Chain mediating effect of self-efficacy and mutuality on preparedness and care stress of caregivers for stroke survivors
ZHANG Shibian
LI Xiaoyan
LI Ruiling
ZHANG Yu
SHI Lina
ZHANG Junmei
Abstract：Objective To explore the mediating effect of self-efficacy and mutuality on preparedness and care stress of caregivers for stroke survivors.Methods The caregivers of 252 stroke survivors hospitalized in the neurology ward of a grade-A tertiary hospital in Henan province between June and September 2022 were selected using the convenient sampling method,and surveyed using the caregiver preparedness scale(CPS),caregiver strain index(CSI),mutuality scale(MS),and the caregiver self-efficacy in contributing to patient self-care scale(CSE-CSC).Results The score of CSI was(9.12±2.13)point,negatively correlated to the CPS,CSE-CSC and MS scores(20.59±2.12,74.53±5.25,39.08±2.96;r=-0.655,-0.585,-0.548,P＜0.01 for all).Moreover,the CPS score was positively correlated to the CSE-CSC and MS scores(r=0.750,0.631,P＜0.01 for both).Caregiver readiness had direct effect on their caregiving stress,or indirect effect through the self-efficacy,mutuality and their chain mediating effect,with the affecting values of-0.092,-0.070 and-0.039.Conclusion Self-efficacy and mutuality play a chain mediating role between caregiving readiness and caregiving stress.Therefore,medical staff should provide targeted education and guidance to help caregivers to adapt actively to their roles,and develop mutuality-centered intervention to reduce their stress efficiently.
Keywords：StrokeCaregiversPreparednessSelf efficacyMutualityCaregiver stressMediator
Publication Date：2023-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 727-731,737 )