Effect of a Positive Communication Program on Stress and Coping Strategies for Relatives of Critically Ill Patients

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Angkana Somkong
Suthat Supanam
Kunnika Rugyingcharean


Introduction: Positive communication is important for stress and coping of relatives of critically ill patients. Research objectives: The study aimed to investigate the effect of a positive communication program on stress and coping strategies of relatives of critically ill patients. Methods: This quasi-experimental study used a one-group pretest-posttest design. A purposive sampling technique was used to recruit 30 participants. All of them were relatives of critically ill patients admitted to the surgical trauma ward and surgical intensive care unit at Buddhasothron Hospital during February 2019 to February 2020. The participants participated in 3 sessions of the positive communication program. Data were collected using a set of questionnaires including a personal information sheet, stress assessment questionnaire, stress and coping strategies questionnaire for relative of critically ill patient, and satisfaction assessment questionnaire. Data were analyzed using descriptive statistics (percentage, mean, and standard deviation), independent t-test, and Paired t-test. Results: Results showed that the positive communication program had affected on stress and coping strategies of relatives of critically patients. The stress and coping scores at follow-up were statistically significantly lower than at baseline scores (p<0.001). At follow-up, the relative satisfaction score of critically ill caregivers was high. Conclusions: The positive communication program on stress and coping strategies for relatives of critically ill patients effectively decreased stress .The relatives of critically ill patients might choose appropriate coping methods. Implications:After receiving a program 1-2 weeks, timing to follow-up the participants should be increased to monitor stress and coping of the relatives of critically ill caregivers, These findings could be used as a guideline to develop nursing care quality and counseling for relatives of critically ill patients to help them cope with stress effectively.


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Somkong, A., Supanam, S., & Rugyingcharean, K. (2021). Effect of a Positive Communication Program on Stress and Coping Strategies for Relatives of Critically Ill Patients. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 37(2), 100-110. Retrieved from https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/251177
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