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炎症性肠病患者照顾者负担与希望之间的中介作用:韧性的作用。

The mediating role of resilience between caregiver burden and hope among patients with inflammatory bowel disease.

机构信息

Department of Endocrinology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.

Blood Purification Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.

出版信息

Nurs Open. 2024 Aug;11(8):e70001. doi: 10.1002/nop2.70001.

Abstract

AIM

To investigate whether resilience mediates the connection between caregiver burden and hope among caregivers of patients with inflammatory bowel disease (IBD).

DESIGN

A cross-sectional study.

METHODS

Two hundred patients with IBD were conveniently sampled from two tertiary hospitals in Jiangsu Province, China. The main instruments involved the Zarit Burden Interview, the 10-item Connor-Davidson resilience scale, and the Herth Hope Index. We conducted descriptive analysis and Pearson correlations using SPSS 25.0. The PROCESS v3.3 macro analysed the mediating effect. We report the results in line with the STROBE checklist.

RESULTS

Caregiver burden was significantly negatively connected with hope and resilience, whereas resilience positively correlated with hope. The mediation role of resilience was significant in the relationship between caregiver burden and hope, with mediating effects accounting for 47.86% of the overall effect.

CONCLUSIONS

Resilience partially mediates the association between caregiver burden and hope among patients with IBD. This finding highlights the protective role of resilience in undermining caregiver burden and strengthening hope.

IMPLICATIONS FOR PRACTICE

In clinical practice, healthcare providers should perform routine psychological assessments for caregivers of patients with IBD. Furthermore, resilience training should be incorporated into interventions to alleviate caregiver burden and enhance hope.

PATIENT OR PUBLIC CONTRIBUTION

None.

摘要

目的

调查炎症性肠病(IBD)患者照顾者的韧性是否在照顾者负担与希望之间起中介作用。

设计

横断面研究。

方法

便利选取江苏省两家三级医院的 200 名 IBD 患者。主要工具包括 Zarit 负担量表、Connor-Davidson 韧性量表和 Herth 希望指数。我们使用 SPSS 25.0 进行描述性分析和 Pearson 相关性分析。PROCESS v3.3 宏分析中介效应。我们按照 STROBE 清单报告结果。

结果

照顾者负担与希望和韧性呈显著负相关,而韧性与希望呈正相关。韧性在照顾者负担与希望之间的关系中起部分中介作用,中介效应占总效应的 47.86%。

结论

韧性部分中介了 IBD 患者照顾者负担与希望之间的关系。这一发现强调了韧性在减轻照顾者负担和增强希望方面的保护作用。

实践意义

在临床实践中,医疗保健提供者应为 IBD 患者的照顾者进行常规心理评估。此外,应将韧性训练纳入干预措施,以减轻照顾者负担,增强希望。

患者或公众参与

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc9/11347936/26eb2bea27e0/NOP2-11-e70001-g001.jpg

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