B., Tyer-Viola, L., Hagan, J., Quinn, L. W., Carney, J., Griffith, C. A., Sipe, M. H., Banister, G. E., & Hall, K. E. (2023). The importance of caring behaviors and feeling safe in hospitalized patients. International Journal of Human Caring, 27(1), 3-11. https://doi.org/10.20467/IJHC.2021-0019
De Maria, M., Tagliabue, S., Ausili, D., Vellone, E., & Matarese, M. (2020). Perceived social support and health-related quality of life in older adults who have multiple chronic conditions and their caregivers: A dyadic analysis. Social Science & Medicine, 262, 113193. https://doi.org/10.1016/j.socscimed.2020.113193
Eskandari, S., Mirhaghjou, S. N., Maleki, M., Mardani, A., Gholami, M., & Harding, C. (2021). Identification of the range of nursing skills used to provide social support for mothers of preterm infants in neonatal intensive care. Critical Care Research and Practice, 2021, 6697659. https://doi.org/10.1155/2021/6697659
Finfgeld-Connett, D. (2005). Clarification of social support. Journal of Nursing Scholarship, 37(1), 4-9. https://doi.org/10.1111/j.1547-5069.2005.00004.x
Finfgeld-Connett, D. (2007). Concept comparison of caring and social support. International Journal of Nursing Terminologies and Classifications, 18(2), 58-68. https://doi.org/10.1111/j.1744-618X.2007.00051.x
Finfgeld-Connett, D. (2008). Concept synthesis of the art of nursing. Journal of Advanced Nursing, 62(3), 381-388. https://doi.org/10.1111/j.1365-2648.2008.04601.x
Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18(3), 233-239. https://doi.org/10.1111/j.1467-9280.2007.01882.x
Gellert, P., Häusler, A., Suhr, R., Gholami, M., Rapp, M., Kuhlmey, A., & Nordheim, J. (2018). Testing the stress-buffering hypothesis of social support in couples coping with early-stage dementia. PLoS One, 13(1), e0189849. https://doi.org/10.1371/journal.pone.0189849
House, J., Landis, K., & Umberson, D. (1988). Social relationships and health. Science, 241, 540-545. https://doi.org/10.1126/science.3399889
Howland, M., & Simpson, J. A. (2010). Getting in under the radar: A dyadic view of invisible support. Psychological Science, 21(12), 1878-1885. https://doi.org/10.1177/0956797610388817
Lachman, M. E., & Agrigoroaei, S. (2010). Promoting functional health in midlife and old age: Long-term protective effects of control beliefs, social support, and physical exercise. PLoS One, 5(10), e13297. https://doi.org/10.1371/journal.pone.0013297
Leavy, R. L. (1983). Social support and psychological disorder: A review. Journal of Community Psychology, 11(1), 3-21. https://doi.org/10.1002/1520-6629(198301)11:1<3::aid-jcop2290110102>3.0.co;2-e
Lee, M. K., & Oh, J. (2020). Health-related quality of life in older adults: Its association with health literacy, self-efficacy, social support, and health-promoting behavior. Healthcare, 8(4), 407. https://doi.org/10.3390/healthcare8040407
Lehto, U. S., Ojanen, M., & Kellokumpu-Lehtinon, P. (2005). Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Annals of Oncology, 16(5), 805-816. https://doi.org/10.1093/arnnonc/mdi146
Lubasch, J. S., Lee, S., Kowalski, C., Beckmann, M., Pfaff, H., & Ansmann, L. (2021). Hospital processes and the nurse-patient interaction in breast cancer care. Findings from a cross-sectional study. International Journal of Environmental Research and Public Health, 18(15), 8224. https://doi.org/10.3390/ijerph18158224
Lubasch, J. S., Lee, S., Wirtz, M. A., Pfaff, H., & Ansmann, L. (2022). Validation of a patient-reported measure of social support provided by nurses in breast cancer care (SuPP-N): Based on a cross-sectional patient survey in 83 German hospitals. BMJ Open, 12(4), e054015. https://doi.org/10.1136/bmjopen-2021-054015
