School of Social Sciences, University of New South Wales, Sydney, New South Wales 2052, Australia.
Xiangya School of Nursing, Central South University, Changsha, China.
Arch Psychiatr Nurs. 2023 Aug;45:7-13. doi: 10.1016/j.apnu.2023.04.024. Epub 2023 May 5.
Caring for an ill relative with schizophrenia can lead to both negative and positive experiences. The study aimed to determine the relationship between caregiving burden and positive caregiving experiences and evaluate the roles of hope and social support as possible mediators in this relationship. This study included 344 Chinese family caregivers of adults with schizophrenia. Instruments included Positive Aspects of Caregiving, Herth Hope Index, Caregiver Burden Inventory, and Multidimensional Scale of Perceived Social Support. Data was analysed by Mann-Whitney U tests, Kruskal-Wallis H tests, Spearman correlation, and a serial mediation model. Results showed that hope and social support separately and serially mediated the relationship between caregiving burden and positive caregiving experiences. The mediation effect of hope was stronger than that of social support and their serial mediation effect. Increasing hope and social support of family caregivers may alleviate caregiving burden and improve positive caregiving experiences.
照顾患有精神分裂症的亲属可能会带来负面和正面的体验。本研究旨在确定照顾负担与积极的照顾体验之间的关系，并评估希望和社会支持在这种关系中可能起到的中介作用。本研究纳入了 344 名照顾成年精神分裂症患者的中国家庭照顾者。使用的工具包括积极的照顾方面、赫特希望指数、照顾者负担量表和多维感知社会支持量表。数据分析采用曼-惠特尼 U 检验、克鲁斯卡-沃利斯 H 检验、斯皮尔曼相关分析和序列中介模型。结果表明，希望和社会支持分别且连续中介了照顾负担与积极的照顾体验之间的关系。希望的中介效应强于社会支持，且两者的序列中介效应更强。增加家庭照顾者的希望和社会支持可能会减轻照顾负担，改善积极的照顾体验。
