School of Nursing, Zhengzhou University, Zhengzhou, China.
The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
J Clin Nurs. 2018 Apr;27(7-8):e1419-e1428. doi: 10.1111/jocn.14249.
To identify whether benefit finding is a mediator or moderator in the relationship between caregiver burden and psychological well-being (anxiety and depression) in Chinese family caregivers of community-dwelling stroke survivors.
Family caregivers not only bear a heavy burden, a high level of anxiety and depression, but also experience benefit finding (positive effects result from stressful events). However, the relationships among benefit finding, caregiver burden and psychological well-being in Chinese family caregivers are not well known.
This study was a cross-sectional correlational design.
Caregivers (n = 145) of stroke survivors were recruited from two communities in Zhengzhou, China. Data were collected by face-to-face interviews with structured questionnaires, examining caregiver burden, benefit finding and psychological well-being of caregivers. A hierarchical regression analysis explored whether caregiver burden and benefit finding were associated with anxiety and depression of caregivers. The moderator role of benefit finding was examined by testing the significance of the interaction between caregiver burden and benefit finding. A mediational model was used to test benefit finding as a mediator between caregiver burden and psychological well-being of caregivers using process in spss 21.0.
Caregiver burden and benefit finding were significantly associated with both anxiety and depression of caregivers. Benefit finding did not portray a moderating role, but portrayed the mediator role in the relationship between caregiver burden, anxiety and depression in caregivers.
This study provides the preliminary evidence to nurses that intervention focus on benefit finding may help improve the psychological well-being of caregivers.
This study offers nurses rational for assessing caregiver's negative emotions and benefit finding. By targeting benefit finding, the nurse may guide caregivers in benefit identification and implement interventions to reduce anxiety, depression and caregiver burden.
确定在社区居住的中风幸存者的家庭照顾者中，益处发现是照顾者负担和心理幸福感（焦虑和抑郁）之间关系的中介还是调节因素。
家庭照顾者不仅承受着沉重的负担、高水平的焦虑和抑郁，而且还经历了益处发现（压力事件带来积极影响）。然而，中国家庭照顾者中益处发现、照顾者负担和心理幸福感之间的关系尚不清楚。
这是一项横断面相关性设计研究。
从中国郑州的两个社区招募中风幸存者的照顾者（n=145）。通过面对面访谈和结构化问卷收集数据，评估照顾者的负担、益处发现和心理幸福感。分层回归分析探讨了照顾者负担和益处发现是否与照顾者的焦虑和抑郁有关。通过测试照顾者负担和益处发现之间的交互作用是否具有统计学意义，检验益处发现是否是照顾者负担和心理幸福感之间的调节因素。使用 spss 21.0 中的过程检验益处发现是否作为照顾者负担和心理幸福感之间的中介。
照顾者负担和益处发现与照顾者的焦虑和抑郁均显著相关。益处发现没有表现出调节作用，但在照顾者负担、焦虑和抑郁之间的关系中表现出了中介作用。
本研究为护士提供了初步证据，即干预重点关注益处发现可能有助于改善照顾者的心理幸福感。
本研究为护士提供了评估照顾者负面情绪和益处发现的依据。通过关注益处发现，护士可以指导照顾者识别益处，并实施干预措施，以减轻焦虑、抑郁和照顾者负担。
