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.
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。