Psychosocial Factors and Patient Activation in Ocular Trauma: An Exploratory Cross-Sectional Path Analysis.
- 1Department of Nursing, Eye & ENT Hospital of Fudan University, Shanghai, 200031, People's Republic of China.
- 2Nursing Department, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, People's Republic of China.
Abstract
Purpose
Ocular trauma can affect not only visual function but also psychological adjustment and engagement in care. This study examined social support, general self-efficacy, illness acceptance, and patient activation among patients with ocular trauma and tested whether a hypothesized observed-variable path model linking these constructs was supported.Patients and methods
A single-center cross-sectional study was conducted among 184 hospitalized patients with ocular trauma recruited using convenience sampling. Social support, general self-efficacy, illness acceptance, and patient activation were assessed using self-report questionnaires. Descriptive statistics, Spearman correlation analysis, Kruskal-Wallis tests with Benjamini-Hochberg-adjusted pairwise comparisons, multivariable linear regression, and exploratory observed-variable path analysis were performed.Results
The mean scores for social support, general self-efficacy, illness acceptance, and patient activation were 41.03 ± 7.51, 31.85 ± 5.09, 27.76 ± 6.18, and 65.69 ± 17.91, respectively. No statistically significant correlations were observed among the four psychosocial variables. Illness acceptance differed significantly across age groups after Benjamini-Hochberg adjustment, whereas social support, general self-efficacy, and patient activation did not. In the adjusted regression model, older age remained associated with higher illness acceptance. The exploratory path analysis did not support the hypothesized direct or indirect pathways. The serial indirect effect of social support on patient activation through general self-efficacy and illness acceptance was not statistically significant.Conclusion
In this single-center cross-sectional study, social support, general self-efficacy, illness acceptance, and patient activation were not significantly associated with one another among patients with ocular trauma. Older age was associated with higher illness acceptance, but this finding requires confirmation in studies that include ocular trauma-specific clinical and psychological factors. Future longitudinal research is needed to clarify psychosocial adjustment and patient engagement after ocular trauma.
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BibTeX
@article{jiang2026psychosocial,
title = {{Psychosocial Factors and Patient Activation in Ocular Trauma: An Exploratory Cross-Sectional Path Analysis.}},
author = {Honghong Jiang and Lianyao Shi and Feng Mao and Jie Bai},
journal = {Journal of multidisciplinary healthcare},
year = {2026},
month = oct,
doi = {10.2147/jmdh.s640068},
url = {https://europepmc.org/article/MED/42904205},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Psychosocial Factors and Patient Activation in Ocular Trauma: An Exploratory Cross-Sectional Path Analysis.
AU - Honghong Jiang
AU - Lianyao Shi
AU - Feng Mao
AU - Jie Bai
PY - 2026
DA - 2026/10/16
JO - Journal of multidisciplinary healthcare
DO - 10.2147/jmdh.s640068
UR - https://europepmc.org/article/MED/42904205
AB - Purpose Ocular trauma can affect not only visual function but also psychological adjustment and engagement in care. This study examined social support, general self-efficacy, illness acceptance, and patient activation among patients with ocular trauma and tested whether a hypothesized observed-variable path model linking these constructs was supported.Patients and methods A single-center cross-sectional study was conducted among 184 hospitalized patients with ocular trauma recruited using convenience sampling. Social support, general self-efficacy, illness acceptance, and patient activation were assessed using self-report questionnaires. Descriptive statistics, Spearman correlation analysis, Kruskal-Wallis tests with Benjamini-Hochberg-adjusted pairwise comparisons, multivariable linear regression, and exploratory observed-variable path analysis were performed.Results The mean scores for social support, general self-efficacy, illness acceptance, and patient activation were 41.03 ± 7.51, 31.85 ± 5.09, 27.76 ± 6.18, and 65.69 ± 17.91, respectively. No statistically significant correlations were observed among the four psychosocial variables. Illness acceptance differed significantly across age groups after Benjamini-Hochberg adjustment, whereas social support, general self-efficacy, and patient activation did not. In the adjusted regression model, older age remained associated with higher illness acceptance. The exploratory path analysis did not support the hypothesized direct or indirect pathways. The serial indirect effect of social support on patient activation through general self-efficacy and illness acceptance was not statistically significant.Conclusion In this single-center cross-sectional study, social support, general self-efficacy, illness acceptance, and patient activation were not significantly associated with one another among patients with ocular trauma. Older age was associated with higher illness acceptance, but this finding requires confirmation in studies that include ocular trauma-specific clinical and psychological factors. Future longitudinal research is needed to clarify psychosocial adjustment and patient engagement after ocular trauma.
SN - 1178-2390
ER -