Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat, Utrecht, The Netherlands.
J Stroke Cerebrovasc Dis. 2012 Nov;21(8):801-7. doi: 10.1016/j.jstrokecerebrovasdis.2011.04.011. Epub 2011 Jun 2.
Studies into caregivers usually have been focused on negative caregiving experiences. This study is based on the hypotheses that positive caregiving experiences (i.e., self-esteem derived from caregiving) of spouses of stroke patients also need to be taken into account, and that these are related to life satisfaction in 2 ways: first, by a direct association with life satisfaction, and second, indirectly by way of a buffer effect (i.e., by compensating for the impact of negative caregiving experiences on life satisfaction).
In this cross-sectional study (n = 121) 3 years poststroke, the Caregiver Reaction Assessment was used to assess caregiver burden (Burden) and self-esteem derived from caregiving (Self-esteem scale). Life satisfaction was measured with the Life Satisfaction Questionnaire (LiSat-9). Spearman correlations and regression analyses were performed.
Both Self-esteem and Burden scores were associated with life satisfaction (correlation coefficients 0.35 and -0.74, respectively). An interaction effect was also found (P = .006); spouses who perceived both high Burden and high Self-esteem reported significantly higher life satisfaction scores (mean 4.2, standard deviation [SD] 0.5) than spouses who perceived high Burden but low Self-esteem (mean 3.6, SD 0.7).
Positive caregiving experiences are related to spouses' life satisfaction 3 years poststroke and mediate the impact of burden on life satisfaction. Positive caregiving experiences should get more attention in rehabilitation research and practice.
针对照顾者的研究通常集中在负面的照顾经历上。本研究基于以下假设：中风患者配偶的积极照顾经历（即照顾带来的自尊）也需要考虑在内，并且这些经历与生活满意度有两种关系：一是直接与生活满意度相关，二是通过缓冲效应间接相关（即补偿负面照顾经历对生活满意度的影响）。
在这项中风后 3 年的横断面研究（n=121）中，使用照顾者反应评估量表评估照顾者负担（负担）和照顾带来的自尊（自尊量表）。使用生活满意度问卷（LiSat-9）来衡量生活满意度。进行 Spearman 相关分析和回归分析。
自尊和负担得分都与生活满意度相关（相关系数分别为 0.35 和-0.74）。还发现了一个交互效应（P=.006）；那些同时感受到高负担和高自尊的配偶，报告的生活满意度得分明显更高（平均 4.2，标准差[SD]0.5），而那些感到高负担但低自尊的配偶，报告的生活满意度得分较低（平均 3.6，SD 0.7）。
积极的照顾经历与中风后 3 年配偶的生活满意度相关，并调节负担对生活满意度的影响。积极的照顾经历在康复研究和实践中应得到更多关注。
