Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Medical Research, E-Da Hospital, Kaohsiung, 82445, Taiwan.
BMC Psychol. 2023 May 15;11(1):157. doi: 10.1186/s40359-023-01186-3.
The aim of the present study was to investigate the relationship between care burden and motivation of COVID-19 vaccine acceptance among caregivers of patients who have experienced a stroke and to explore the mediating roles of social media use, fear of COVID-19, and worries about infection in this relationship.
A cross-sectional survey study with 172 caregivers of patients who had experienced a stroke took part in a Taiwan community hospital. All participants completed the Zarit Burden Interview, Bergen Social Media Addiction Scale, Worry of Infection Scale, Fear of COVID-19 Scale, and Motors of COVID-19 Vaccine Acceptance Scale. Multiple linear regression model was applied to construct and explain the association among the variables. Hayes Process Macro (Models 4 and 6) was used to explain the mediation effects.
The proposed model significantly explained the direct association of care burden with motivation of COVID-19 vaccine acceptance. Despite the increased care burden associated with decreased vaccine acceptance, problematic social media use positively mediated this association. Moreover, problematic social media use had sequential mediating effects together with worry of infection or fear of COVID-19 in the association between care burden and motivation of vaccine acceptance. Care burden was associated with motivation of vaccine acceptance through problematic social media use followed by worry of infection.
Increased care burden among caregivers of patients who have experienced a stroke may lead to lower COVID-19 vaccines acceptance. Moreover, problematic social media use was positively associated with their motivation to get COVID-19 vaccinated. Therefore, health experts and practitioners should actively disseminate accurate and trustworthy factual information regarding COVID-19, while taking care of the psychological problems among caregivers of patients who have experienced a stroke.
本研究旨在探讨脑卒中患者照顾者的照护负担与 COVID-19 疫苗接种意愿之间的关系，并探讨社交媒体使用、对 COVID-19 的恐惧和对感染的担忧在其中的中介作用。
一项横断面调查研究纳入了 172 名脑卒中患者的照顾者，他们来自台湾的一家社区医院。所有参与者均完成了 Zarit 负担量表、卑尔根社交媒体成瘾量表、感染担忧量表、对 COVID-19 的恐惧量表和 COVID-19 疫苗接种意愿量表。采用多元线性回归模型构建和解释变量之间的关系。采用 Hayes 过程宏（模型 4 和 6）解释中介效应。
所提出的模型显著解释了照护负担与 COVID-19 疫苗接种意愿之间的直接关联。尽管照护负担增加与疫苗接种意愿降低有关，但问题性社交媒体使用正向中介了这种关联。此外，问题性社交媒体使用在照护负担与疫苗接种意愿之间的关联中具有感染担忧或对 COVID-19 的恐惧的顺序中介作用。照护负担通过问题性社交媒体使用与感染担忧与疫苗接种意愿相关。
脑卒中患者照顾者的照护负担增加可能导致 COVID-19 疫苗接种意愿降低。此外，问题性社交媒体使用与他们接种 COVID-19 疫苗的意愿呈正相关。因此，卫生专家和从业者应积极传播有关 COVID-19 的准确和可信的事实信息，同时关注脑卒中患者照顾者的心理问题。
