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  11. Chain Mediating Effect Of Social Support And Trust In Physician On Stroke Caregivers' Decision Self-efficacy And Decision Conflict

Chain Mediating Effect of Social Support and Trust in Physician on Stroke Caregivers' Decision Self-Efficacy and Decision Conflict

Yinan Shi1, Mei Sin Chong2, Wenru Wang2

  • 1School of Nursing and Health, Zhengzhou University, Zhengzhou, People's Republic of China.

Nursing & Health Sciences
|January 24, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Stroke caregiver decision-making is directly impacted by self-efficacy, and indirectly influenced by social support and physician trust. These factors significantly mediate the relationship between self-efficacy and decision conflict.

Area of Science:

  • Neurology
  • Healthcare Management
  • Psychology

Background:

  • Stroke caregivers experience significant decision conflict.
  • Understanding factors influencing caregiver decision-making is crucial for effective support.
  • Decision self-efficacy, social support, and physician trust are key elements in caregiver well-being.

Purpose of the Study:

  • To investigate the chain mediating roles of social support and physician trust.
  • To examine the relationship between decision self-efficacy and decision conflict in stroke caregivers.
  • To construct a model illustrating these mediating effects.

Main Methods:

  • Convenience sampling of stroke caregivers from a 4-3A hospital in Henan Province.
  • Utilized questionnaires including Decisional Self-efficacy Scale, Social Support Scale, and Wake Forest Physician Trust Scale.
Keywords:
caregiverdecision conflictdecision self‐efficacysocial support

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  • Employed SPSS PROCESS plug-in to analyze mediating effects and construct a chain mediating model.

    • Main Results:

    • Decision self-efficacy directly impacts decision conflict, accounting for 33.16% of the total effect.
    • Social support (41.77%), physician trust (18.23%), and their combined effects significantly mediate the relationship.
    • The chain mediation model highlights the interconnected influence of these factors.

    Conclusions:

    • Decision self-efficacy directly influences stroke caregiver decision conflict.
    • Social support and physician trust act as significant chain intermediaries.
    • Interventions enhancing self-efficacy, social support, and physician trust may reduce caregiver decision conflict.
    stroke
    trust in physician