Budak S., Bacak İ.
THE AMERICAN JOURNAL OF HOSPICE AND PALLIATIVE CARE, cilt.1, ss.1-12, 2026 (SCI-Expanded, Scopus)
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Yayın Türü:
Makale / Tam Makale
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Cilt numarası:
1
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Basım Tarihi:
2026
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Doi Numarası:
10.1177/10499091261509102
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Dergi Adı:
THE AMERICAN JOURNAL OF HOSPICE AND PALLIATIVE CARE
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Derginin Tarandığı İndeksler:
Scopus, Sociology Source Ultimate (EBSCO), Science Citation Index Expanded (SCI-EXPANDED), AgeLine, CINAHL, EMBASE, MEDLINE, Psycinfo
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Sayfa Sayıları:
ss.1-12
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Kütahya Sağlık Bilimleri Üniversitesi Adresli:
Evet
Özet
Purpose
To examine the direct association between caregiving competence and caregiver burden and the serial indirect pathway through perceived social support, resilience, and depressive symptoms among family caregivers of patients with cancer receiving home-based palliative care.
Methods
This cross-sectional study included 496 primary family caregivers in Türkiye. Participants completed validated measures of caregiving competence, perceived social support, resilience, depressive symptoms, and caregiver burden. Associations were examined using Pearson correlations and observed-variable path analysis. Indirect effects were tested with 5000 bias-corrected bootstrap samples. A sensitivity model adjusted for caregiver age, sex, education, total caregiving duration, and daily caregiving time.
Results
Caregiving competence was negatively correlated with caregiver burden (r = −0.448,
P
< 0.001) and positively correlated with perceived social support (r = 0.393,
P
< 0.001). Model fit was acceptable to good (χ
2
/df = 2.838, CFI = 0.966, TLI = 0.932, RMSEA = 0.061). Competence retained a direct negative association with burden (β = −0.324,
P
< 0.001), and the serial indirect association was significant (β = −0.018, 95% bias-corrected bootstrap CI, −0.022 to −0.014). The direct (β = −0.302) and serial indirect (β = −0.016) associations remained significant after covariate adjustment. The model explained 27.2% of the variance in caregiver burden.
Conclusion
Greater caregiving competence was associated with lower burden directly and through a small serial psychosocial pathway. Prospective studies should evaluate multicomponent caregiver support that combines practical preparation with support mobilization, resilience-oriented care, and depression screening.