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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Source of Social Support and Caregiving Self-Efficacy on Caregiver Burden and Patient’s Quality of Life: A Path Analysis on Patients with Palliative Care Needs and Their Caregivers
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Source of Social Support and Caregiving Self-Efficacy on Caregiver Burden and Patient’s Quality of Life: A Path Analysis on Patients with Palliative Care Needs and Their Caregivers

机译：社会支持的来源和护理护理人员负担和患者的生活质量：姑息治疗需求患者及其照顾者的路径分析

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Few studies have explored the inter-relationships of sources of social support and caregiving self-efficacy with caregiver burden and patient’s quality of life among patients with palliative care needs and their caregivers. This study tested the associations of two sources of social support (family and friends) and the mediating role of caregiving self-efficacy on caregiver burden and patient’s quality of life. A convenience sample of 225 patient–caregiver dyads recruited between September 2016 and May 2017 from three hospitals in Hong Kong was included in the current analysis. Results showed that the final model provided a satisfactory fit (SRMR = 0.070, R-RMSEA = 0.055 and R-CFI = 0.926) with the data, as good as the hypothesized model did ( = 0.326). Significant associations were detected. Family support had a significant negative indirect effect on caregiver burden and a significant positive indirect effect on patient’s quality of life through caregiving self-efficacy, whereas friend support had a significant positive direct effect on caregiver burden but a minimal effect, if any, on patient’s quality of life. These findings emphasized (1) the importance of caregiving self-efficacy in improving caregiver burden and patient’s quality of life and that (2) sources of social support may be an important dimension moderating the associations of caregiving self-efficacy with caregiver burden and patient’s quality of life.
机译：很少有研究探索了社会支持源的关系，并在姑息治疗需求和护理人员的患者患者中探索社会支持和耐心自我效能的关系。本研究检测了两个社会支持来源（家人和朋友）的协会，以及护理自我效能对护理人员负担和患者生活质量的调解作用。 2016年9月至2017年9月之间招募的225名患者护理人员的便利样本来自香港的三家医院被列入当前的分析。结果表明，最终模型提供了令人满意的拟合（SRMR = 0.070，R-RMI = 0.055和R-CFI = 0.926），与假设模型一样好（= 0.326）。检测到重大关联。家庭支持对护理人员负担的显着负面间接影响以及通过察觉自我效能的患者生活质量的显着间接影响，而朋友支持对护理人员负担具有显着的积极直接影响，但患者的效果最小，如果有的话生活质量。这些结果强调（1）在改善护理人员负担和患者的生活质量方面，察觉自我效能的重要性以及（2）社会支持的来源可能是一个重要的维度，使护理自我效力与护理人员负担和患者的质量相协调生活。

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