Maaskant, J., Jongerden, I., Bik, J., Joosten, M., Musters, S., Storm-Versloot, M., Wielenga, J., & Eskes, A. (2021). Strict isolation requires a different approach to the family of hospitalised patients with covid-19: A rapid qualitative study. International Journal of Nursing Studies, 117, 103858. https://doi.org/10.1016/j.ijnurstu.2020.103858
Majernikova, L., Magurova, D., & Galdunova, H. (2019). Self-help groups and social support of patients with multiple sclerosis. Clinical Social Work and Health Intervention, 10(1), 28-33. https://doi.org/10.22359/cswhi_10_1_04
Mitchell, R. E., Billings, A. G., & Moos, R. H. (1982). Social support and well-being: Implications for prevention programs. Journal of Primary Prevention, 3, 77-98. https://doi.org/10.1007/BF01324668
National Academy of Sciences. (2020). Social isolation and loneliness in older adults: Opportunities for the health care system. The National Academies Press. https://doi.org/10.17226/25663
Ozbay, F., Johnson, D. C., Dimoulas, E., Morgan, C. A., Charney, D., & Southwick, S. (2007). Social support and resilience to stress: From neurobiology to clinical practice. Psychiatry (Edgmont), 4(5), 35-40.
Revenson, T. A., Schiaffino, K. M., Majerovitz, D., & Gibofsky, A. (1991). Social support as a double-edged sword: The relation of positive and problematic support to depression among rheumatoid arthritis patients. Social Science & Medicine, 33(7), 807-813. https://doi.org/10.1016/0277-9536(91)90385-p
Rivera, N. V., Parmelee, P. A., & Smith, D. M. (2020). The impact of social interactions and pain on daily positive and negative affect in adults with osteoarthritis of the knee. Aging & Mental Health, 24(1), 8-14. https://doi.org/10.1080/13607863.2018.1506744
Rosenbluth, G., Good, B. P., Litterer, K. P., Markle, P., Baird, J. D., Khan, A., Landrigan, C. P., Spector, N. D., & Patel, S. J. (2020). Communicating effectively with hospitalized patients and families during the covid-19 pandemic. Journal of Hospital Medicine, 15(7), 440-442. https://doi.org/10.12788/jhm.3466
Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1-36. https://doi.org/10.18637/jss.v048.i02
Seeman, T. E. (2000). Health promoting effects of friends and family on health outcomes in older adults. American Journal of Health Promotion, 14, 362-370. https://doi.org/10.4278/0890-1171-14.6.362
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290-312. https://doi.org/10.2307/270723
Steinmo, S., Hagger-Johnson, G., & Shahab, L. (2014). Bidirectional association between mental health and physical activity in older adults: Whitehall II prospective cohort study. Preventative Medicine, 66, 74-79. https://doi.org/10.1016/j.ypmed.2014.06.005
Tarkka, M.-T., Paavilainen, E., Lehti, K., & Astedt-Kurki, P. (2003). In-hospital social support for families of heart patients. Journal of Clinical Nursing, 12(5), 736-743. https://doi.org/10.1046/j.1365-2702.2003.00771.x
Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377-387. https://doi.org/10.1007/s10865-006-9056-5
Umberson, D., & Montez, J. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51, S54-S66. https://doi.org/10.1177/0022146510383501
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2008). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 44-49. https://doi.org/10.1016/j.jclinepi.2007.11.008
Wakam, G. K., Montgomery, J. R., Biesterveld, B. E., & Brown, C. S. (2020). Not dying alone-Modern compassionate care in the Covid-19 pandemic. New England Journal of Medicine, 382(24), e88. https://doi.org/10.1056/NEJMp2007781
Weihs, K. L., Enright, T. M., & Simmens, S. J. (2008). Close relationships and emotional processing predict decreased mortality in women with breast cancer: Preliminary evidence. Psychosomatic Medicine, 70(1), 117-124. https://doi.org/10.1097/PSY.0b013e31815c25cf