PDF(Pubmed)
Abstract：
BACKGROUND: Caring for stroke survivors can affect the caregiver\'s life, especially with the increment of patients\' dependency level. This led to depression, anxiety, and stress in the caregiver, impacting their quality of life (QoL). This study aims to model relationships between caregivers\' factors and stroke survivors\' factors with caregivers\' QoL and to estimate the mediation effects of caregivers\' depression, anxiety, and stress in the relationships between stroke survivors\' dependency level and caregivers\' QoL. Methods: Data from a cross-sectional study with a sample size of 250 subjects was analyzed. Linear regression was done to model the relationship between stroke survivors\' factors and caregivers\' factors with caregivers\' QoL. Hayes\'s PROCESS macro model 4 for bootstrapping indirect effects was used to estimate the mediation effects of depression, anxiety, and stress in the relationship between stroke survivors\' dependency level and caregivers\' QoL.
RESULTS: Stroke survivors\' dependency levels that were measured by the Modified Barthel Index score (b=0.14; 95% CI: 0.07, 0.20), caregivers\' depression score (b=-0.81; 95% CI: -1.44, -0.20), and caregivers\' anxiety score (b=-0.73; 95% CI: -1.34, -0.12) were found to be associated with caregivers\' QoL. Caregivers\' depression score (effect=0.02; 95% CI for bootstrapping: 0.01, 0.04) and caregivers\' anxiety score (effect=0.01; 95% CI for bootstrapping: 0.01, 0.04) were found as partial mediators in the relationship between stroke survivors\' dependency level and caregivers\' QoL.
CONCLUSIONS: Stroke survivors\' dependency level and caregivers\' depression and anxiety significantly impact caregivers\' QoL, with the latter factors partially mediating this relationship. Interventions such as providing caregivers with psychological support, stress management programs, and training in caregiving skills could help mitigate these impacts and improve caregivers\' QoL.
RESULTS: Stroke survivors\' dependency levels that were measured by the Modified Barthel Index score (b=0.14; 95% CI: 0.07, 0.20), caregivers\' depression score (b=-0.81; 95% CI: -1.44, -0.20), and caregivers\' anxiety score (b=-0.73; 95% CI: -1.34, -0.12) were found to be associated with caregivers\' QoL. Caregivers\' depression score (effect=0.02; 95% CI for bootstrapping: 0.01, 0.04) and caregivers\' anxiety score (effect=0.01; 95% CI for bootstrapping: 0.01, 0.04) were found as partial mediators in the relationship between stroke survivors\' dependency level and caregivers\' QoL.
CONCLUSIONS: Stroke survivors\' dependency level and caregivers\' depression and anxiety significantly impact caregivers\' QoL, with the latter factors partially mediating this relationship. Interventions such as providing caregivers with psychological support, stress management programs, and training in caregiving skills could help mitigate these impacts and improve caregivers\' QoL.
摘要：
背景：照顾中风幸存者会影响照顾者的生活，特别是随着患者依赖水平的增加。这导致了抑郁，焦虑,和照顾者的压力，影响他们的生活质量(QoL)。本研究旨在建立照顾者因素和中风幸存者因素与照顾者QoL之间的关系模型，并估计照顾者抑郁的中介效应。焦虑,以及中风幸存者“依赖水平”和护理人员“QoL”之间关系的压力。方法：分析了250名受试者的横断面研究数据。采用线性回归对卒中幸存者因素和照顾者因素与照顾者QoL之间的关系进行建模。Hayes的过程宏模型4用于引导间接效应，用于估计抑郁症的调解效应，焦虑,和压力之间的关系中风幸存者\“依赖水平和照顾者\”QoL。
结果：通过改良Barthel指数评分（b=0.14；95％CI：0.07，0.20）测量的中风幸存者依赖水平，护理人员抑郁评分（b=-0.81；95%CI：-1.44，-0.20），和照顾者的焦虑评分(b=-0.73;95%CI:-1.34,-0.12)被发现与照顾者的QoL相关。护理者抑郁评分（效果=0.02；引导95%CI：0.01，0.04）和护理者焦虑评分（效果=0.01；引导95%CI：0.01，0.04）被认为是卒中幸存者依赖水平与护理者QoL之间关系的部分中介。
结论：卒中幸存者\'依赖程度和照顾者\'抑郁和焦虑显著影响照顾者\'QoL，后者的因素部分地调解了这种关系。干预措施，例如为护理人员提供心理支持，压力管理计划，和护理技能培训可以帮助减轻这些影响并改善护理人员的生活质量。
结果：通过改良Barthel指数评分（b=0.14；95％CI：0.07，0.20）测量的中风幸存者依赖水平，护理人员抑郁评分（b=-0.81；95%CI：-1.44，-0.20），和照顾者的焦虑评分(b=-0.73;95%CI:-1.34,-0.12)被发现与照顾者的QoL相关。护理者抑郁评分（效果=0.02；引导95%CI：0.01，0.04）和护理者焦虑评分（效果=0.01；引导95%CI：0.01，0.04）被认为是卒中幸存者依赖水平与护理者QoL之间关系的部分中介。
结论：卒中幸存者\'依赖程度和照顾者\'抑郁和焦虑显著影响照顾者\'QoL，后者的因素部分地调解了这种关系。干预措施，例如为护理人员提供心理支持，压力管理计划，和护理技能培训可以帮助减轻这些影响并改善护理人员的生活质量。
