Mediation effect of self-efficacy on the relationship between perceived social support and resilience in caregivers of patients with first-stroke in China: a cross-sectional survey

Feb 20, 2024Topics in stroke rehabilitation

How confidence in abilities links social support to resilience in caregivers of first-time stroke patients in China

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Abstract

The mean scores for resilience, perceived social support, and self-efficacy among 207 caregivers of first-stroke patients were 72.17, 71.17, and 29.64, respectively.

Self-efficacy is positively correlated with perceived social support and resilience in caregivers.
The correlation coefficient between self-efficacy and perceived social support is 0.439, indicating a strong relationship.
Self-efficacy is also strongly correlated with resilience, with a coefficient of 0.730.
Self-efficacy partially mediates the relationship between perceived social support and resilience, accounting for 52.90% of the total effect.
Both perceived social support and self-efficacy are identified as important factors that may enhance resilience among caregivers.

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BACKGROUND: Self-efficacy, perceived social support, and resilience in caregivers of first-stroke patients are closely related, while the interaction mechanism remains unclear. This research explores the mediation effect of self-efficacy in the relationship between perceived social support and resilience in caregivers of first-stroke patients in China.

METHODS: Convenience sampling was designed and used to recruit participants from the General Hospital of Northern Theater in Shenyang, Liaoning Province, China, from February to October 2022, in which 207 self-reported participants completed the Connor-Davidson Resilience Scale (CD-RISC), Multidimensional Scale of Perceived Social Support (MSPSS) and General Self Efficacy Scale (GSES). In addition, the mediation effect of self-efficacy between perceived social support and resilience was determined by the PROCESS macro for SPSS.

RESULT: Among the 207 caregivers of patients with first-stroke, the mean CD-RISC, MSPPS and GSES scores were (72.17 ± 11.28), (71.17 ± 8.99), and (29.64 ± 5.03) respectively. Caregivers' self-efficacy was positively correlated with perceived social support ( = 0.439, < 0.01) and resilience ( = 0.730, < 0.01). Self-efficacy served a mediation function partially between perceived social support and resilience, whose effect accounted for 52.90% of the total. r p r p

CONCLUSION: Both simple and mediation roles of perceived social support and self-efficacy are established in the relationship of resilience among caregivers of first-stroke patients. Positive social support and self-efficacy are two important targets for future interventional studies, and interventions on them may synergistically improve resilience. Hence, the nurses and community workers should correctly evaluate social support and self-efficacy, confirm the health education requirements, and implement counseling intervention to protect and improve the health of first-stroke patients and their families.

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