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| Mediating effect of caregiver hope level of family members of patients with heart failure on disease uncertainty and caregiver readiness#br# |
| LIU Yumiao1 SUN Dandan2 WANG Yafei1 ZENG Gaofeng3 ZHANG Qing1 |
1.School of Health Sciences, Wuhan University, Hubei Province, Wuhan 430071, China;
2.Department of Obstetrics, the Third Affiliated Hospital of Zhengzhou University, Henan Province, Zhengzhou 450052, China;
3.Department of Cardiovascular Medicine of the Second Affiliated Hospital of University of South China and Key Laboratory of Heart Failure Prevention & Treatment of Hengyang, Hunan Province, Hengyang 421001, China |
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Abstract Objective To explore the mediating role of caregiver hope level of family members of patients with heart failure on disease uncertainty and caregiver readiness. Methods From July to December 2020, a total of 323 family caregivers of patients with heart failure in the Department of Cardiovascular Medicine of the Second Affiliated Hospital of South China University, South China Hospital Affiliated to South China University, and Hengyang Central Hospital were selected as the research objects by convenience sampling. The survey was conducted using the general information inventory, the mishel uncertainty in illness scale for family member, the Herth hope index, and the caregiver preparedness scale. The correlation and mediating effect of disease uncertainty, hope level, and caregiver readiness were analyzed. Results The family caregivers of heart failure patients had an uncertainty score of (86.07±10.35) points, a hope level score of (35.13±4.01) points, and a caregiver readiness score of (21.45±5.09) points. Correlation analysis showed that caregiver readiness was negatively correlated with disease uncertainty (r = -0.480, P ＜ 0.01); caregiver readiness was positively correlated with hope level (r = 0.419, P ＜ 0.01); disease uncertainty was negatively correlated with hope level (r = -0.433, P ＜ 0.01). Bootstrap test verified the mediating effect of hope level between disease uncertainty and caregiver readiness (β = -0.055, P ＜ 0.01), and the mediating effect accounted for 23.31% of the total effect. Conclusion The level of caregiver hope of family members of patients with heart failure partially mediates the relationship between disease uncertainty and caregiver readiness.
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