Post-stroke family resilience is correlated with family functioning among stroke survivors: The mediating role of patient's coping and self-efficacy.
Wei Zhang, Ya-Jing Gao, Ming-Ming Ye and 1 others
PMID 38940513WHAT IT FOUND
Hospitalised first-episode stroke patients with higher family resilience reported better family functioning.
Patient confidence in managing disease and facing problems were also linked to better family functioning. These are measured associations, not proof that treatment works.
Key findings
0126.8% of patients reported family functioning below the good-function cut-off.
02Family resilience, self-efficacy, and confrontation coping were each positively correlated with family functioning.
03Family resilience had direct and indirect path estimates of 0.406 and 0.119 to family functioning.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured everything at one time during hospitalisation, so it cannot show that family resilience, self-efficacy, or coping caused better family functioning. Patients were chosen by convenience sampling from urban hospitals in two Chinese cities, so results may not apply to rural stroke survivors or other settings. Patients with aphasia, cognitive disorders, blindness, deafness, or severe communication difficulties were excluded, so the study says little about families of stroke survivors with communication impairment. All key outcomes came from patients' own reports. No intervention was tested, so the findings do not show that improving resilience or coping changes recovery.
Declared interests
The study was funded by the National Natural Science Foundation of China and the Sailing project of Naval Medical University. The authors declared no conflict of interest.
The easy way to misread this
Do not read the model as proof that raising family resilience, self-efficacy, or confrontation coping will improve family functioning. The study measured these variables at one time during hospitalisation and did not test an intervention.