Correlation between supportive care needs of family caregivers of enterostomy patients and family resilience based on cross-lagged model
10.3760/cma.j.cn115682-20241111-06170
- VernacularTitle:基于交叉滞后模型的肠造口患者家庭照顾者支持性照护需求与家庭抗逆力的关系分析
- Author:
Yuanyuan ZHANG
1
;
Yuemaier REZIGULI·
;
Juan LIU
;
Rong SU
;
Hongmei ZHU
;
Jianping SU
Author Information
1. 新疆医科大学护理学院，乌鲁木齐 830017
- Publication Type:Journal Article
- Keywords:
Family caregiver;
Enterostomy patient;
Family resilience;
Supportive care needs;
Cross-lagged model
- From:
Chinese Journal of Modern Nursing
2025;31(22):3025-3030
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the dynamic trends of family caregivers' supportive care needs and family resilience in enterostomy patients and to analyze the reciprocal predictive relationship between the two.Methods:This study was longitudinal. Convenience sampling was used to select 370 family primary caregivers of colorectal cancer patients with enterostomy in the Affiliated Cancer Hospital of Xinjiang Medical University and the Xinjiang Bazhou People's Hospital from December 2023 to September 2024 as study subjects. Patients were surveyed using the General Information Questionnaire, Family Hardiness Index, and Supportive Care Needs Survey-Partners and Caregivers at four time points of admission (T1), discharge (T2), one month after surgery (T3), and three months after surgery (T4). Spearman correlation was used to analyze the correlation between supportive care needs of family caregivers of enterostomy patients and family resilience at different time points, and a cross-lagged model was constructed to explore the predictive role of supportive care needs on family resilience.Results:A total of 370 questionnaires were distributed and 336 valid questionnaires were finally recovered, with a valid recovery rate of 90.81% (336/370). Supportive care needs of family caregivers and family resilience of 336 family caregivers of enterostomy patients showed an increasing and then decreasing trend during hospitalization to three months after surgery ( P<0.05). Spearman correlation analysis showed that supportive care needs of family caregivers of enterostomy patients were negatively correlated with family resilience ( P<0.01). Cross-lagged model showed that supportive care needs of family caregivers of enterostomy patients at T1, T2, and T3 negatively predicted family resilience in the next period (β=-0.308, -0.204, and -0.243; all P<0.05), but not vice versa. Conclusions:Family caregiver supportive care needs and family resilience of enterostomy patients showed a dynamic trend of increasing and then decreasing during the hospitalization to three months postoperatively, and family caregiver supportive care needs are able to influence subsequent family resilience. Healthcare professionals should assess the supportive care needs of family caregivers and take targeted measures to meet their supportive care needs in a timely manner, in order to enhance the family resilience, create a good family environment for patients' recovery, and improve the quality of life of patients and their family caregivers.
