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作者

Ziyue Yang Lingrui Zhao Louisa Lam Myo Nyein Aung Fengye Sun Yufang Guo

作者单位

⁸Shandong First Medical University Affiliated Tumor Hospital, Jinan, Shandong 250117, China ⁶Faculty of International Liberal Arts, Juntendo University, Tokyo 113-8421, Japan ¹School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong 250012, China ⁵Department of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan ²Ziyue Yang and Lingrui Zhao contributed equally to this work and should be considered co-first author. ⁷Advanced Research Institute for Health Sciences, Juntendo University, Tokyo 113-8421, Japan ⁴School of Public Health and Preventive Medicine, Monash University, Australia ³School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Australia

刊名

Healthcare and Rehabilitation

年份

2025

卷号

Vol.1 No.4

页码

100049

ISSN

3050-6131

关键词

Caregiver burden Family support Multiple chronic conditions Self-efficacy Well-being

摘要

Background Rural caregivers of older patients with multiple chronic conditions bear a substantial caregiver burden. Self-efficacy and family support may mediate the relationship between caregiver burden and subjective well-being; however, their specific pathways remain unclear. Objective To examine the mediating roles of self-efficacy and family support in the association between caregiver burden and subjective well-being among caregivers of older patients with multiple chronic conditions in rur...更多

Background Rural caregivers of older patients with multiple chronic conditions bear a substantial caregiver burden. Self-efficacy and family support may mediate the relationship between caregiver burden and subjective well-being; however, their specific pathways remain unclear. Objective To examine the mediating roles of self-efficacy and family support in the association between caregiver burden and subjective well-being among caregivers of older patients with multiple chronic conditions in rural China. Study design A cross-sectional survey. Methods Between August and September 2022, face-to-face structured questionnaires were administered to caregivers. Data were collected on demographics, clinical information, caregiver burden, subjective well-being, self-efficacy, and family support. Hayes's PROCESS macro was used to conduct parallel mediation analysis. Results Caregiver burden was negatively correlated with subjective well-being, self-efficacy, and family support . Subjective well-being was positively correlated with self-efficacy and family support . Self-efficacy was also positively correlated with family support . Mediation analysis indicated that self-efficacy and family support were parallel mediators of the relationship between caregiver burden and subjective well-being, accounting for 26.15 % and 73.85 % of the total indirect effect, respectively. Conclusions Self-efficacy and family support significantly mediated the relationship between caregiver burden and subjective well-being. Interventions aimed at reducing caregiver burden, enhancing self-efficacy, and strengthening family support may improve the subjective well-being of caregivers of patients with multiple chronic conditions.收起

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