Course of social support and relationships between social support and life satisfaction in spouses of patients with stroke in the chronic phase

Course of social support and relationships between social support and life satisfaction in spouses of patients with stroke in the chronic phase
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DOI:
10.1016/j.pec.2010.12.011
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发表时间:
2011-11-01
影响因子:
3.5
通讯作者:
Post, Marcel W. M.
Post, Marcel W. M.
中科院分区:
医学2区
文献类型:
--
作者:
Adriaansen, Jacinthe J. E.;van Leeuwen, Christel M. C.;Post, Marcel W. M.

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目的:描述中风患者的配偶的社会支持的过程中,并检查社会支持和生活满意度之间的直接和间接的关系随着时间的推移。方法:前瞻性队列研究(N = 180)与测量出院后2个月从住院康复,1年,3年后中风。社会支持进行了评估,使用社会支持列表-12,生活满意度与生活满意度问卷(LiSat-9)和照顾者应变与照顾者应变指数。结果:随着时间的推移,总社会支持和社会支持的3种亚型均呈显著下降趋势。在所有模型中,照顾者压力与较低的生活满意度相关,社会支持与较高的生活满意度相关,但照顾者压力与社会支持对生活满意度无交互作用。社会支持与生活满意度呈正相关,无论照顾者的压力所经历的配偶.Practice的影响:重要的是要与照顾者讨论中风患者的重要性,保持自己的社会联系,并在适当的情况下,通过安排支持,以促进这一点。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objective: To describe the course of social support in spouses of patients with stroke, and to examine direct and indirect relationships between social support and life satisfaction over time.Methods: Prospective cohort study (N = 180) with measurements at 2 months after discharge from inpatient rehabilitation, 1 year, and 3 years after stroke. Social support was assessed using the Social Support List-12, Life satisfaction with the Life Satisfaction Questionnaire (LiSat-9) and Caregiver strain with the Caregiver Strain Index. Random coefficient analyses was used.Results: Total social support and the 3 subtypes of social support decreased significantly over time. In all models, caregiver strain was associated with lower life satisfaction and social support was associated with higher life satisfaction, but there were no interaction effects between caregiver strain and social support on life satisfaction.Conclusion: Spouses of patients with stroke experienced a decline of social support over time. Social support was positively associated with life satisfaction, regardless of the amount of caregiver strain experienced by the spouses.Practice implications: It is important to discuss with caregivers of stroke patients the importance of maintaining their own social contacts and to facilitate this by arranging support if appropriate. (C) 2010 Elsevier Ireland Ltd. All rights reserved.