The Effectiveness of Problem Management Programs to Reduce Caregiver Stress Elderly in Dependence during the COVID-19 situation
Keywords:
caregivers, older People with dependence, problem management stress, COVID-19Abstract
The purpose of this quasi-experimental research was to study the effectiveness of problem management programs to reduce caregiver stress among the elderly dependent during the COVID-19 situation by comparing the mean stress scores of caregivers to the elderly dependent. The participants consisted of 60 caregivers of older people with dependence during the COVID-19 situation before and after receiving a problem-solving training program, and the mean stress scores of elderly caregivers in dependent conditions during the COVID-19 situation were compared between those who received the program and those who did not receive the problem-solving training program. The participants were divided into the experimental group and the control group, with 30 people in each group. The experimental group received the problem management programs, and the control group received conventional nursing care. The experimental instrument was the problem management program with content validity test. The collected data instrument was the Caregiver Strain Index--CSI and was tested for reliability at 0.87. Research findings were analyzed using frequency, percentage, mean, standard deviation, and a t-test. The experimental group after receiving the problem management program had significantly lower stress than before receiving the program at a statistically significant level of.05. The experimental group after receiving the problem management program had significantly lower stress than those who received conventional nursing care at the level of.05. The effect of a problem management program to reduce stress among dependent elderly caregivers during the COVID-19 situation is that it can reduce stress for caregivers of the elderly who are dependent.
References
Arunraksombat, S. (2007). Health insurance of Thai elderly. Proceeding of the Thai population 2007. Nakhon Pathom: Health Insurance of Thai. (in Thai)
Bunpot, P. (2021). Factors associated with Covid-19 patients sympotoms in Phuket’s Community Hospital. Retrieved from https://bit.ly/3uqKn9y. (in Thai)
Department of Elderly Affairs. (2021). Ministry of Social Development and Human stability. Retrieved from http://www.dop.go.th/th. (in Thai)
Eayrs, P. (2009). Snapshot: Alzheimer’s Australia pilot of an innovative approach to consumer education and training. International Psychogeriatrics, 21(Suppl 1), S69–S71. https://doi.org/10.1017/S1041610209008710
Foundation of Thai Gerontology Research and Development Institute (MMU). (2020). Situation of Thai Elderly 2019. Nakhon Pathom: Population and Social Research Institute Mahidol University. (in Thai)
Houts, P. S., Nezu, A. M., Nezu, C. M., & Bucher, J. A. (1996). The prepared family caregiver: A problem-solving approach to family caregiver education. Patient Education and Counseling, 27(1), 62-78. https://doi.org/10.1016/0738-3991(95)00790-3
Information on elderly people with dependency care under Care Plan, DoH Dashboard, Department of Health (Bureau of Elderly Health). (2020). Processing date: 20 April 2020. Retrieved from http://dashboard.anamai.moph.go.th/dashboard/agedcareplan/. (in Thai)
Jamman, S., Vongsirimas, N., & Thanoi, W. (2020). Effectiveness of a stress management program on the psychological well-being in caregivers of schizophrenic patients in community. The Journal of psychiatric Nursing and Mental Health, 34(3), 62-76. (in Thai)
National Health Security Office, Thailand. (2011). The Nation Health Security 2012. Nonthaburi: Color Block. (in Thai)
Nezu, A. M. (2004). Problem solving and behavior therapy revisited. Behavior Therapy, 35(1), 1–33. https://doi.org/10.1016/S0005-7894(04)80002-9
Pankong, P. (2016). Health status of elderly in Tron District, Uttaradit Province. Journal of The Department of Medical Services, 42(6), 119-123. (in Thai)
Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5), 583–594. https://doi.org/10.1093/geront/30.5.583
Sritanyarat, W., Aroonsang, P., Charoenchai, A., Limumnoilap, S., Patanasri, K., Lertrat, P., & et al. (2002). A synthesis of knowledge about health services systems and health insurance for elderly. KhonKaen: Klangnanavittaya. (in Thai)
System Reform Committee to Support the Entry into the Elderly Society of Thailand. (2016). Report on system reforms to support an aging society. Retrieved from https://www.parliament.go.th/ewtadmin/ewt/parliament_parcy/download/parcy/057.pdf. (in Thai)
Wanlapa, P. (2010). The effect of a structured information program in combination with meditation practice. Anapanasati on stress among elderly caregivers with dementia (Master’s thesis). Chulalongkorn University. Bangkok. (in Thai)
World Health Organization. (2020). Coronavirus 2019 situation. Retrieved from https://covid19.who.int/
