Assessing the mediating role of family resilience between caregiver burden and caregiver capacity: a cross-sectional study among Chinese stroke survivors and family caregivers in a real-world setting

Abstract

ObjectivesTo investigate the relationships among caregiver burden, family resilience, and caregiver capacity in the care of stroke survivors. We hypothesised that family resilience would mediate the relationship between caregiver burden and caregiver capacity.DesignA cross-sectional study design was used.SettingThe study was conducted in a tertiary care setting in Ningbo City, Zhejiang Province, China.ParticipantsThe study involved 413 stroke survivors and their primary caregivers.Outcome measuresThe primary caregivers completed the Shortened Chinese Version of the Family Resilience Assessment Scale, Zarit Caregiver Burden Interview and Family Caregiver Task Inventor and provided their sociodemographic information. Stroke survivors were assessed for activities of daily living, and their sociodemographic information was provided. Data were analysed, controlling for sociodemographic variables and focusing on the mediating effect of family resilience.ResultsCaregiver burden was influenced by the activities of daily living of stroke survivors, caregiver age and caregiver health status (p<0.05). Higher caregiver burden was associated with lower family resilience (p<0.01). Lower caregiver capacity corresponded to heavier caregiver burden (p<0.01). Family resilience mediated the relationship between caregiver burden and caregiver capacity (b=0.1568; 95% CI: 0.1063 to 0.2385).ConclusionsEnhancing family resilience can reduce caregiver burden and improve caregiver capacity in stroke care. These findings underscore the importance of developing interventions focused on nursing skills and family resilience.

Discrepancies in perceived family resilience between adolescents with chronic illness and parents: using response surface analysis to examine the relationship with adolescents’ psychological adjustment

“…Walsh’s family resilience framework highlights that family resilience comprises shared family faith systems, organizational patterns, and communication or problem-solving processes [ 13 ]. Resilient families establish support networks and foster environments conducive to patients [ 14 ]. For example, Qiu et al [ 15 ] found family resilience may influence children’s psychological adjustment through authoritative parenting.…”