Relationship among Perceived Burden of Caring Elderly with Chronic Illness, Family Relationship, Ability to Perform Activities of Daily Living (ADL), and Cognitive Function of Elderly with Chronic Illness in the North of Thailand

Authors

  • ๋Chulawaree Chaiwongnakkapun วิทยาลัยพยาบาลบรมราชชนนี แพร่

Keywords:

perceptions of Burden of family caregiver, the relationship of family caregiver, ability perform activities of daily living, cognitive functional abilities, the elderly, family caregiver

Abstract

          Caring elderly with chronic illness for long time may lead to care burden among caregivers. This descriptive study aimed to investigate the relationship among perceived burden of caring elderly with chronic illness, family relationship, ability to perform activities of daily living (ADL), and cognitive function of elderly with chronic illness, in the North of Thailand. The sample were 392 caregivers, recruited by a multi-stage random sampling. Research instruments were record forms obtaining information about elderly with chronic illness and care characteristics, ADL performance ability scale, Thai mental status Examination (TMSE), family relationship questionnaire, and care burden questionnaire. The last four instruments were tested their internal reliability and Cronbach’s alpha coefficient were report with 0.94, 0.93, 0.89, and 0.88, respectively. Data were analyzed using descriptive statistics, and correlation analysis.  

          The findings revealed that, regarding elderly with chronic illness, there have an average man age of 77.30, and about 70.15% of those were female. The three most chronic illness reported were hypertension, diabetes mellitus, and muscle and skeletal diseases. While there was a high level of the ability to perform ADL (mean=13.79, SD=7.01), cognitive function was reported at a moderate level (mean=20.58, SD=8.84).  Regarding caregivers, most of those were female (71.94%), and the mean average period of experience as caregiver was 73.97 months and 14.68 hours per day. The caregivers reported a moderate level of care burden (mean=49.88 SD=10.76), and of family relationship (mean=52.46 SD=11.56). Correlation analysis revealed that perceived care burden among caregivers had negative relation to family relation, ability to perform ADL, and cognitive function (r=-0.16-0.28, p<.01).  

         Conclusion, the findings can be used to reduce the perceived burdens of family caregivers by promoting good relationships among the family members of family caregivers, allowing the elderly to participate in activities, which will motivate the elderly toward improving ADL performance ability and delay age-related cognitive degeneration among elderly patients with chronic illness. In addition, to contribute the quality and sustainable process of providing care for elderly patients with chronic illness with quality and long-term sustainability.

References

สำนักงานคณะกรรมการพัฒนาเศรษฐกิจและสังคมแห่งชาติ. การคาดประมาณประชากรของประเทศไทย พ.ศ. 2553-2583. กรุงเทพ: เดือนตุลา; 2556.

ปะราลี โอภาสนันท์. การพยาบาลผู้สูงอายุในศตวรรษที่ 21. พะเยา: โครงการตำราคณะพยาบาลศาสตร์ มหาวิทยาลัยพะเยา; 2559.

สำนักอนามัยผู้สูงอายุกรมอนามัย กระทรวงสาธารณสุข. คู่มือแนวทางการอบรมการดูแลผู้สูงอายุหลักสูตร 420 ชั่วโมง. นนทบุรี: องค์การสงเคราะห์ทหารผ่านศึก; 2557.

Suvanayos, C. & Thapinta, D. Role of nurse in decrease caregiving burden with dementia patients [online]. Nursing Journal. 2018; 45(4): 229-339.

Srihaphak, S., Chuengsathiensap, G., and Tengrang, K. Research report on Impact and burden of long-term care for the elderly under thai culture [online]. 2014 [cited 2020/09/10]. Available from: http://164.115.27.97/digital/files/original/eccae20356e5df 62398430c430a17b43.pdf

Hanh, P. T., Jullamate , P. & Piphatvanitcha, N. Factors related to caregiver burden among family caregivers of older adults with stroke in Hai Duong, Vietnam [online]. The Southern College Network Journal of Nursing and Public Health 2017; 4(3): 45-62.

Mougias, A. A., Politis, A., Mougias, M. A., Kotrotsou I., Skapinakis, P., Damigos, D. & Mavreas, V.G. The burden of caring for patients with dementia and its predictors [online]. Psychiatriki 2015; 26(1): 27-36.

รัตน์ศิริ ทาโต. การวิจัยทางการพยาบาลศาสตร์ : แนวคิดสู่การประยุกต์ใช้. พิมพ์ครั้งที่ 4. กรุงเทพฯ:

โรงพิมพ์แห่งจุฬาลงกรณ์มหาวิทยาลัย; 2561.

Neuman, W. L. Social research methods: Qualitative and quantitative approaches. Boston: Allyn and Bacon; 1991.

