The Development of Competencies of Caregivers in Caring Stroke Patients
Main Article Content
Abstract
Purpose: To study development of care competencies and experience of caregivers in
caring stroke patients
Design: Pre-experimental research
Methods: A sample comprised 38 stroke patients’ caregivers. The research instruments
used in the study included 1) a personal information form and 2) care competencies of
caregivers in caring stroke patient questionnaires. Knowledge and skills in caring stroke
patients were provided to the caregivers through an intensive training for four days prior
to patient discharge. Data of personal information and numbers of caregivers who have
ability in caring activities of their patients were analyzed with Descriptive Statistics. The
differences between the mean scores of caregivers’ competencies in caring stroke patients
before and after the training were analyzed by using paired samples t – test. In addition,
the interviewed data was analyzed by using content analysis method.
Findings: The results revealed that the mean score of caring competencies among caregivers
about food preparation for patients who have ability to eat, food preparation for patients
who have tube feeding, body cleansing, and caring of excretory system was significantly
higher than that before participating in the study. However, the mean score of caring
competencies among caregivers about body rehabilitation was significantly lower than
that before participating in the study, p<.05. Interviewed result showed knowledge gained
from practice with stroke patients increasing caring skills among caregivers.
Conclusion: Caregivers should be trained and evaluated the competencies in Caring
Stroke Patients before patients were discharged from hospital for care
effectively.
Article Details
ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
References
Bureau of Non-communicable Diseases.Department of Disease Control. World paralysis day campaign issue 2017 [internet]. 2019. [cited 2019 June 14];
Available from: http://www.thaincd.com/2016/mission/documents-detail (in Thai)
Nilanont Y, Nidhinandana S, Suwanwela NC, Hanchaiphiboolkul S, Pimpak T,Tatsanavivat P, et al. Quality of acute ischemic stroke care in Thailand: a prospective multicenter countrywide cohort study. J Stroke Cerebrovasc Dis 2014;23(2):213-9.
Wongkachit C, NavicharernR. Factors related to eating behaviors in stroke patients. JNSCU 2015;27(3):80-92. (in Thai)
HouL, Du X, ChenL,Li J,YanP, Zhou M, Zhu C.Exerciseand qualityof lifeafter firstever ischaemic stroke: a two-year follow-up study. International Journal of Neuroscience 2018;128(6):540-8.
DOI: 10.1080/00207454.2017.1400971
Kasati A,Prachusilapa G.Rehabilitationnurse competencies.JNSCU 2014;26(3):134-45. (in Thai)
Majavong M. Stroke in the elderly. J Thai Stroke Soc 2019;18(1):59-74. (in Thai)
Rittada S, Taraput, C. How to take care of patients with stroke. J Thai Stroke Soc 2018;17(2):25-40. (in Thai)
Purba WS, Amatayakul A, Wattanakul B. The relationship between depressions, social support and quality of life of strokesurvivors inBukittinggi, Indonesia. J Health Res 2015;29(Suppl.1):S109-16. DOI: 10.14456/jhr.2015.57.
Billinger SA, Arena R, Bernhardt J, Eng JJ, FranklinBA, Johnson CM,etal.Physicalactivityand exerciserecommendations for stroke survivors. Stroke. 2014;45(8): 2532-53.
HRH PrincessMaha ChakriSirindhornMedical Center. Annual report 2018. (in Thai)
Moonthee W, Munkong S, Sirapo-ngam Y, Leelacharah S. Impact of transitional care programme and family caregivers on stroke patients’ routine activity performance, complications, and satisfaction. TJNC 2016;31(1):95-110. (in Thai)
Roy M, Bag R. Effectiveness of Structured TeachingProgrammeontheKnowledge about Rehabilitationof Stroke Patients among CaregiversinaSelected Hospital, Kolkata, India. Journal of Clinical and Diagnostic Research 2019;13(7):LC07- LC12.
Gurjar NR. Effectiveness of educationalprogramonknowledgeand competence ofhomecareof stroke patients among care givers. Int J Health Sci Res 2019; 9(5):260-5.
Donabedian A. An introduction to quality assurance in health care. CMJ 2003; 44(5):655-657.
Kusol M, Lertrat P. The development of nursing care to promote family participation in caring of patients with cardiovascular disease at Medical Department, Nongkhai Hospital. Independent study (M.N.S) Khon Kaen:
Khon Kaen University; 2009. (in Thai)
Phinyo P, Phinyo K, Limtrakool P, Tiamkao S, Worawong C, Chuasuan C,etal. Care improvement for patients with stroke through community participation. Songklanagarind Journal of Nursing
;35(2):93-111.
PrasanwongJ,SingdongP,Samsan,R. Caring system development for stroke’s patients at Sisaket Hospital. Journal of Nursing Division 2012;39(2):51-65.(in Thai)
Nishio D, Takahashi H, Hayashi T, Hirano Y, MinakawaT,KigawaH.Factorsinfluencing the burden on caregivers of stroke patients withhemiplegialivingathome. Int J Phys Med Rehabil [serial on the
Internet]2015[cited 2019June14];3(3): [about 5 p.]. Available from: http://dx.doi.org/10.4172/2329-9096.1000279