Zhang Nan, Liu Yuan, Yu Xi, Tian Zheng, Liu Yong, Li Yimiao, Liu Xinyi, Zhu Hongyi, Wang Lan
School of Nursing, Tianjin Medical University, Tianjin, China.
Respiratory Department, Tianjin Medical University General Hospital, Tianjin Medical University, Tianjin, China.
J Clin Nurs. 2025 Feb;34(2):554-564. doi: 10.1111/jocn.17587. Epub 2024 Dec 3.
To investigate the association between positive coping style and family resilience, considering the mediating factors of burden and individual resilience within caregivers of chronic obstructive pulmonary disease (COPD) patients.
A cross-sectional survey.
A total of, 204 caregivers of COPD patients were recruited using convenient sampling from April 2023 to May 2024 to investigate general information, family resilience, individual resilience, caregiver burden and positive coping styles on caregivers of COPD patients. Influencing factors were primarily identified using Mann-whitney U test and Kruskal-Wallis H test. Spearman correlation analysis was used to explore the correlation between family resilience, positive coping, caregiver burden and resilience. Linear regression was used to analyse the influencing factors of family resilience of caregiver. Structural equation modelling was used to detect the mediating effects of caregiver burden and resilience.
The STROBE checklist was followed.
The family resilience of caregivers was positively correlated with positive coping styles and individual resilience, and negatively correlated with caregiver burden. The family resilience of caregivers increased with the improvement positive coping style and individual resilience, and decreased with the increase of caregiver burden. Caregiver burden and resilience played the chain mediating roles between positive coping style and family resilience.
Family caregivers of COPD patient with higher education levels also have higher family resilience. Higher positive coping style may lead to higher family resilience of caregivers of COPD patients by reducing caregiver burden and promoting resilience.
There are individual differences in the level of family resilience of caregivers of COPD patients, and nurses can provide personalised interventions to different family caregivers by understanding their characteristics and needs. Nurses can improve the family resilience of caregivers by guiding them to adopt positive coping styles, reducing burdens and promoting resilience.
This study was conducted with the participation of caregivers of COPD patients who contributed data by completing study questionnaires.
考虑慢性阻塞性肺疾病（COPD）患者照料者的负担和个人复原力等中介因素，探讨积极应对方式与家庭复原力之间的关联。
横断面调查。
采用便利抽样法，于2023年4月至2024年5月招募了204名COPD患者的照料者，以调查COPD患者照料者的一般信息、家庭复原力、个人复原力、照料者负担和积极应对方式。主要使用曼-惠特尼U检验和克鲁斯卡尔-沃利斯H检验确定影响因素。采用Spearman相关性分析探讨家庭复原力、积极应对、照料者负担和复原力之间的相关性。使用线性回归分析照料者家庭复原力的影响因素。采用结构方程模型检测照料者负担和复原力的中介效应。
遵循STROBE清单。
照料者的家庭复原力与积极应对方式和个人复原力呈正相关，与照料者负担呈负相关。照料者的家庭复原力随着积极应对方式和个人复原力的改善而增加，随着照料者负担的增加而降低。照料者负担和复原力在积极应对方式和家庭复原力之间起链式中介作用。
文化程度较高的COPD患者家庭照料者的家庭复原力也较高。较高的积极应对方式可能通过减轻照料者负担和促进复原力，从而提高COPD患者照料者的家庭复原力。
COPD患者照料者的家庭复原力水平存在个体差异，护士可以通过了解不同家庭照料者的特征和需求，为其提供个性化干预。护士可以通过指导照料者采用积极应对方式、减轻负担和促进复原力，来提高照料者的家庭复原力。
本研究在COPD患者照料者的参与下进行，他们通过填写研究问卷提供了数据。
