The Relationship Model between Stress and Coping among Family Caregivers of the Patients with Stroke in SamutSakhon Hospital.


  • ลัดดาวรรณ เสียงอ่อน คณะพยาบาลศาสตร์ มหาวิทยาลัยคริสเตียน


Family Caregivers, Stroke, Stress, Stress Coping Methods


This descriptive research is a study of the relationship between stress and coping methods in family caregivers of the patients with stroke in Samut Sakhon Hospital. The sample in this study were 161 family caregivers of the patients with stroke who received treatment at Samutsakhon Hospital from February 1 to December 31, 2020. The research instruments included : (1) Personal Information Questionnaire (2) The Caregiving Demand Scale are including: the caring required- time scales which the caregivers spend on their stroke patients (CVI = 0.95) ; and the caregiver’s stress scales (CVI = 1.0) ; and (3) the stress coping methods of stroke patient’s caregiver scales (CVI = 0.88) The data were analyzed the relationship between the stress and the stress coping methods with Pearson’s correlation coefficient statistic test.

                The research results showed that: (1) Family caregivers of the patients with stroke require the caring time for overall their patients in the moderate level (59.60%) and the overall caregiver’s stress level was low (68.90%) ; (2) The sample used a stress coping method in 3 aspects : problem confrontation, emotions management and alleviating feelings of stress. And (3) the stress of the samples statistically significant showed positive relationships with the overall stress coping methods in low levels (r = .350, P < .01) In terms of aspects, the managing the emotion and compensating the stress feeling statistically significant showed positive correlation in low level, respectively (r = .376, P < .01 and r = .269, P < .01, respectively). Recommendations from research, nurses should guide the family caregivers of the patients with stroke based on the contexts and the environments that they will encounter after discharged from the hospital. Meanwhile, nurses can relief the caregiver’s stress by promote the caregiver’s participation until they are skillful for caring their relatives at hospital, the caregivers can caring without stress by themselves for their relatives at homes. In addition, nurses should instruct the caregivers for understanding the alterations of the patient’s physical and the mental status. So, the caregivers can anticipate the possible patient’s situation change. 


Download data is not yet available.


