{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:53:16Z","timestamp":1777423996306,"version":"3.51.4"},"reference-count":57,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2011,6,24]],"date-time":"2011-06-24T00:00:00Z","timestamp":1308873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:p><jats:bold>Aim.\u2002<\/jats:bold> To describe the relationship between self\u2010appraised problem\u2010solving abilities and psychological distress, burden and perceived social support in informal, family stroke caregivers.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> Previous research suggests that self\u2010appraised problem\u2010solving abilities play a significant role in the well\u2010being of family caregivers of patients with chronic illness. However, little is known about its role in caregivers of stroke survivors.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold> Prospective correlational study.<\/jats:p><jats:p><jats:bold>Methods.\u00a0<\/jats:bold> One week before discharge, 103 family caregivers of survivors of a first stroke were assessed for their perceived problem\u2010solving abilities, social support, anxiety, depression and physical well\u2010being. At three\u2003months postdischarge, 85 of these caregivers (83% retention) were reassessed on the same measures. In addition, their levels of burden and perceived difficulties were also measured.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> Using multiple regression, overall self\u2010appraised problem\u2010solving abilities and its subscale \u2018confidence in problem\u2010solving\u2019 at one\u2003week before discharge were significant predictors of caregiver perceived social support (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2003=\u200329%) and perceived physical well\u2010being (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2003=\u200342%) at three\u2003months postdischarge. Other relationships were non\u2010significant.<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> Caregivers\u2019 perceived social support and physical well\u2010being were significantly predicted by confidence in problem\u2010solving.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> This study is timely given the challenges facing health systems in Hong Kong to effectively manage chronic illness through family\u2010centred care. The significant relationships between caregiver self\u2010appraised problem\u2010solving, perceived social support and well\u2010being suggest that interventions maximising caregiver confidence in problem\u2010solving might be valuable in supporting family caregivers of stroke survivors. Nurses working with families caring for stroke survivors both close to discharge and in the early transition stages back at home may be in an ideal position to offer this support.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2011.03742.x","type":"journal-article","created":{"date-parts":[[2011,6,30]],"date-time":"2011-06-30T09:37:36Z","timestamp":1309426656000},"page":"232-242","source":"Crossref","is-referenced-by-count":18,"title":["Informal stroke caregivers\u2019 self\u2010appraised problem\u2010solving abilities as a predictor of well\u2010being and perceived social support"],"prefix":"10.1111","volume":"21","author":[{"given":"May H\u2010L","family":"Lui","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana TF","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nan","family":"Greenwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona M","family":"Ross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,6,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.5.843"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/026921500667530134"},{"key":"e_1_2_9_4_1","volume-title":"The Psychology of Chinese People","author":"Bond MH","year":"1995"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215507078313"},{"key":"e_1_2_9_6_1","volume-title":"Psychosocial Nursing Intervention to Promote Self\u2010esteem and Functional Dependence Following Stroke","author":"Chang A","year":"1999"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/10805-000"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.1997.16.3.343"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.112.1.155"},{"key":"e_1_2_9_10_1","volume-title":"National Strategy for Carers","author":"Department of Health","year":"2004"},{"key":"e_1_2_9_11_1","first-page":"7","article-title":"Social problem solving abilities and health behaviour among person with recent spinal cord injury","volume":"11","author":"Dreer LE","year":"2004","journal-title":"Journal of Clinical Psychology"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0031360"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01175144"},{"key":"e_1_2_9_14_1","volume-title":"Social Problem Solving Inventory\u2010revised: Technical Manual","author":"D\u2019Zurilla J","year":"2002"},{"key":"e_1_2_9_15_1","first-page":"69","article-title":"Social problem solving abilities predict pressure sore occurrence in the first three years of spinal cord injury","volume":"5","author":"Elliott TR","year":"2003","journal-title":"Rehabilitation Psychology"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910703321649132"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.37.2.203"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638289409166287"},{"key":"e_1_2_9_19_1","volume-title":"Primary Care Psychiatry and Behavioural Medicine","author":"Feinstein RE","year":"1999"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.1.64"},{"key":"e_1_2_9_21_1","first-page":"145","article-title":"Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index","volume":"60","author":"Granger CV","year":"1979","journal-title":"Archives of Physical Medicine Rehabilitation"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.03163.x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701602178"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280802051721"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000183622.75135.a4"},{"key":"e_1_2_9_26_1","volume-title":"Multivariate Data Analysis","author":"Hair JF","year":"2006"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.7.1478"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.48.3.330"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011000003262793"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.012435"},{"key":"e_1_2_9_31_1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3928\/00989134-20060401-07","article-title":"Stroke caregiving. 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