PURPOSE/OBJECTIVE Spiritual well-being has been associated with better quality of life outcomes in caregivers, but the associations among the care recipient's functional status, the caregiver's spiritual well-being, and the caregiver's health-related quality of life (HRQOL) is unknown. Research Method/Design: The study examined the Spiritual Well-Being Scale in caregivers of persons with traumatic brain injury (TBI; n = 335). Participants completed measures from the Patient-Reported Outcomes Measurement Information System, the Quality of Life in Caregivers of TBI, and the Caregiver Appraisal Scale. The Mayo-Portland Adaptability Inventory-4 (MPAI-4) measured care recipient's functional status. The association between religious well-being and existential well-being and HRQOL were examined with Pearson correlation coefficients. Multiple linear regressions examined the interaction between caregiver well-being and care recipient functional status on HRQOL outcomes accounting for demographic variables. RESULTS Less favorable caregiver HRQOL was associated with military affiliation, male status, spousal caregiver relationship, and White race. MPAI-4 was moderately associated with all HRQOL subdomains. For spiritual well-being, existential well-being was moderately correlated with 9 of 16 HRQOL subdomains in comparison to religious well-being that demonstrated small correlations with 3 of 16 subdomains. MPAI-4 had negative effects on HRQOL regardless of spiritual well-being with higher existential well-being reducing the negative impact of the care recipient's functional impairment on HRQOL for significant HRQOL interactions. CONCLUSIONS/IMPLICATIONS Interventions that encourage development and maintenance of life purpose and meaning in caregivers of persons with TBI, and less so, spirituality, might have beneficial effects on HRQOL when the person with injury has more functional limitations. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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创伤性脑损伤 (TBI) 患者的护理人员的灵性和结果。


目的/目标 精神健康与看护者更好的生活质量相关，但看护者的功能状态、看护者的精神健康以及看护者的健康相关生活质量 (HRQOL) 之间的关联尚不清楚。研究方法/设计：该研究检查了脑外伤患者（TBI；n = 335）的护理人员的精神健康量表。参与者完成了患者报告结果测量信息系统、TBI 护理人员生活质量和护理人员评估量表的测量。梅奥-波特兰适应性量表 4 (MPAI-4) 测量了护理接受者的功能状态。使用 Pearson 相关系数检验宗教幸福感、存在幸福感和 HRQOL 之间的关联。多元线性回归研究了考虑人口变量的 HRQOL 结果中看护者的幸福感和看护者功能状态之间的相互作用。结果 较差的看护者 HRQOL 与军人身份、男性身份、配偶看护者关系和白人种族有关。 MPAI-4 与所有 HRQOL 子域中度相关。对于精神幸福感，存在幸福感与 16 个 HRQOL 子域中的 9 个子域中度相关，而宗教幸福感与 16 个子域中的 3 个子域相关性较小。无论精神健康状况如何，MPAI-4 都会对 HRQOL 产生负面影响，而较高的存在幸福感会减少被护理者的功能障碍对 HRQOL 的负面影响，因为 HRQOL 具有显着的相互作用。 结论/意义 当受伤者有更多的功能限制时，鼓励 TBI 患者的护理人员发展和维持生活目的和意义的干预措施，尤其是灵性方面的干预措施，可能会对 HRQOL 产生有益的影响。 （PsycINFO 数据库记录 (c) 2020 APA，保留所有权利）。