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PDF(473 KB)
PDF(473 KB)
脑卒中患者功能独立性与家庭照料者负担感的关系：以社会支持为中介变量和调节变量
Relationship between Stroke Patient’s Functional Independence and Family Caregiver Burden: Social Support as Mediator and Moderator
研究对203名脑卒中患者的家庭照料者进行了问卷调查，以探讨患者的功能独立性对家庭照料者负担感的作用机制。结果显示，82.3%脑卒中患者的家庭照料者有明显的负担感；患者的功能独立性与家庭照料者的负担感显著负相关；来自患者的社会支持在患者功能独立性与家庭照料者负担感之间起中介作用，而来自患者之外的社会支持则起调节作用。结果表明，在家庭照料负担的干预实践中，应注意区分来源不同的社会支持及其作用机制。
Many researchers believe that patient’s functional independence and family caregiver burden have a significant relationship. But in different family caregiving situations, the effect of patient’s functional independence on family caregiver burden is different. Researchers found that social support is a very important variable to relieve stress. They also found social support could be separated into two categories according as different sources which are social support from patient and social support from non-patient. The present study aimed at investigating the relationship between functional independence and family caregiver burden by adding 2 “third variables”, namely, mediator and moderator. After summarizing the relevant reports, social support from patient was considered as the mediator and social support from non-patient as the moderator.203 family caregivers of stroke patient were selected to fill 3 scales. The 3 scales used in this study were functional independence measure, social support questionnaire and caregiver strain index. Results: Approximately 82.3% family caregivers of stroke patient felt stress apparently. There was a significantly negative correlation between stroke patient’s functional independence and family caregiver burden. Social support from stroke patient mediated the relationship between stroke patient’s functional independence and family caregiver burden, while social support from non-patient moderated the effect of stroke patient’s functional independence on family caregiver burden. The results suggest that social supports of different sources should be distinguished when a plan of intervention on family caregiver burden is implemented.
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