Aiadsuy, N., Wongvatunyu, S., & Chaiviboontham, S. (2017). Stress and Coping among Family Caregivers
of the Patients with Brain Tumor awaiting for Cranial Surgery Rama Nursing Journal, 19(3),
349-364. (in Thai)
Bastawrous M. (2013). Caregiver burden a critical discussion. Internation Journal Nurse Study,50(3), 431-41.
Buengmum, L. (2009). Caregiver activities in providing care for patients withhemiplegia at home. Master
of Nursing Thesis, Graduate School, Khon Kaen University. (in Thai)
Cannusio, C.C., Colditz, G.A., Rimm, E.B., Berkman, L.F.,Jones, C.P., & Kawachi, I. (2004). Employment status, social ties, and cargivers’ mental health. Social Science & Medicine, 58, 1247-1255.
Chuejedton, R., & Tamdee, D. (2017). Factors related to quality of life among stroke survivors Journal
of Associated Medical Sciences, 50(3), 597-604. (in Thai)
Chunhaborde, A., Supanunt, T., Oupara, R., & Thongsai, S. (2013). Stress and Needs of caregivers providing
care for stroke patients at home. Journal of Phrapokklao Nursing College, 24(1), 1-9 (in Thai)
Davis, M. (1992). The role of the amygdala in fear and anxiety. Annual review of neuroscience, 15(1), 353-375.
Denise F. Pilot and Cheryl Tatano Beck. (2012). Nursing Reacherch: Generating and Assessing Evedence for Nursing Prectice. (9thed). Philadelphia : A Wolters Kluwer Co.
DeVellis, R. (1991) Scale development : Theory and development. Newbury park CA:Sage: 85
Division of Non-Communicable Diseases, Department of Disease Control. (2017). Issues of World Palsy
Day Campaign Materials, 2017. From file/info/non
communicable. (in Thai)
Gupta, K., Attri, JP., Singh, A., Kaur, H., & Kaur, G. (2016). Basic concepts for sample size Calculation :
Critical step for any clinical trials. Saudi J Anaesth. 10(3), 328–331.
International Health Policy Development Agency . (2015). Report on the situation of NCDs: Kick off to
the goals, 2nd year. Bangkok: International Health Policy Development Agency. (in Thai)
International Health Policy Development Agency. (2015). Loss of health years Diability-Adjusted Life
Year : DALY Report on Disease and Injury of the Thai Population 2013. Nonthaburi : The
Graphico Systems Company. (in Thai)
Keawcha-am, R. (2009). Effects of preparation program on coping of caregivers of patients with traumatic
brain injury. Journal of Nursing Ministry of Public Health, 23(1), 15-29. (in Thai)
Lapwongwatana, P. (2009). Teaching Documents on Family Health Subjects in Public Health Units 1-7
(4th Edition) Nonthaburi : Nam Kang Printing (in Thai)
Lazarus, R S & Folkman, S, (1984). Stress, Appraisal, and Coping. New York : Springer. Likert, R. (1976). New patterns of management. New York: McGraw-Hill.
Patsadu, P. (2013). Family caregiver’s stress, coping and management of behavioral and emotional problems
following traumatic brain injury. Master of Nursing Thesis, Graduate School, Mahidol University.
Pearlin, L. I., Mullan, J. T., Semple, S. J.,& Akaff, M. M. (1990). Caregiving and the stress process: An
overview of concepts and their measures. The Gerontologist, 30(5), 583-594.
Perez OF, Frias OA, Romero RY, Casado PR. (2016). Coping strategies and anxiety in caregivers
of palliative cancer patients. Eur J Cancer Care, 25(4), 600-607
Pitimanaaree, S. (2007). Predicted factors of quality of life in family caregivers of surgical oncology patients.
Master of Nursing Thesis, Adult Nursing, Graduate School, Mahidol University. (in Thai)
Rattadilok Na Phuket,J. (2006). A Study of stress and stress coping strategy of stroke paitents’ kindred
caregivers., Master’s project, M.Ed. (Developmental Psychology), Graduate School, Srinakharinwirot
University. (in Thai)
Samutsakhon Provincial Public Health Office. (2017). Mortality Rates of Stroke, 5th Health Service Area,
Samut Sakhon Province Samut Sakhon Hospital, fiscal year 2017. from (in Thai)
Saengmanee, S., Arpanantikul, M., Sirapo-ngam, Y. (2555). A Case Study: Adaptation of a Working
Caregiver to a Stroke Patient. Rama Nursing Journal, 18(1), 119-133. (in Thai)
Srinim, N. (2007). Coping experiences of caregivers who in provide care for stroke patients at home.
Master of Nursing Thesis Adult Nursing, Graduate School, Prince of Songkla University. (in Thai)
Sit, J. W., Wong, T. K., Clinton, M., Li, L.S., & Fong, Y. M. (2004). Stroke care in home: The impact of
social support on the general health of family care givers. Journal of Clinical Nursing, 13, 816-824.
Techakijkosol, R.,& Maitrimit,.P. (2009). Stress and coping in the rehabilitation stroke patient at Siriraj
Hospital. Independent Research Master of Science Social and Health Systems Management,
Graduate School, Silpakorn University. (in Thai)
Thathong, C. (2007). Relationship between coping behavior of caregivers and family adaptation with
cerebrovascular disease. Master of Nursing science, Thesis in family nursing, Graduate School,
Khonkean University. (in Thai)
Thonghom, M., Kitrungrote, L., & Damkliang, J. (2019). The relationships among severity of aggressive
behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden of family
caregivers, Thai Journal of Cardio-Thoracic Nursing, 30(1), 74-88. (in Thai)
Yamane, Taro. (1967). Statistics, An Introductory Analysis, 2nd Ed., New York : Harper and Row.
Yanyong, I., Patcharawiwatpong, P. (2003). Stress in the Caregivers of Stroke Patients. Journal Thai
Rehabil , 13(2), 63-69. (in Thai)
Yongpattanajit, S., MonKong, S.,& Sutt, N. (2020). Caregivers’ Stress and Coping with Stress from
Caring for Terminally Ill Patients in a Palliative Care Unit. Journal of Thailand Nursing and
Midwifery Council, 35(2), 116-131. (in Thai)




How to Cite

เสียงอ่อน ล. (2022). The Relationship Model between Stress and Coping among Family Caregivers of the Patients with Stroke in SamutSakhon Hospital. NU Journal of Nursing and Health Sciences, 16(1), 1–15. Retrieved from