PMID- 37957638
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231116
IS  - 1472-6955 (Print)
IS  - 1472-6955 (Electronic)
IS  - 1472-6955 (Linking)
VI  - 22
IP  - 1
DP  - 2023 Nov 13
TI  - Self-efficacy and well-being in the association between caregiver burden and 
      sleep quality among caregivers of elderly patients having multiple chronic 
      conditions in rural China: a serial multiple mediation analysis.
PG  - 424
LID - 10.1186/s12912-023-01587-0 [doi]
LID - 424
AB  - BACKGROUND: Caregivers of elderly patients with multiple chronic conditions have 
      heavy caregiver burden and poor sleep quality, which has an important impact on 
      both caregivers and patients. This study aimed to examine among rural caregivers 
      of elderly patients who have multiple chronic conditions in China, whether 
      self-efficacy and well-being mediate the link between caregiver burden and sleep 
      quality. METHODS: The study recruited 325 caregivers of elderly patients having 
      multiple chronic conditions in rural China. Several measures including the 
      Caregiver Burden Inventory (CBI), Athens Insomnia Scale (AIS), General 
      Self-Efficacy Scale (GSES) and Index of Well-Being (IWB) were utilized to collect 
      data. Structural equation modeling was employed to study the relationships among 
      caregiver burden, sleep quality, self-efficacy, as well as well-being. RESULTS: 
      Significant correlations were found between the measured variables (each 
      p < 0.01). Self-efficacy and well-being acted as mediators in the link between 
      caregiver burden and sleep quality, accounting for 10.94% and 15.63% of the total 
      effect, respectively. In addition, self-efficacy and well-being had a serial 
      multiple mediating effect in the association between caregiver burden and sleep 
      quality, with this mediating pathway, explaining 9.93% of the total effect. 
      CONCLUSIONS: Caregivers of elderly patients having multiple chronic conditions in 
      rural China experienced poor sleep quality due to the caregiver burden. 
      Self-efficacy and well-being had serial mediating roles on the relationship 
      between caregiver burden and sleep quality. Effective interventions should be 
      developed to improve self-efficacy and well-being of caregivers, reduce their 
      caregiver burden and, eventually, improve their sleep quality.
CI  - (c) 2023. The Author(s).
FAU - Yang, Ziyue
AU  - Yang Z
AD  - School of Nursing and Rehabilitation, Shandong University, 44 Wen Hua Xi Road, 
      Jinan, 250012, Shandong, China.
FAU - Sun, Fengye
AU  - Sun F
AD  - School of Nursing and Rehabilitation, Shandong University, 44 Wen Hua Xi Road, 
      Jinan, 250012, Shandong, China.
FAU - Zhao, Lingrui
AU  - Zhao L
AD  - School of Nursing and Rehabilitation, Shandong University, 44 Wen Hua Xi Road, 
      Jinan, 250012, Shandong, China.
FAU - Hu, Tingwei
AU  - Hu T
AD  - School of Nursing and Rehabilitation, Shandong University, 44 Wen Hua Xi Road, 
      Jinan, 250012, Shandong, China.
FAU - Lin, Xin
AU  - Lin X
AD  - School of Nursing and Rehabilitation, Shandong University, 44 Wen Hua Xi Road, 
      Jinan, 250012, Shandong, China.
FAU - Guo, Yufang
AU  - Guo Y
AD  - School of Nursing and Rehabilitation, Shandong University, 44 Wen Hua Xi Road, 
      Jinan, 250012, Shandong, China. guoyf@sdu.edu.cn.
LA  - eng
PT  - Journal Article
DEP - 20231113
PL  - England
TA  - BMC Nurs
JT  - BMC nursing
JID - 101088683
PMC - PMC10641968
OTO - NOTNLM
OT  - Caregiver Burden
OT  - China
OT  - Multiple chronic conditions
OT  - Rural Population
OT  - Self Efficacy
OT  - Sleep quality
OT  - Well-being
COIS- The authors declare that they have no competing interests.
EDAT- 2023/11/14 06:43
MHDA- 2023/11/14 06:44
PMCR- 2023/11/13
CRDT- 2023/11/14 00:08
PHST- 2023/06/17 00:00 [received]
PHST- 2023/11/01 00:00 [accepted]
PHST- 2023/11/14 06:44 [medline]
PHST- 2023/11/14 06:43 [pubmed]
PHST- 2023/11/14 00:08 [entrez]
PHST- 2023/11/13 00:00 [pmc-release]
AID - 10.1186/s12912-023-01587-0 [pii]
AID - 1587 [pii]
AID - 10.1186/s12912-023-01587-0 [doi]
PST - epublish
SO  - BMC Nurs. 2023 Nov 13;22(1):424. doi: 10.1186/s12912-023-01587-0.