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☐ ☆ ✇ Journal of Clinical Nursing

Impact of Social Support on Health Literacy Among People With Diabetes: A Cross‐Sectional Study

Por: Xuanxuan Gu · Qianwen Hou · Keli Ma · Haiyang Liu · Leilei Guo · Jinlong Li · Yunxiao Lei · Xiaoping Li · Lu Sun · Liu Yang · Ting Yuan · Congzhi Wang · Dongmei Zhang · Jing Li · Mingming Liu · Ying Hua · Lin Zhang — Agosto 6th 2025 at 08:13

ABSTRACT

Aim

In recent years, the critical role of health literacy in diabetes management has become increasingly prominent. The aim of this study was to investigate the impact of social support on health literacy among patients with diabetes, to test the mediating role of self-efficacy and empowerment between social support and health literacy, and the moderating role of eHealth literacy.

Design

A cross-sectional study conducted between August 2023 and June 2024.

Methods

This study adopted the cluster sampling method and conducted a questionnaire survey among 251 patients with diabetes in a tertiary hospital in Wuhu City, Anhui Province. The questionnaires included the Social Support Rating Scale, the Self-Efficacy for Diabetes scale, the Health Empowerment Scale, the eHealth Literacy Scale and the Diabetes Health Literacy Scale.

Results

Social support was positively associated with health literacy in patients with diabetes. Self-efficacy and empowerment mediated the relationship and formed chained mediation pathways respectively. eHealth literacy has a moderating role between self-efficacy and empowerment.

Conclusion

The results revealed that social support influences health literacy among patients with diabetes through the mediating pathways of self-efficacy and empowerment, and that this process is moderated by eHealth literacy. These findings provide a theoretical basis and practical insights for improving health literacy among patients with diabetes.

Implications

Enhancing health literacy among people with diabetes by strengthening social support, self-efficacy and empowerment levels, while focusing on the technology-enabling role of eHealth literacy in this context.

Reporting Method

This study adheres to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.

Patient or Public Contribution

We thank all patients who participated in the study for their understanding and support.

☐ ☆ ✇ International Wound Journal

Assessing the efficacy of Naoxintong capsules on wound healing in post‐craniotomy patients: A clinical perspective

Por: Guojiang Zheng · Ting Yu · Ayesha Humayun · Hui Chen — Febrero 28th 2024 at 08:03

Abstract

This study was conducted to determine whether Naoxintong capsules may enhance wound healing and reduce postoperative complications in individuals having craniotomies. A total of 120 patients at Tongji Hospital, Shanghai, participated in this clinical perspective study conducted from April 2022 to June 2023. Participants were divided into treatment group (n = 60), receiving standard care plus Naoxintong capsules and control group (n = 60), receiving standard care only. Primary outcomes included the rate of wound healing, while secondary outcomes encompassed postoperative complications and patient-reported outcomes on pain and quality of life. The treatment group exhibited significantly enhanced wound healing rate than the control at Day 7 (40.33 vs. 25.67%, p < 0.05), Day 14 (75.17 vs. 50.83%, p < 0.05) and Day 28 (94.83 vs. 79.50%, p < 0.05). Postoperative complications were markedly reduced in the treatment group, with lower rates of infection (p < 0.05), wound dehiscence (p < 0.05) and cerebrospinal fluid leakage (p < 0.05). Furthermore, patient-reported outcomes significantly favoured the treatment group, with reduced pain scores and improved quality of life at 4 weeks post-surgery(p < 0.05). Naoxintong capsules thus significantly enhanced the wound healing and reduced postoperative complications, contributing to improved patient-reported outcomes in post-craniotomy patients. These findings advocated for the integration of Naoxintong in postoperative care, highlighting the potential of traditional Chinese medicine in modern surgical recovery protocols. Further studies with larger cohorts are recommended to validate these findings and explore the underlying mechanisms.

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