Influence of Negative Attentional Bias on Self-Management and Health-Promoting Behaviors in Orthopedic Patients with Chronic Refractory Wounds: A Structural Equation Modeling Approach.

IF 2 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-09-04 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S543408

Su-Feng Yin, Fei-Fei Bian, Hai-Xia Li

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Abstract

Objective: This study aimed to investigate the status of negative information attentional bias, self-management, and health-promoting behaviors among patients with chronic refractory wounds receiving orthopedic care. Additionally, the study sought to construct a structural equation model (SEM) to evaluate the influence of negative attentional bias on self-management and health-promoting behaviors, with the intent of informing the clinical implementation of evidence-based health behavior education programs.

Methods: A total of 226 patients with chronic refractory wounds under orthopedic treatment at a single institution between January 2020 and December 2022 were enrolled in this study. Data were collected using a general information questionnaire, the Negative Cognitive Processing Bias Questionnaire, the Chronic Disease Self-Management Scale (CDSMS), and the Health-Promoting Lifestyle Profile II (HPLP-II). Pearson's correlation analysis was conducted to assess associations among negative attentional bias, self-management, and health-promoting behaviors. SEM using Amos 21.0 was conducted to examine potential mediating effects.

Results: Health-promoting behaviors demonstrated a positive correlation with self-management and a negative correlation with negative attentional bias. Furthermore, self-management was negatively correlated with negative attentional bias (all p < 0.05). SEM indicated that negative attentional bias partially mediated the relationship between self-management and health-promoting behaviors, accounting for 31.65% of the total effect.

Conclusion: Negative attentional bias mediates the association between self-management and health-promoting behaviors among patients with chronic refractory wounds receiving orthopedic care. These findings suggest that enhancing self-management may improve engagement in health-promoting behaviors by reducing the influence of negative attentional bias.

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负性注意偏差对骨科慢性难治性创伤患者自我管理和健康促进行为的影响：结构方程建模方法

目的：探讨骨科慢性难治性创伤患者的负信息、注意偏差、自我管理及健康促进行为的现状。此外，本研究试图构建结构方程模型（SEM）来评估负性注意偏差对自我管理和健康促进行为的影响，以期为临床实施循证健康行为教育提供依据。方法：选取2020年1月至2022年12月在同一医院接受骨科治疗的慢性难治性伤口患者226例。采用一般信息问卷、负性认知加工偏差问卷、慢性疾病自我管理量表（CDSMS）和健康促进生活方式量表II （HPLP-II）收集数据。采用Pearson相关分析评估负性注意偏差、自我管理和健康促进行为之间的关系。使用Amos 21.0进行扫描电镜（SEM）检测潜在的中介效应。结果：健康促进行为与自我管理呈正相关，与负性注意偏倚呈负相关。自我管理与负性注意偏倚呈负相关（p < 0.05）。扫描电镜显示，负性注意偏误在自我管理与健康促进行为的关系中起部分中介作用，占总效应的31.65%。结论：负性注意偏倚在慢性难治性创伤骨科患者自我管理与健康促进行为之间起中介作用。这些发现表明，加强自我管理可以通过减少负面注意偏差的影响来提高健康促进行为的参与度。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.