Chain Mediating Effect of Social Support and Trust in Physician on Stroke Caregivers' Decision Self-Efficacy and Decision Conflict.

To explore the chain mediating role of social support and trust in between decision self-efficacy and decision conflict of stroke caregivers. Convenient sampling was used to select stroke caregivers who were admitted to the department of neurology, neurosurgery and rehabilitation in a four-3A hospital in Henan Province from September 2023 to April 2024. General information questionnaire, Decisional Self-efficacy Scale, Social Support Scale, Wake Forest Physician Trust Scale and Decisional Conflict Scale were adopted. Using SPSS plug-in PROCESS to analyze the mediating effect, and constructing a chain mediating model between social support and physician trust in decision self-efficacy and decision conflict. The direct effect of decision self-efficacy of stroke caregivers on decision conflict was significant, accounting for 33.16% of the total effect. Social support, trust in physician and their mediating effects in decision self-efficacy and decision conflict are significant, accounting for 41.77%, 18.23%, and 6.84% of the total indirect effects respectively. The decision self-efficacy of stroke caregivers directly or indirectly affects the decision conflict through the chain intermediary effect of social support and trust in physician.