Chumbler Neale R, Rittman Maude R, Wu Samuel S
Rehabilitation Outcomes Research Center (RORC), Department of Veterans Affairs Health Services Research & Development/Rehabilitation Research & Development Center of Excellence, Gainesville, FL 32608-1197, USA.
J Behav Health Serv Res. 2008 Apr;35(2):226-34. doi: 10.1007/s11414-007-9083-1. Epub 2007 Sep 12.
The objective of this longitudinal study was to detect the relationship between the sense of coherence (SOC), which is an adaptive coping response, and depression in informal caregivers of stroke survivors across 2 years. One-hundred-fifteen veterans, who were hospitalized after experiencing an acute stroke, and their informal caregivers were enrolled prior to discharge. Data were collected via face-to-face in-home interviews at 1, 6, 12, 18, and 24 months after discharge. A linear mixed model was fitted to estimate the effects of the time-dependent covariates (SOC) while considering the dependence of outcome measures at repeated times. Based on the linear mixed model, caregivers with a stronger SOC were associated with lower levels of caregiver depression across 2 years following a stroke (p < 0.0001). SOC seems to be an important aspect of a caregiver's capacity to cope after tending to the needs of a stroke patient.
这项纵向研究的目的是在两年时间内，检测作为一种适应性应对反应的连贯感（SOC）与中风幸存者非正式照料者的抑郁之间的关系。115名经历急性中风后住院的退伍军人及其非正式照料者在出院前被纳入研究。在出院后1个月、6个月、12个月、18个月和24个月通过面对面的家庭访谈收集数据。在考虑重复测量结果指标的依赖性时，采用线性混合模型来估计随时间变化的协变量（SOC）的影响。基于线性混合模型，在中风后的两年里，具有更强SOC的照料者与更低水平的照料者抑郁相关（p < 0.0001）。在满足中风患者需求后，SOC似乎是照料者应对能力的一个重要方面。
