Kuzmik Ashley, Rodriguez Marleny, Wellington Jessica, Yahaya Ahmed-Rufai, Boltz Marie
Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.
Department of Psychology and Counseling, Immaculata University, Immaculata, PA, USA.
J Appl Gerontol. 2025 May 15:7334648251338875. doi: 10.1177/07334648251338875.
Care partners of hospitalized persons with dementia often experience significant burden at discharge. This study examined whether dementia care partner health literacy mediates the relationship between education and burden at hospital discharge. Data from 277 care partners in the Family-centered Function-focused Care (Fam-FFC) trial were analyzed using mediation analysis to assess indirect effects of education on burden (Short-Form Zarit Burden Interview [ZBI-12]) through health literacy (Rapid Estimate of Adult Literacy in Medicine-Short Form [REALM-SF]). Analyses were conducted using SPSS and AMOS. For medium education (B = -0.012; 95% CI = -0.019, -0.003), the indirect effect accounted for 18.5% of the total effect, while for high education (B = -0.018; 95% CI = -0.026, -0.006), it accounted for 21.4%, indicating partial mediation. Findings underscore the role of health literacy in reducing care partner burden and highlight the need to address education and literacy disparities to provide effective support at hospital discharge.
患有痴呆症的住院患者的护理伙伴在患者出院时往往会承受巨大负担。本研究调查了痴呆症护理伙伴的健康素养是否在教育程度与出院时的负担之间起中介作用。对以家庭为中心的功能聚焦护理（Fam-FFC）试验中277名护理伙伴的数据进行中介分析，以评估教育程度通过健康素养（医学成人识字率快速评估简表[REALM-SF]）对负担（Zarit负担访谈简表[ZBI-12]）的间接影响。使用SPSS和AMOS进行分析。对于中等教育程度的护理伙伴（B = -0.012；95%置信区间 = -0.019，-0.003），间接效应占总效应的18.5%，而对于高等教育程度的护理伙伴（B = -0.018；95%置信区间 = -0.026，-0.006），间接效应占总效应的21.4%，表明存在部分中介作用。研究结果强调了健康素养在减轻护理伙伴负担方面的作用，并突出了应对教育和识字差异以在出院时提供有效支持的必要性。
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