Based on APIM Model to Study the Mutual Effect of Stroke Patients’ and the Caregivers’ Satisfaction with Environmental Management

En-Hong Dong, Hua-Li Liu, Hong-Mei Tang, Hao Zhang, Tao Wang, Zhi-Wang Qian

Ekoloji, 2018, Issue 106, Pages: 95-101, Article No: e106009

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Abstract

To analyze stroke patients’ and the caregivers’ satisfaction with environmental management as well as the mutual influence mechanism. General hospitals and community medical institutions in Shanghai City were randomly sampled 600 pairs of stroke inpatients and the caregivers for the questionnaire survey during January – June, 2016, and 575 pairs were eventually received. The “Actor-Partner Interdependence” model (APIM) was constructed to study the mutual influence of two interdependence variables on the satisfaction with environmental management. Patients’ age and caregivers’ education level showed significant effects on patients’ and the caregivers’ satisfaction with environmental management (influence coefficients β=-0.10 and β=0.08, respectively). In other words, the higher patients’ age and the lower caregivers’ education level revealed the lower satisfaction with environmental management. Patients’ self-care degree at admission presented remarkably positive effects on their and the caregivers’ satisfaction with environmental management (influence coefficients β=0.11 and β=0.07, respectively). In other words, the higher patients’ self-care at admission would enhance the satisfaction with environmental management and caregivers’ satisfaction with environmental management. Besides, the influence coefficient of the former was higher than it of the latter (β=0.11>β=0.07). Patients’ length of stays merely appeared notably negative effects on the satisfaction with environmental management (influence coefficient β=-0.02). Both patients’ and the caregivers’ satisfaction with inpatient service showed significantly negative effects on the satisfaction with environmental management (β=-0.33 and β=-0.16, respectively). In this case, the higher patients’ and the caregivers’ satisfaction with inpatient service appeared the higher satisfaction with environmental management. Besides, the influence coefficient of the former is higher than it of the latter (β=0.33>β=0.16). Medical staff and health decision makers could apply correspondent measures, enhance individual satisfaction with inpatient service by taking the combination of individual characteristics and disease characteristics of the two into account, and eventually promote stroke patients’ satisfaction with environmental management.

Keywords

stroke, caregiver, satisfaction with environmental management, APIM

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