دوره 23، شماره 4 - ( 10-1404 )
جلد 23 شماره 4 صفحات 0-0 |
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Laftah S A, Hammooz A. Nurse-Led Telehealth Follow-Up as a Mediators between Caregiver Burden and Functional Recovery of Stroke Patients. Iranian Rehabilitation Journal 2025; 23 (4)
URL: http://irj.uswr.ac.ir/article-1-2588-fa.html
URL: http://irj.uswr.ac.ir/article-1-2588-fa.html
Nurse-Led Telehealth Follow-Up as a Mediators between Caregiver Burden and Functional Recovery of Stroke Patients. مجله انگلیسی زبان توانبخشی. 1404; 23 (4)
چکیده: (499 مشاهده)
Objective: Informal caregivers are crucial in supporting patients with functional disabilities; however, caregiver burden can adversely affect patient recovery. This study investigated the impact of caregiver burden on the functional recovery of injured individuals and explored the mediating role of telehealth usability.
Methods: A cross-sectional analytical study was conducted with 323 symptomatic caregivers of patients undergoing rehabilitation. Validated instruments were utilized: the Zarit Burden Interview (ZBI-12), the Telehealth Usability Questionnaire (TUQ), and the Barthel Index (BI). Data analysis involved Pearson’s correlation coefficient, multivariate regression, and mediation analysis using PROCESS macro within structural equation modeling (SEM).
Results: Caregiver burden exhibited a negative association with both telehealth usability (r = -0.63, p < 0.01) and patient functional recovery (r = -0.71, p < 0.01). Mediation analysis revealed that telehealth usability significantly mediated the relationship between caregiver burden and patient recovery (indirect effect β = -0.532, p < 0.001). Furthermore, caregivers in rural areas reported higher burden and lower utilization of telemedicine.
Discussion: Reducing caregiver burden and enhancing telehealth usability can significantly improve patient rehabilitation outcomes. Investing in caregiver education and ensuring equitable access to virtual healthcare, particularly in rural settings, is strongly recommended.
Methods: A cross-sectional analytical study was conducted with 323 symptomatic caregivers of patients undergoing rehabilitation. Validated instruments were utilized: the Zarit Burden Interview (ZBI-12), the Telehealth Usability Questionnaire (TUQ), and the Barthel Index (BI). Data analysis involved Pearson’s correlation coefficient, multivariate regression, and mediation analysis using PROCESS macro within structural equation modeling (SEM).
Results: Caregiver burden exhibited a negative association with both telehealth usability (r = -0.63, p < 0.01) and patient functional recovery (r = -0.71, p < 0.01). Mediation analysis revealed that telehealth usability significantly mediated the relationship between caregiver burden and patient recovery (indirect effect β = -0.532, p < 0.001). Furthermore, caregivers in rural areas reported higher burden and lower utilization of telemedicine.
Discussion: Reducing caregiver burden and enhancing telehealth usability can significantly improve patient rehabilitation outcomes. Investing in caregiver education and ensuring equitable access to virtual healthcare, particularly in rural settings, is strongly recommended.