Zhao Qitong, Zhao Xinyue, Zhang Jingwei, Xu Xiangmin, Kong Haoxin, Lin Shuhao, Zhao Haijun, Li Mingxia
Nursing school, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Department of Nursing, Zibo City Central Hospital, Zibo, Shandong, China.
Top Stroke Rehabil. 2025 Apr;32(3):260-269. doi: 10.1080/10749357.2024.2387482. Epub 2024 Aug 14.
The purpose of this study was to assess the effects of family resilience, caregiver needs, and caregiver readiness on benefit finding for family caregivers of patients with stroke and to examine the mediating role of caregiver needs and caregiver readiness between family resilience and benefit finding.
In this cross-sectional study, convenience sampling was designed and used to recruit participants from three general hospitals in Jinan, Shandong Province, China, from February to September 2022, in which 340 participants completed the General Information Questionnaire, Chinese version of the Family Resilience Assessment Scale (C-FRAS), Caregiver Needs Assessment Scale (CNAS) Chinese version of the Caregiver Preparedness Scale (C-CPS), and Caregiver Benefit Finding Scale (CBFS). Model 6 in process version 4.0 was used to test the chain mediation model between family resilience and benefit finding for caregiver needs and caregiver readiness.
Correlation analysis showed that benefit finding in family caregivers was positively associated with family resilience and caregiver readiness and negatively associated with caregiver needs; mediation model tests showed that the total indirect effect of family resilience on benefit finding was 0.163, with the specific mediating effects of caregiver needs and caregiver readiness accounting for 33.74% and 59.51%, and the chain mediating effect of both accounting for 6.75%.
Family resilience not only directly influences benefit finding for family caregivers but also indirectly affects benefit finding through caregiver needs and caregiver readiness. Caregiver needs and caregiver readiness have a mediating role between family resilience and benefit finding in family caregivers.
本研究旨在评估家庭复原力、照顾者需求和照顾者准备度对中风患者家庭照顾者获益发现的影响，并检验照顾者需求和照顾者准备度在家庭复原力与获益发现之间的中介作用。
在这项横断面研究中，采用便利抽样法于2022年2月至9月从中国山东省济南市的三家综合医院招募参与者，其中340名参与者完成了一般信息问卷、中文版家庭复原力评估量表（C-FRAS）、照顾者需求评估量表（CNAS）、中文版照顾者准备度量表（C-CPS）和照顾者获益发现量表（CBFS）。使用Process v4.0版本中的模型6检验家庭复原力与照顾者需求及照顾者准备度的获益发现之间的链式中介模型。
相关性分析表明，家庭照顾者的获益发现与家庭复原力和照顾者准备度呈正相关，与照顾者需求呈负相关；中介模型检验表明，家庭复原力对获益发现的总间接效应为0.163，照顾者需求和照顾者准备度的具体中介效应分别占33.74%和59.51%，两者的链式中介效应占6.75%。
家庭复原力不仅直接影响家庭照顾者的获益发现，还通过照顾者需求和照顾者准备度间接影响获益发现。照顾者需求和照顾者准备度在家庭复原力与家庭照顾者的获益发现之间起中介作用。
