Factors Influencing the Care Potential of Family Caregiving for Stroke Survivors in Urban
Keywords:
ศักยภาพการดูแล, คุณภาพชีวิต, ภาระการดูแล, ผู้ดูแลผู้ป่วยโรคหลอดเลือดสมองAbstract
This predictive correlational research aimed to examine the sociodemographic factors, burden, and quality of life influencing the care potential of family caregiving for survivors of stroke. The sample consisted of 256 stroke patients’ caregivers living in Rangsit Municipality, Thanyaburi District, Pathum Thani Province. They were selected using purposive sampling method. The research instruments were composed of questionnaires on 1) sociodemographic data, 2) burden, 3) quality of life, and 4) potential care. Using CVI for instrument assessment, the questionnaires’ validity values were 0.97, 1.0, and 0.92, and their Alpha Cronbach’s coefficient reliability values were 0.93, 0.92, and 0.92, respectively. The data was analyzed using Pearson’s product moments, chi-square tests, and stepwise multiple regression statistics.
The research results revealed that most of the caregivers were female, with a mean age of 54.36 years and their highest education level was primary school. Additionally, most of them were not working and the family income was less than 10,000 baht per month. as the most common relationship between the caregivers and care-receivers was husband and wife. Most of the caregivers had two or more comorbid diseases, with the most common being high blood pressure and hyperlipidemia. Regarding the caregivers’ obesity risk factors, their poor habits included eating salty and sweet foods and not exercising. The stroke patients’ problems the caregivers worried about the most were impaired physical movement, mental problems, and incomprehensible communication. The analysis revealed the burden was at a moderate level, they had good quality of life, and a moderate of potential care. The influential factors predicting the care potential of caregivers were quality of life and number of daughters. Together, these factors can predict 19.30 percent (p< .001) of the variance. The results of this study provide significant information for developing and improving the care potential of caregiving for survivors of stroke.
References
World Stroke Organization: WSO. Impact of stroke [internet]. 2024 [cited 2024 Apr 10]. Available from: https://www.world-stroke.org/world-stroke-day-campaign/about-stroke/impact-of-stroke.
Department of Disease Control, Ministry of Public Health. Annual report 2023 Ministry of Public Health. Bangkok: Aksorn Graphic and Design Publishing Limited Partnership; 2024. P.93-100. (in Thai)
Tiamkao S. Situation of stroke disease. Thai Journal of Neurology. 2023;39(3):38-42. (in Thai)
Kanchanapibulwong A, Kumwangsanga P, Kaewta S. Kaewta S, editors. Situation of NCDs: diabetes, hypertension and related risk factors 2019: Report. 2019. Bangkok: Aksaorn Graphic and Design Publishing Limited. (in Thai)
Flach C, Muruet W, Wolfe CDA, Bhalla A, Douiri A. Risk and secondary prevention of stroke recurrence. Stroke. 2020;51:2435-44.
Zheng S, Yao B. Impact of risk factors for recurrence after the first ischemic stroke in adult: a systematic review and meta-analysis. J Clin Neurosci. 2019;60:24-30.
Temprom P, Phonphet C, Suwanno J, Chaimay B, Woradet S. Prevalence of high risk of recurrent stroke and factors associated with high risk of recurrent stroke among acute ischemic stroke patients. Thai Journal of Cardio-Thoracic Nursing. 2021;32(2):59-69. (in Thai)
Haacke C, Althaus A, Spottke A, Siebert U, Back T, Dodel R. Long-term outcome after stroke evaluating Health-related quality of life using utility measurements. Stroke. 2015;37:193-8.
Hopman W, Vermer J. Quality of life during and after inpatient stroke rehabilitation. Stroke. 2003;34:801-5.
Neurological institute of Thailand. Guidelines for rehabilitation for stroke patients. Bangkok: Department of Medical Services, Ministry of Public Health; 2011 (in Thai)
Boakye H, Nsiah A, Bello AI, Quartey JNA. Burden of care and quality of life among caregivers of stroke survivors: influence of clinical and demographic variables. Br J Med Med Res. 2017;20(6):1-10.
Bugge C, Alexander H, Hagen S. Stroke patients’ informal caregivers: patient, caregiver, and service factors that affect caregiver strain. Stroke. 1999;30:1517-23.
Celik A, Kara B. The relationship between the stroke survivors’ functional status and their informal caregivers’ burden and quality of life. AIMS Med Sci. 2019; 6(1):115-27.
