创伤后成长在首发脑卒中患者照顾者家庭抗逆力及照顾负担中的中介效应

Mediating effects of post-traumatic growth between family resilience and care burden among caregivers of patients with first stroke

目的探讨创伤后成长在首发脑卒中患者照顾者家庭抗逆力与照顾负担间的中介效应。方法采用便利抽样法,选取2022年3-10月在青岛大学附属医院神经内科收治的253例首发脑卒中患者的照顾者,应用一般资料调查表、中文版家庭抗逆力评估问卷(FRAS-C)、创伤后成长量表(PTGI)、Zarit照顾负担量表(ZBI)进行问卷调查,采用Amos 24.0构建结构方程模型并进行中介效应检验。结果患者照顾者FRAS-C总分为(95.17±9.87)分,PTGI总分为(58.39±14.91)分,ZBI总分为27.00(18.00,35.00)分;家庭抗逆力与创伤后成长呈正相关(r=0.346,P<0.001),与照顾负担呈负相关(r=-0.247,P<0.001),创伤后成长与照顾负担呈负相关(r=-0.236,P<0.001);结构方程模型显示:创伤后成长在首发脑卒中患者照顾者家庭抗逆力和照顾负担间起部分中介作用,中介效应值为-0.077,占总效应的21.27%。结论首发脑卒中患者照顾者家庭抗逆力处于中等水平,创伤后成长在首发脑卒中患者照顾者家庭抗逆力和照顾负担间起部分中介作用。医护工作者可通过提高照顾者家庭抗逆力和创伤后成长水平,以此降低照顾者照顾负担水平。

Objective To explore the mediating effects of post-traumatic growth between family resilience and care burden among caregivers of first-stroke patients.Methods With convenience sampling,a total of 253 caregivers of first-stroke patients who were admitted to the Department of Neurology of the Affiliated Hospital of Qingdao University from March to October 2022 were selected by the convenient sampling method.The general information questionnaire,Shortened Chinese Version of Family Resilience Assessment Scale(FRAS-C),Post-Traumatic Growth Inventory(PTGI),and Zarit Burden Interview(ZBI)were used to conduct the questionnaire survey.Amos 24.0 was used to construct structural equation model and verify the mediating effects.Results The total score of FRAS-C,PTGI and ZBI in caregivers of first-stroke patients were(95.17±9.87)points,(58.39±14.91)points,and 27.00(18.00,35.00)points,respectively.Family resilience of caregivers of first-stroke patients was positively correlated with post-traumatic growth(r=0.346,P<0.001),and negatively correlated with care burden(r=-0.247,P<0.001),post-traumatic growth was negatively correlated with the care burden(r=-0.236,P<0.001).The results of structural equation model showed that post-traumatic growth partially mediates the relationship between family resilience and care burden of caregivers of first-stroke patients,and the intermediary effect value was-0.077,accounting for 21.27%of the total effect.Conclusion The family resilience of caregivers of first-stroke patients is at the lower middle level,and post-traumatic growth plays a partial mediating role between family resilience and care burden among caregivers of first-stroke patients.Medical workers can reduce the level of care burden of caregivers by improving their family resilience and post-traumatic growth of caregivers.