Research of resourcefulness of main caregivers of stroke patients based on structural equation model and its influencing factors

GAO Haihua; YANG Lingling; LIU Xiaohui; NA Wenli; LIU Fang; WANG Wenyu; LIU Xiaoling; KANG Chunjing; GAN Ru; DU Xuan; YANG Xiaoping; WANG Huijuan; YUAN Jialin

doi:10.7619/jcmp.20223824

Journal of Clinical Medicine in Practice > 2023 > 27(8): 24-30. > DOI: 10.7619/jcmp.20223824

GAO Haihua, YANG Lingling, LIU Xiaohui, NA Wenli, LIU Fang, WANG Wenyu, LIU Xiaoling, KANG Chunjing, GAN Ru, DU Xuan, YANG Xiaoping, WANG Huijuan, YUAN Jialin. Research of resourcefulness of main caregivers of stroke patients based on structural equation model and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2023, 27(8): 24-30. DOI: 10.7619/jcmp.20223824

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Research of resourcefulness of main caregivers of stroke patients based on structural equation model and its influencing factors

1.
School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, 750004
2.
Cancer Hospital, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001
3.
Department of Neurology, Yinchuan First People's Hospital of the Ningxia Hui Autonomous Region, Yinchuan, Ningxia, 750001
4.
Department of Neurology, Ningxia Hui Autonomous Region People's Hospital, Yinchuan, Ningxia, 750002
5.
Department of Neurology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750004

More Information

Received Date: December 24, 2022
Revised Date: March 14, 2023
Available Online: May 10, 2023

Graphical Abstract

Abstract

Abstract

Objective
To investigate the current situation of resourcefulness among the main caregivers of stroke patients, and to analyze its action pathway and influencing mechanism by using Structural Equation Model.
Methods
Convenience sampling method was adopted to select the main caregivers of stroke patients hospitalized in the department of neurology of three hospitals with grade Ⅲ level A in Yinchuan City as the research objects, and a total of 308 main caregivers were finally included. The general demographic information, results of Resourcefulness Scale, Chinese version of the Stress Perception Scale and Fatigue Scale were collected. The latent variables were extracted by the principal component analysis. AMOS 24.0 software was used to construct a structural equation model for influencing factors of the intelligence of main caregivers of stroke patients.
Results
The scores of perceived stress, fatigue and resourcefulness of the main caregivers of stroke patients were (24.98±6.36), (5.31±2.86) and (83.98±12.85), respectively. Correlation analysis showed that perceived stress score was negatively correlated with intelligence score (r=-0.313, P < 0.01), fatigue score was negatively correlated with intelligence score (r=-0.305, P < 0.01), perceived stress score was positively correlated with fatigue score (r=0.261, P < 0.01). The structural equation model of influencing factors on the wisdom of the main caregivers of stroke patients was well fitted. Perceived stress had the strongest direct negative effect on resourcefulness (β=-0.33, P < 0.05). Fatigue had a direct negative effect on resourcefulness (β=-0.28, P < 0.05), and had an indirect effect through perceived stress and education level and occupation in social and cultural factors. Social and cultural factors had direct positive effects on resourcefulness (β=0.27, P < 0.05).
Conclusion
The resourcefulness of the main caregivers of stroke patients is at a medium level, which is affected by perceived stress, fatigue, occupation and education level. Medical staff should assess primary caregivers of patients with cerebral apoplexy in perceived stress, fatigue, professional and cultural level, provide diversified health education ways and the individuation of spiritual and material support so as to relieve the caregiver stress and fatigue, improve the level of primary caregivers of patients with cerebral apoplexy obtain guidance, and promote their physical and mental health.
- stroke,
- primary caregiver,
- resourcefulness,
- influencing factors,
- Structural Equation Model

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References (27)

References

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Research of resourcefulness of main caregivers of stroke patients based on structural equation model and its influencing factors