Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier, 1, 00133, Rome, Italy.
Department of Psychology, Catholic University of the Sacred Heart, Via Trieste, 17, 25121, Brescia, Italy.
Soc Sci Med. 2020 Oct;262:113193. doi: 10.1016/j.socscimed.2020.113193. Epub 2020 Jul 29.
Patients who have multiple chronic conditions (MCCs) and their informal caregivers experience poorer health-related quality of life (HRQOL). Perceived social support has been shown to influence HRQOL.
This study aimed at identifying the differences between patients' and caregivers' physical and mental HRQOL; and determining the association between their perception of social support from different sources, and their own and their dyad partner's HRQOL.
Patients with MCCs and their caregivers (345 dyads) were enrolled in a multicenter cross-sectional study conducted in Italy. The Multidimensional Scale of Perceived Social Support measured perceived social support from family, friends, and significant others, and the 12-Item Short-Form Health Survey measured the physical and mental component of HRQOL in dyads. The dyadic analysis was conducted using the Actor-Partner Interdependence Model through structural equation modelling.
Family support perceived by each member of the dyad was associated positively with their own mental HRQOL, and that family support perceived by caregivers was also associated positively with patients' mental HRQOL. Greater family support perceived by caregivers was also associated with better physical HRQOL in both caregivers and patients. Moreover, greater friend-support perceived by each member of the dyad was positively associated with own physical HRQOL.
The study suggests the reciprocal influence of perceived social support from family and friends on physical and mental HRQOL in MCC dyads. Healthcare professionals should identify those people who are the main sources of support for each member of the dyad, and develop care plans that promote the maintenance and enhancing of this support.
患有多种慢性疾病（MCC）的患者及其非专业照护者的健康相关生活质量（HRQOL）较差。已证明感知到的社会支持会影响 HRQOL。
本研究旨在确定患者和照护者的身体和心理 HRQOL 之间的差异；并确定他们对来自不同来源的社会支持的感知与他们自己和他们的对立方伙伴的 HRQOL 之间的关联。
在意大利进行的一项多中心横断面研究中，招募了患有 MCC 的患者及其照护者（345 对）。多维感知社会支持量表测量了来自家庭、朋友和重要他人的感知社会支持，12 项简短健康调查测量了 HRQOL 的身心成分。使用 Actor-Partner 相互依存模型通过结构方程模型进行了对分析。
对每个对立方成员的家庭支持感知与他们自己的心理 HRQOL 呈正相关，并且照护者感知到的家庭支持也与患者的心理 HRQOL 呈正相关。照护者感知到的更多家庭支持也与照护者和患者的身体 HRQOL 更好相关。此外，对立方成员对朋友支持的感知越多，他们自己的身体 HRQOL 也越好。
该研究表明，来自家庭和朋友的感知社会支持对 MCC 对立方的身体和心理 HRQOL 存在相互影响。医疗保健专业人员应确定对每个对立方成员来说主要的支持来源，并制定护理计划，以促进这种支持的维护和增强。
