The Association between Self-Rated Health and Health Self-Management Ability of Healthcare Undergraduates: The Chain Mediating Roles of eHealth Literacy and Resistance to Peer Influence

Xu, Guangyi; Xu, Yanhong; Tu, Xiaowei; Hao, Shuaijia; Liu, Ting

doi:10.3390/ijerph192114501

Cited by 4 publications

(6 citation statements)

References 42 publications

(64 reference statements)

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“…This suggests that undergraduate nursing students have better health self-management skills, which may be attributed to their professional studies. However, the health self-management skills of the nursing undergraduates were poorer than those of the healthcare undergraduates [ 10 ], and this infers a need to strengthen this trait.…”

Section: Discussionmentioning

confidence: 99%

“…University students are especially encouraged to cultivate healthy self-management skills because they can keep their minds healthy, boost the immune system, and lower the effects of stress [ 9 ]. However, studies on health self-management among university students, especially nursing students, are limited, albeit published studies have shown a need to strengthen these skills among this group [ 10 ]. As the preparatory workforce for future clinical care, developing good health self-management skills in undergraduate nursing students will lead to good health outcomes for both students and professional experts in patient health coaching [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Zhang,

Wang,

et al. 2024

BMC Nurs

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Background Good health self-management positively affects the health of healthcare providers and their ability to manage their patients’ health. This study explored the relationship between ehealth literacy, health self-management skills, and mental health literacy among undergraduate nursing students. Some studies have confirmed the correlation between e-health literacy and health self-management skills, while mental health literacy may be correlated with both, and this study aims to explore the relationship between the three. Methods A descriptive cross-sectional survey was conducted at a medical university in northwestern China among 385 Chinese undergraduate nursing students. Participants completed the General Information Questionnaire, the Adult Health Self-Management Skills Rating Scale, the Mental Health Literacy Rating Scale, and the eHealth Literacy Scale, and provided valid responses. The IBM SPSS 27.0 statistical software was used for data entry and descriptive analysis, t-test, ANOVA, and Pearson correlation analysis. The IBM Amos 26.0 was used to construct the mediation effect model, and the Bootstrap method was employed to test mediating effects. Results Mental health literacy, ehealth literacy, and health self-management skills of undergraduate nursing students were at a moderate to high level. Mental health literacy, ehealth literacy, and health self-management were positively correlated. Mental health literacy, particularly, played a partial mediating role of 31.1% ( 95% CI [0.307–1.418] ) between ehealth literacy and health self-management. Conclusions Undergraduate nursing students’ mental health literacy partially mediates the link between eHealth literacy and health self-management skills. Schools should emphasize the development of nursing students’ e-health literacy and mental health literacy in order to improve their health self-management skills, which will not only bring about a better health outcome for the students, but will also benefit the health of the social population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Zhang,

Wang,

et al. 2024

BMC Nurs

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“…In the current study, SPSS 25 ( 46 ) (IBM, Armonk, NY, United States) and Model 6 of PROCESS Macro ( 47 ) were used to analyze the survey data. Descriptive statistics were used to analyze the sample characteristics.…”

Section: Methodsmentioning

confidence: 99%

Influence of social support on subjective well-being of patients with chronic diseases in China: chain-mediating effect of self-efficacy and perceived stress

Luo

Zhong

Zheng

et al. 2023

Front. Public Health

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IntroductionThe well-being of patients with chronic diseases is an issue of widespread concern in public health. While social support is thought to have a positive effect on it, the mechanisms of its influence have not been fully addressed. Thus, we explored the possible mediating effects of self-efficacy and perceived stress to determine the relationship between social support and well-being in these patients.MethodsA cross-sectional study was conducted among 4,657 patients with chronic diseases in China. The PROCESS Macro model 6 of SPSS was employed to explore the intermediary role between variables.ResultsSelf-efficacy and perceived stress played a partial intermediary role between social support and subjective well-being, with an effect ratio of 48.25% and 23.61%, respectively. Self-efficacy and perceived stress had a chain intermediary effect (28.14%) between social support and subjective well-being.DiscussionThis study suggested that improving the self-efficacy of patients with chronic diseases to cope with the changes in social support caused by the disease could reduce stress and enhance subjective well-being.

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“…The path analysis between self-rated health and negative emotions reveals a significant effect of self-rated health. Studies have shown that the overall self-rated health score is positively correlated with the total health literacy score; the higher the self-rated health score, the higher the individual's level of health literacy (74). Individuals with high health literacy are more likely to adopt positive health behaviors and coping strategies when facing mental health issues.…”

Section: The Mediating Role Of Self-rated Healthmentioning

confidence: 99%

Influence of physical exercise on negative emotions in college students: chain mediating role of sleep quality and self-rated health

Mu,

Liu,

Lou

et al. 2024

Front. Public Health

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BackgroundNegative emotions in college students are a significant factor affecting mental health, with suicide behaviors caused by negative emotions showing an annual increasing trend. Existing studies suggest that physical exercise is essential to alleviate negative feelings, yet the intrinsic mechanisms by which it affects negative emotions have not been fully revealed.ObjectiveNegative emotions in college students represent a significant issue affecting mental health. This study investigates the relationship between physical exercise and negative emotions among college students, incorporating sleep quality and self-rated health (SRH) as mediators to analyze the pathway mechanism of how physical exercise affects students’ negative emotions.MethodsA cross-sectional study design was utilized, employing online questionnaires for investigation. The scales included the Physical Activity Rating Scale-3 (PARS-3), the Depression Anxiety Stress Scales-21 (DASS-21), the Pittsburgh Sleep Quality Index (PSQI), and the 12-Item Short Form Health Survey (SF-12), resulting in the collection of 30,475 valid questionnaires, with a validity rate of 91%. Chain mediation tests and Bootstrap methods were applied for effect analysis.ResultsThe proportions of university students engaged in low, medium, and high levels of physical exercise were 77.6, 13.1, and 9.3%, respectively. The proportions of students experiencing “very severe” levels of stress, anxiety, and depression were 4.5, 10.9, and 3.6%, respectively. Physical exercise was significantly positively correlated with self-rated health (r = 0.194, p < 0.01), significantly negatively correlated with sleep quality (r = −0.035, p < 0.01), and significantly negatively correlated with stress, anxiety, and depression (r = −0.03, p < 0.01; r = −0.058, p < 0.01; r = −0.055, p < 0.01). Sleep quality was significantly negatively correlated with self-rated health (r = −0.242, p < 0.01). Mediation effect testing indicated that sleep quality and self-rated health partially mediated the relationship between physical exercise and negative emotions, with total effect, total direct effect, and total indirect effect values of −1.702, −0.426, and − 1.277, respectively.ConclusionCollege students primarily engage in low-intensity physical activity. Sleep quality and self-rated health mediate the impact of physical exercise on students’ negative emotions. A certain level of physical activity can directly affect students’ emotional states and indirectly influence their negative emotions via sleep and self-rated health. Regular engagement in physical activities primarily positively impacts emotional states by enhancing mood stability and overall emotional resilience.

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The Association between Self-Rated Health and Health Self-Management Ability of Healthcare Undergraduates: The Chain Mediating Roles of eHealth Literacy and Resistance to Peer Influence

Cited by 4 publications

References 42 publications

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Influence of social support on subjective well-being of patients with chronic diseases in China: chain-mediating effect of self-efficacy and perceived stress

Influence of physical exercise on negative emotions in college students: chain mediating role of sleep quality and self-rated health

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