The relationship between perceived social support and health-promoting behaviors among middle-aged and young patients after PCI: the mediating role of fear of disease progression
- 1Department of Nursing, Deyang People’s Hospital
- 2Department of Cardiology, Deyang People’s Hospital
Abstract
Objective: This study aims to investigate the mediating role of fear of disease progression in the relationship between perceived social support and health-promoting behaviors among middle-aged and young patients after PCI, providing a theoretical basis for developing targeted interventions to improve health promotion behaviors in this population.
Methods: This cross-sectional study employed convenience sampling. Between April and October 2024, 265 middle-aged and young patients who underwent PCI were surveyed in the cardiovascular department of a Grade A tertiary hospital in Sichuan Province, China. Data collection utilized questionnaires on general information, the Health-Promoting Lifestyle Scale, the Perceived Social Support Scale, and the Fear of Disease Progression Scale. Data analysis was performed using SPSS 26.0 software for descriptive analysis, univariate analysis, correlation analysis, and multivariate stratified regression analysis. Mediating effect analysis was conducted using Model 4 in the Process v4.1 plugin.
Results: The mean health-promoting behaviors score among middle-aged and young patients after PCI was (88.09 ± 9.98) points. Correlation analysis revealed that perceived social support was negatively correlated with fear of disease progression ( r = −0.478, p < 0.01) and positively correlated with health-promoting behaviors ( r = 0.715, p < 0.01). Fear of disease progression was negatively correlated with health-promoting behaviors ( r = −0.610, p < 0.01). Mediation analysis revealed that fear of disease progression mediated the relationship between perceived social support and health-promoting behaviors, with an effect size of 0.068. This mediation accounted for 13.9% of the total effect.
Conclusion: There is still room for further improvement in health-promoting behaviors among middle-aged and young patients following PCI. There is a significant correlation among perceived social support, fear of disease progression, and health-promoting behaviors, with fear of disease progression partially mediating the relationship between perceived social support and health-promoting behaviors. This study elucidates the interrelationships among these three factors and their underlying mechanisms, suggesting that clinicians may develop personalized rehabilitation management plans by integrating patients’ social support status with their psychological characteristics regarding disease-related fears. This approach offers new insights for optimizing health behavior management in middle-aged and young patients following PCI.
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BibTeX
@article{li2026relationship,
title = {{The relationship between perceived social support and health-promoting behaviors among middle-aged and young patients after PCI: the mediating role of fear of disease progression}},
author = {Yuxin Li and Xiaoli Zhong and Tianxia Zhao and Ping Dai and Junrong Yang and Yuting Fan and Jijun Wu and Lin He},
journal = {Frontiers in Public Health},
year = {2026},
month = oct,
doi = {10.3389/fpubh.2026.1839180},
url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1839180/full},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - The relationship between perceived social support and health-promoting behaviors among middle-aged and young patients after PCI: the mediating role of fear of disease progression
AU - Yuxin Li
AU - Xiaoli Zhong
AU - Tianxia Zhao
AU - Ping Dai
AU - Junrong Yang
AU - Yuting Fan
AU - Jijun Wu
AU - Lin He
PY - 2026
DA - 2026/10/21
JO - Frontiers in Public Health
DO - 10.3389/fpubh.2026.1839180
UR - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1839180/full
AB - Objective: This study aims to investigate the mediating role of fear of disease progression in the relationship between perceived social support and health-promoting behaviors among middle-aged and young patients after PCI, providing a theoretical basis for developing targeted interventions to improve health promotion behaviors in this population. Methods: This cross-sectional study employed convenience sampling. Between April and October 2024, 265 middle-aged and young patients who underwent PCI were surveyed in the cardiovascular department of a Grade A tertiary hospital in Sichuan Province, China. Data collection utilized questionnaires on general information, the Health-Promoting Lifestyle Scale, the Perceived Social Support Scale, and the Fear of Disease Progression Scale. Data analysis was performed using SPSS 26.0 software for descriptive analysis, univariate analysis, correlation analysis, and multivariate stratified regression analysis. Mediating effect analysis was conducted using Model 4 in the Process v4.1 plugin. Results: The mean health-promoting behaviors score among middle-aged and young patients after PCI was (88.09 ± 9.98) points. Correlation analysis revealed that perceived social support was negatively correlated with fear of disease progression ( r = −0.478, p < 0.01) and positively correlated with health-promoting behaviors ( r = 0.715, p < 0.01). Fear of disease progression was negatively correlated with health-promoting behaviors ( r = −0.610, p < 0.01). Mediation analysis revealed that fear of disease progression mediated the relationship between perceived social support and health-promoting behaviors, with an effect size of 0.068. This mediation accounted for 13.9% of the total effect. Conclusion: There is still room for further improvement in health-promoting behaviors among middle-aged and young patients following PCI. There is a significant correlation among perceived social support, fear of disease progression, and health-promoting behaviors, with fear of disease progression partially mediating the relationship between perceived social support and health-promoting behaviors. This study elucidates the interrelationships among these three factors and their underlying mechanisms, suggesting that clinicians may develop personalized rehabilitation management plans by integrating patients’ social support status with their psychological characteristics regarding disease-related fears. This approach offers new insights for optimizing health behavior management in middle-aged and young patients following PCI.
SN - 2296-2565
ER -