ArticleFrontiers in public health2025
Exploring the dynamics of stroke survivors' care dependency, fatigue, and coping strategy in their caregivers: a structural equation modeling analysis.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Effects of problem-focused versus emotion-focused behavioral interventions on peptic ulcer recurrence: a 4-year retrospective cohort study.Frontiers in medicine · 2026Article
- Current Status and Determinants of Fatigue in Chinese Older Adults Receiving Maintenance Hemodialysis: A Multicentre Cross-Sectional Study.Clinical interventions in aging · 2025Article
- The mediating role of coping style in the relationship between optimism and cognitive impairment in patients with stroke.Frontiers in neurology · 2025Article
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6 authors.
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Abstract
Aims: To evaluate the interactions among stroke survivors' care dependency, caregivers' negative coping strategy, and fatigue. Design: Descriptive quantitative research design. Setting: Patients with acute stroke and their caregivers were enrolled in a General Hospital in West China from July 2022 to April 2023. Primary and secondary outcome measures: Data collection adopted the Care Dependency Scale (CDS), the Simple Coping Style Questionnaire (SCSQ), and the Fatigue Scale-14 (FS-14). Structural equation modeling was applied to test the hypothetical model. This study adhered to STROBE reporting guidelines. Results: A total of 380 dyads with the mean age of stroke caregivers was 63.41 ± 12.87 years. The mean score for care dependency, fatigue, positive coping, and negative coping were 53.91 ± 15.95, 8.34 ± 3.58, 19.39 ± 7.05, and 8.06 ± 4.23, respectively. The structural equation model had a good fit index (χ Conclusion: This study indicated that stroke patients' level of care dependency directly impacts their caregivers' negative coping strategy and level of fatigue. The stroke's severity might induce caregivers to engage in negative coping strategies and endure more fatigue when the patients' care dependency played an indirect role. Researchers need to develop targeted interventions involving training caregivers to employ active coping strategies to confront the care burden. Implications for the profession and/or patient care: Based on the treatment of stroke onset, encouraging and training caregivers to adopt active coping strategies has the potential to pave the way to relieve care burden by reducing caring fatigue and improving the care quality. Impact: Addressing stroke caregivers' common fatigue highlights the importance of optimizing the recovery process to alleviate patients' care dependency through better treatment and rehabilitation.
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