Shi Yinan, Chong Mei Sin, Wang Wenru, Li Xin, Zhang Weihong, Lin Beilei, Zhang Zhenxiang, Mei Yongxia
School of Nursing and Health, Zhengzhou University, Zhengzhou, People's Republic of China.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nurs Health Sci. 2025 Mar;27(1):e70040. doi: 10.1111/nhs.70040.
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.
探讨社会支持和信任在脑卒中照顾者决策自我效能感与决策冲突之间的链式中介作用。采用便利抽样法，选取2023年9月至2024年4月在河南省某三甲医院神经内科、神经外科及康复科住院的脑卒中照顾者。采用一般资料问卷、决策自我效能量表、社会支持量表、维克森林医生信任量表及决策冲突量表。运用SPSS插件PROCESS分析中介效应，并构建社会支持与医生信任在决策自我效能感与决策冲突之间的链式中介模型。脑卒中照顾者决策自我效能感对决策冲突的直接效应显著，占总效应的33.16%。社会支持、对医生的信任及其在决策自我效能感与决策冲突中的中介效应显著，分别占总间接效应的41.77%、18.23%和6.84%。脑卒中照顾者的决策自我效能感通过社会支持和对医生的信任的链式中介效应直接或间接影响决策冲突。
