ArticleInternational journal of nursing studies advances2025
The mediating role of caregiver guilt in the relationship between stroke patients' functional status and caregiver burden: A correlational study.
Article in International journal of nursing studies advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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Abstract
Background: Stroke, a leading cause of disability, significantly burdens caregivers. Increased patient dependency correlates with higher caregiver burden, potentially exacerbated by guilt. We examined the interplay between patient self-care, caregiver guilt, and burden to guide intervention strategies. Objective: To investigate the mediating role of caregiver guilt in the relationship between activities of daily living and caregiver burden in stroke patients. Design: Cross-sectional descriptive study. Methods: From July 2024 to February 2025, 312 pairs of stroke patients and caregivers were recruited from three medical centers in the Wuling Mountain region in China. Data collection utilized questionnaires, including the Barthel Index for Activities of Daily Living (Chinese adaptation), the Caregiver Guilt Scale (Chinese version), and the Zarit Caregiver Burden Scale. Results: Activities of daily living scores negatively correlated with caregiver guilt and burden ( Conclusions: The patient's ability to perform activities of daily living was associated with caregiver burden through caregiver guilt. Interventions might consider targeting the caregiver's guilt while promoting the patient's activities of daily living recovery. A dual "patient-caregiver" evaluation approach may mitigate guilt and reduce caregiver burden.
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