Gadudom, P. The relationships between perceptions of burden of family care givers and abilities to perform activities of daily living and cognitive functional abilities of the elderly with chronic illness in eastern region of Thailand. Phrapokklao Nursing College; 2004a. (in Thai)

Gadudom, P. Evidence, problems, needs and powers of family care givers of chronic Illness at home. Journal of Phrapokklao Nursing College 2004b; 15(2): 32-42. (in Thai)

สถาบันเวชศาสตร์ สมเด็จพระสังฆราชญาณสังวรเพื่อผู้สูงอายุ กรมการแพทย์ กระทรวงสาธารณสุข. คู่มือมาตรฐานและการดำเนินงานคลินิกผู้สูงอายุคุณภาพ. กรุงเทพฯ: ชุมนุมสหกรณ์การเกษตรเเห่งประเทศไทย; 2556.

กรมการแพทย์ กระทรวงสาธารณสุข. คู่มือและมาตรฐานการดำเนินงานคลินิกผู้สูงอายุคุณภาพ. กรุงเทพฯ: ชุมนุมสหกรณ์การเกษตรแห่งประเทศไทย; 2556.

Sareeso, P., Praison, P., Thohinung, U., Umsrewaing, W., & Fongrat. N. The situation, health problems and care need of older persons with chronic illness: Chiangrai municipality [online]. Journal of Nursing Science & Health 2017; 40(2): 85-95. (in Thai)

Tinamas, P., Jongkae, P., & Sengpanich, T. Accident prevention behaviors among older adults Donkeaw, Maerim District, Chiangmai Province. Journal of Nurses Association of Thailand Northern Office [online] 2018; 24(2): 72-82. (in Thai)

สำนักงานสถิติแห่งชาติ. สถิติประชากรศาสตร์ ประชากรและเคหะ [ออนไลน์]. 2562 [cited 2020/09/12]. Available from: http://statbbi.nso.go.th/staticreport/page/sector/th/01.aspx

Saendaeng, N. & Potisupsuk, C. Effect of drug use behaviors promotion program in Elderly patients with non-communicable diseases Khemarat District Ubonratchatani Province [online]. Journal of Nursing and Health Care 2018; 36(3): 33-41. (in Thai)

Panakorn, L., Nanthamongkolchai, S., Pitikultung, S., Munsawaengsub, C., & Teachaboonsermsak, P. Factors influencing dementia in elderly women in Lumphun province [online]. Journal of Public Health 2010; 45(2): 197-209. (in Thai)

Longphasuk, N., Monkong, S., & Sirapo-ngam, Y. Health Conditions and Self-Care Activities of Older Caregivers Caring for Bedridden Older Adults [online]. Thai Journal of Nursing Council 2018; 33(2): 97-109. (in Thai)

Boonchoo, D., Somboontanont, W., Thongcharoen, V., & Wattanakitkrileart, D. The relationships between age, caregiving burden social support, and adaptation of caregivers of older persons with chronic obstructive pulmonary disease [online]. Songklanagarind Journal of Nursing 2015; 35(2): 71-78. (in Thai)

Wannasiri, T. & Pratakkulvongsa, S. The development of relationship between adolescent and elders in their families in Prongmadeur community [online]. Area Based Development Research Journal 2016; 8(1): 100-115. (in Thai)

Suthisukon, K., Chompikul, J., & Thamma-Aphiphol, K. Factors affecting relationships in Thai Families [online]. Local Administration Journal 2017; 10(2): 151-168. (in Thai)

Khatta, N., Hanprasitkam, K. & Siripitayakunkit, A. Relationships among selected factors, caregiving burden, and quality of life of caregivers of persons undergoing continuous ambulatory peritoneal dialysis [online]. The Journal of Baromarajonani College of Nusing, Nakhonratchasima 2018; 24(2): 109-129. (in Thai)

Udonsat, S., Julmette, P., & Phiphatwanicha, N. Male caregiver burden of elderly with stroke and its related factors [online]. The 3rd national conference. 2018 [cited 2020/09/19]. Available from: http://Users/WindowX/Downloads/57306-Article%20Text-133539-1-10-20160521.pdf

Mekawichai, P. & Saetang, S. Caregiver burden among Thai dementia patients’ caregivers [online]. Journal of Psychiatric Association of Thailand 2013; 58(1): 101-110. (in Thai)

Downloads

Published

2020-12-29

How to Cite

Chaiwongnakkapun ๋. (2020). Relationship among Perceived Burden of Caring Elderly with Chronic Illness, Family Relationship, Ability to Perform Activities of Daily Living (ADL), and Cognitive Function of Elderly with Chronic Illness in the North of Thailand. Journal of Nurses Association of Thailand Northern Office, 26(2), 24–39. Retrieved from https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/245461

Issue

Section

Research Articles