Cameron JI, Gignac MAM. “Timing it right”: a conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home. Patient Educ Couns. 2008;70:305-14.
Boonsin S, Deenan A, Wacharasin C. Factors influencing the burden of family caregiving for survivors of stroke. Pac Rim Int J Nurs Res. 2021;25(1):102-13. (in Thai)
Okonkwo UP, Agbo CF, Lbeneme SC, et al. The burden and quality of life of caregivers of stroke survivors with cognitive impairment in selected healthcare facilities in Anambra State, Nigeria. Gerontol Geriatr Med. 2022;8:1-11.
Organization for Economic Co-operation and Development: OECD. Realizing the Potential of Primary Health Care: OECD Health Policy Studies. 2020.
Division of Non-Communicable Disease, Strategy and Planning Division, Office of the Permanent Secretary Ministry of Public Health. Number and rate of stroke patients 2016-2019. [cited 2024 Apr 10].Available from: http://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1-020 (in Thai).
Division of Non-Communicable Disease, Strategy and Planning Division, Office of the Permanent Secretary Ministry of Public Health, inpatients databased, number and rate of stroke patients 2014. [cited 2024 Apr 10]. Available from: https://dmh.go.th/test/download (in Thai).
Petchroung N, Pritatruk P, Thongkeang V. The study of continuing care for patients with cerebrovas-cular disease in primary care unit. Journal of the Royal Thai Army Nurses. 2013;14(1):25-34. (in Thai)
Moura A, Teixeira F, Amorim M, Henriques A, Nogueira C, Alves E. A scoping review on studies about the quality of life of informal caregivers of stroke survivors. Qual Life Res. 2022;31:1013-32.
World Health Organization. Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;46(12):1569-85.
Wagner EH, Davis C, Schaefer J, von Korff M, Austin B. A survey of leading chronic disease management programs: are they consistent with the literature? Manag Care Q. 1999;7(3):56-66.
Srisatichnarakur B. Development and validation of research instruments: psychometric properties. 2013. Bangkok: Chulalongkorn University Printing House (in Thai)
Choi-Kwon S, Kim H-S, Kwon SU, Kim JS. Factors affecting the burden on caregivers of stroke survivors in South Korea. Arch Phys Med Rehabil. 2005;86(5):1043-8.
Ministry of Public Health, Department of Mental Health. World Health Organization Quality of Life Brief-Thai, WHOQOL-BREF-THAI. [cited 2024 Apr 10]. Available from: https://dmh.go.th/test/download/files/whoqol.pdf. (in Thai)
Da Costa TF, Costa KNFM, Martins KP, Fernandes MGM, Brito SS. Burden over family caregivers of Elderly people with stroke. Escola Anna Nery Revista de Enfermagem. 2015;19(2):350-5
Boonsin S, Deenan A, Wacharasin C. Factor influencing the burden of family caregiving for survivors of Stroke. Pac Rim Int J Nurs Res. 2021;25(1):102-12. (in Thai)
Yao B, Zheng S. Impact of risk factors for recurrence after the first ischemic stroke in adults: a systematic review and meta-analysis. J Clin Neurosci. 2019;60:24–30.
Tuttle D, Griffiths J, Kaunnil A. Predictors of caregiver burden in caregivers of older people with physical disability in rural community. PLoS ONE. 2022;17(11):1-13.
Tziaka E, Tsiakiri A, Vlotinou P, Christidi F, Tsiptsios D, Aggeloussis N, et al. Holistic approach to expressing the burden of caregivers for stroke survivors: a systematic review. Healthcare. 2024;12:1-31.
Uten U. Outcomes of care for stroke patient at home by coordinating the participation of the family care team and the community. 2022. Department of community and family medicine, faculty of medicine, Pathumtani: Thammasat University. (in Thai).
Septianingrum Y, Yusuf A, Widyawati IY, Sari RY, Wardani EM, Musfirah NR. et al. Factors associated with family caregiver readiness to care for post-stroke patients after hospital discharge. Discov Soc Sci Health. 2024;4:1-9.
Akosile CO, Banjo TO, Okoye EC, Ibikunle PO, Odole AC. Informal caregiving burden and perceived social support in an acute stroke care facility. Health Qual Life Outcomes. 2018;16:57-63.
Ji-Hye L, Sook JM. Factors Influencing the quality of life of family caregivers of stroke patients: a cross-sectional survey. J Korean Fund Nurs. 2023;30(4):479-88.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Journal of Nursing and Therapeutic Care
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
