Journal of pediatric nursing · 2026
Effects of illness perception and social support on self-management among patients with adolescent idiopathic scoliosis: The mediating role of self-regulation.
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Xu Bo, Fan Xiaotong, Yu Jun, Wang Jun, Dechen Wangmo, Zeng Hong, Xiong Chaoyue, Wei Dandan, Qiu Yuyu
Аннотация
PURPOSE: This study aimed to examine the relationships among illness perception, social support, self-regulation, and self-management in patients with adolescent idiopathic scoliosis (AIS), based on the Integrated Theory of Health Behavior Change.
DESIGN AND METHODS: This cross-sectional study included 231 participants with adolescent idiopathic scoliosis in Wuxi, China. Validated questionnaires were employed to measure self-management, illness perception, social support, and self-regulation. Path analysis was conducted to examine the direct and indirect relationships among these variables, with bootstrapped confidence intervals used to assess mediation effects.
RESULTS: Path analysis indicated that illness perception was negatively related to self-management (β=-0.117, p=0.029), while social support showed a positive relationship with self-management (β=0.294, p<0.001). Higher levels of self-regulation were associated with better self-management (β=0.422, p<0.001). Significant indirect effects were observed for both illness perception (β=-0.183, 95% CI [-0.249, -0.123]) and social support (β=0.073, 95% CI [0.026, 0.134]) through self-regulation.
CONCLUSION: Illness perception and social support are associated with self-management both directly and indirectly through self-regulation, suggesting a potential mediating role of self-regulation.
PRACTICE IMPLICATIONS: These findings suggest that pediatric nurses may consider illness perception, self-regulatory abilities, and available social support when assessing and supporting self-management among patients with AIS.
DESIGN AND METHODS: This cross-sectional study included 231 participants with adolescent idiopathic scoliosis in Wuxi, China. Validated questionnaires were employed to measure self-management, illness perception, social support, and self-regulation. Path analysis was conducted to examine the direct and indirect relationships among these variables, with bootstrapped confidence intervals used to assess mediation effects.
RESULTS: Path analysis indicated that illness perception was negatively related to self-management (β=-0.117, p=0.029), while social support showed a positive relationship with self-management (β=0.294, p<0.001). Higher levels of self-regulation were associated with better self-management (β=0.422, p<0.001). Significant indirect effects were observed for both illness perception (β=-0.183, 95% CI [-0.249, -0.123]) and social support (β=0.073, 95% CI [0.026, 0.134]) through self-regulation.
CONCLUSION: Illness perception and social support are associated with self-management both directly and indirectly through self-regulation, suggesting a potential mediating role of self-regulation.
PRACTICE IMPLICATIONS: These findings suggest that pediatric nurses may consider illness perception, self-regulatory abilities, and available social support when assessing and supporting self-management among patients with AIS.