The Effect of Symptom Management Program on Fatigue among Caregivers of Disabled at Home

Authors

  • Jiranuwat Chansungnoen Department of Community Health Nursing Boromarajonani College of Nursing, Trang, Faculty of Nursing, Praboromarajchanok Institute
  • Punpaphon Chunhabordee Department of Community Health Nursing Boromarajonani College of Nursing, Trang, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

caregivers of disabled at home, fatigue, symptom management program

Abstract

The purpose of this quasi-experimental research was to compare the effect of a symptom management program on fatigue among caregivers of the disabled at home. The sample group covered 44 main caregivers, separated into 22 cases for the control group and another 22 cases for the experiment group. The control group received routine care. The experimental group was given a symptom management practice program as well as care. The program was developed based on the symptom management model of Dodd et al. (2001), which included 4 stages: (1) symptom experience assessment; (2) potential development of symptom management; (3) self-management at home; and (4) evaluation. The instruments were a demographic data sheet and fatigue questionnaire (developed from Piper Fatigue Mode (Piper et al., 1998). The fatigue questionnaire had a Cronbach’s alpha coefficient of.94 when tested for reliability. Data were analyzed using descriptive statistics, dependent t-tests, and independent t-tests. The results suggested that the fatigue score of the experimental group after the end of a 4-week and an 8-week program was less than that before receiving the program, with statistical significance .05. The fatigue scores of the experimental group after the end of the 4-week and 8-week programs were lower than those of the control group with statistical significance .05.

References

Boonvas, K., Supanunt, T., Chunhabordee, A., & Wae, N. (2017). Caregiver stress and needs in caring disabled. The Southern College Network Journal of Nursing and Public Health, 4(1), 205-216. (in Thai)

Chansungnoen, J., Maneechote, P., & Sawatdee, D. (2017). Anxiety in caregiver of patients with traumatic brain injury. Journal of Southern Technology, 10(1), 71-78. (in Thai)

Chueluecha, C. (2012). Rehabilitation in stroke. Thammasat Medical Journal, 12(1), 97-111. (in Thai)

Department of Empowerment of Persons with Disabilities. (2022). Disabled person situation. Retrieved from. https://dep.go.th/th/law-academic/knowledge-base/disabled-person-situation. (in Thai)

Dodd, M., Janson, S., Facione, N., Faucett, J., Froelicher, E. S., Humphreys, J., Lee, K., Miaskowski, C., Puntillo, K., Rankin, S., & Taylor, D. (2001). Advancing the science of symptom management. Journal of Advanced Nursing, 33(5), 668–676. https://doi.org/10.1046/j.1365-2648.2001.01697.x.

Fongkerd, S., Sinsuesatkul, S., & Tantalanukul, S. (2019). Community nurse practitioner’ role in caring family caregivers of bedridden patients. Journal of The Royal Thai Army Nurses, 21(1), 46-55. (in Thai)

Jooprempree, K., & Tabootwong, W. (2022). Experiences of primary caregivers in caregiving for older family members with bedridden at home. Boromarajonani College of Nursing, Uttaradit Journal, 14(1), 191-205. (in Thai)

Kanthamalee, S., Wognsaree, C. & Phanchana, N. (2019). Home visiting of nurses for caring the dependent elderly people. EAU Heritage Journal Science and Technology, 12(3), 107-117. (in Thai)

Khiewchaum, R. (2016). Effect of traumatic brain injury. Journal of Phrapokklao Nursing College, 27(1), 103-111. (in Thai)

Krairak, L., Prapaipanich, W., & Monkong S. (2016). Fatigue and fatigue management of family caregivers caring for older adults with heart failure post discharge. Thai Journal of Cardio-Thoracic Nursing, 27(2), 17-30. (in Thai)

Neurological Institute of Thailand. (2007). Clinical practice guidelines for stroke rehabilitation. Bangkok: Department of Medical Services. (in Thai)

Pandee, D., Masinghboon, K., Kunsongkeit, W. & Wachirawat, W. (2006). Predictors of coping strategies among family members of patients with head injury. The Journal of Faculty of Nursing Burapha University, 8(1), 52-63. (in Thai)

Phothidara, Y., Korcharoenyos, C., Somkumlung, P., & Chaiyasit, Y. (2014). Factors effecting on fatigue in strokes’ caregiver. Journal of Nursing Science and Health, 37(3), 46-55. (in Thai)

Phuthasane, C., & Chanokporn, J. (2016). The effect of pro-self program combined with yoga practice on fatigue in breast cancer patients undergoing chemotherapy. HCU. Journal, 19(38), 61-75. (in Thai)

Piper, B. F. (2003). Fatigue. In V. Carrieri-Kohlman, A. M. Lindsey, & C. M. West (Eds.). Pathophysiological phenomena in nursing: Human Responses to illness (pp. 209-234). St Louis: Saunders.

Piper, B. F. Diddle, S. L., Dodd, M. J., Weiss, M. C., Slaughther, R. E., and Paul, S. M. (1998). The revised piper fatigue scale: Psychometric evaluation in women with breast cancer. Oncology Nursing Forum, 25(4), 677-684.

Promkaew, P., Sumdangsan, D., Jongketkit, W., & Jantawee, N. (2019). Fatigue symptom management among family caregivers of persons with traumatic brain injury. Medical Journal of Srisaket Surin Buriram Hospitals, 34(1), 137-148. (in Thai)

Reanrhom, C. (2009). Effects of symptom management program combind with qigong On anxiety and fatigue in breast cancer patients Receiving chemotherapy. The Meeting of The Academic Conference Project Subject Innovation in Teaching and Learning Management in Nursing. May 12-14, 2009. Bangkok: Faculty of Nursing Chulalongkorn University. (in Thai)

Richardson, A., & Ream, E. K. (1997). Self-care behaviours initiated by chemotherapy patients in response to fatigue. International Journal of Nursing Studies, 34(1), 35–43. https://doi.org/10.1016/s0020-7489(96)00031-4

Rubleak, U. (2006). The effect of symptom management combined with qigong practice program on fatigue of cerebrovascular caregivers (Master’s thesis). Chulalongkorn University. Bangkok. (in Thai)

Sribenjamas, V., Tangkawanich, T., Tunsupasawasdeekhul, S., & Linchareon, A. (2016). The effect of symptom management program on fatigue and muscle strength in person living with HIV/AIDS. Journal of Nursing and Health Sciences, 10(2), 61-70. (in Thai)

Thanasilp, S. (2009). Advanced adult nursing 2. Bangkok: Faculty of Nursing, Chulalongkorn University. (in Thai)

World Health Organization. (2018). Disability and health. Retrieved from. https://www. who.int/news-room/fact-sheets/detail/disability-and-health.

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Published

2023-04-21

How to Cite

Chansungnoen, J., & Chunhabordee, P. . (2023). The Effect of Symptom Management Program on Fatigue among Caregivers of Disabled at Home. EAU Heritage Journal Science and Technology (Online), 17(1), 89–101. retrieved from https://he01.tci-thaijo.org/index.php/EAUHJSci/article/view/257690

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Section

Research Articles