title: The relationships among Muslim Uyghur and Kazakh disabled elders' life satisfaction, activity of daily living, and informal family caregiver's burden, depression, and life satisfaction in far western China: A structural equation model.
abstract: 1 Hypothesis Disabled elders' activities of daily living, caregiver burden, caregiver depression, and caregivers' life satisfaction are significantly related to the life satisfaction of elderly people with disability. 2 Hypothesis There are direct and indirect effects between the life satisfaction of elders, disabled elders' activities of daily living, and family caregivers' factors. This study explored the interrelationships of disabled elders' life satisfaction and activities of daily living, caregivers' factors (burden, depression, and life satisfaction) through a structural equation model. In total, 621 dyads of disabled elders and informal family caregivers completed questionnaires during face-to-face interviews in Xinjiang Uyghur Autonomous Region from September 2013 to January 2014. Activity of daily living exerted a direct effect on life satisfaction of disabled elders and 30.4% indirect effect through caregivers' factors. Caregiver burden had a 60.0% direct effect on life satisfaction of disabled elders and a 40.0% indirect effect through the caregiver depression. Caregiver depression showed 76% direct effect on life satisfaction of disabled elders and 24% indirect effect through caregivers' life satisfaction. Direct relationships between activity of daily living and caregiver burden, caregiver burden and caregiver depression, and caregiver depression and caregivers' life satisfaction were observed. Activity of daily living had a 91.3% indirect effect on caregiver depression mediated by caregiver burden; caregiver burden had a 40.0% indirect effect on caregivers' life satisfaction mediated by caregiver depression. Results provide useful information for nurses and policymakers and shed light on the need to consider caregivers' factors in improving care recipients' life satisfaction.
authors.affiliation: Shihezi University School of Medicine, Shihezi, Xinjiang, China.
authors.forename: Wen Ting
authors.initials: WT
authors.lastname: Wang
authors.affiliation: The People's Hospital of Shihezi City, Shihezi, Xinjiang, China.
authors.forename: Bin
authors.initials: B
authors.lastname: He
authors.affiliation: Shihezi University School of Medicine, Shihezi, Xinjiang, China.
authors.forename: Yu Huan
authors.initials: YH
authors.lastname: Wang
authors.affiliation: Shihezi University School of Medicine, Shihezi, Xinjiang, China.
authors.forename: Mei Yan
authors.initials: MY
authors.lastname: Wang
authors.affiliation: Shihezi University School of Medicine, Shihezi, Xinjiang, China.
authors.forename: Xue Feng
authors.initials: XF
authors.lastname: Chen
authors.affiliation: Shihezi University School of Medicine, Shihezi, Xinjiang, China.
authors.forename: Fu Chen
authors.initials: FC
authors.lastname: Wu
authors.affiliation: Shihezi University School of Medicine, Shihezi, Xinjiang, China.
authors.forename: Xue
authors.initials: X
authors.lastname: Yang
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D002681:China; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology*; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D007514:Islam / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011788:Quality of Life; D011795:Surveys and Questionnaires
keywords: Uyghur and Kazakh disabled elder; Uyghur and Kazakh family caregiver; caregiver burden; depression; life satisfaction