The relationships between quality of life with health literacy, social support and resilience in older stroke survivors: A structural equation model.
Mei Chen, Jinghong Li, Chunyan Chen and 2 others
PMID 39259719WHAT IT FOUND
In older first-stroke survivors, higher resilience was linked to better quality of life.
Health literacy and social support were also linked to quality of life, partly through resilience, but the study cannot show that raising them improves quality of life.
Key findings
01Quality of life was positively linked to health literacy (r = 0.110, p < 0.05), social support (r = 0.176, p < 0.001) and resilience (r = 0.499, p < 0.001).
02In the structural model, resilience had a direct effect on quality of life of 0.4, while health literacy had a direct effect of 0.14 and social support had a direct effect of 0.12.
03Health literacy and social support also had indirect effects through resilience of 0.19 and 0.11, and the three variables explained 29.0% of quality of life variation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The sample came from four hospitals in western China, so the results may not apply to other places or healthcare systems. Participants were recruited by convenience sampling, not random sampling. All measures were self-reported, so answers may have been shaped by wanting to look good or by how the questions were understood. The study was cross-sectional, so it cannot show that health literacy, social support, or resilience caused better quality of life. Patients with severe mental illness, cognitive dysfunction, inability to communicate, or serious complications were excluded, so it says little about more impaired stroke survivors. For some physically dysfunctional participants, investigators recorded responses from the patient or carer. This may differ from the patient's own report.
Declared interests
The work was supported by the Science and Technology Bureau Livelihood Project of Bishan District. The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that raising health literacy, social support, or resilience will improve quality of life. The study measured variables at one time point and found associations, not effects of interventions.