Factors Influencing the Preparedness of Family Caregivers among First-time Ischemic Stroke Patients
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Abstract
This predictive research aimed to study factors influencing the preparedness of family caregiver among first-time ischemic stroke patients. The influencing factors included uncertainty, experience, educational level, social support, anxiety and resilience. The sample was consisted of caregivers who cared first-time ischemic stroke patients at the inpatient department of 4 hospitals in Chonburi. The sample composed of 161 patients collected through purposive sampling technique. The research tools consisted of personal information of family caregivers’ questionnaire, personal information of patients with first-time ischemic stroke questionnaire, caregiver preparedness scale (CPS), Mishel Uncertainty in Illness Scale for Family Members (MUIS-FM), Social support, The five-item short forms of STAI (STAIS-5) and Connor-Davidson Resilience Scale (CD-RISC10). Data were analyzed using descriptive statistics and stepwise multiple regression.
The research results found that most of the participants had a mean preparedness score of 16.70 (SD = 4.20), with most of them receiving a moderate level of preparation. Uncertainty, anxiety, and resilience were able to predict the preparedness of caregivers among first-time ischemic stroke patients, together explaining 41% variance of preparedness (R2 = .41, p < .001). The uncertainty factor was the most influential predictive variable (β = -.30, p < .001), followed by anxiety (β = -.28, p < .001), and resilience (β = .27, p < .001).
The results of this research shown that nurses should assist caregivers who prepare to care for patients to deal with uncertainty, anxiety, and resilience that occurs during the transition process.
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References
Feigin VL, Stark BA, Johnson CO, Roth GA, Bisignano C, Abady GG, et al. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the global burden of disease study 2019. Lancet Neurol 2021;20(10):795-820.
Department of Disease Control. Number and rate of inpatients in 2016-2018 (hypertension, diabetes, coronary artery disease, cerebrovascular disease, COPD) per 100,000 people (including all disease diagnoses) classified by province. Health service area and country overview (including Bangkok). [Internet]. [cited 2023 May 09]. Available from: http://www.thaincd.com/2016/mission/documents-detail.php?id=13684&tid=32&gid=1-02. (in Thai).
Department of Disease Control. Group reporting standards for illnesses with important non-communicable diseases emergence rate of cerebrovascular disease, Ministry of Public Health. [Internet]. [cited 2023 Feb 22]. Available from: https://hdcservice.moph.go.th/hdc/reports/report.php?source=formated/format_1.php&cat_id=6a1fdf282fd28180eed7d1cfe0155e11&id=b717285d1ebab38e6cf30ca2846317cd. (in Thai).
Tsao CW, Aday AW, Almarzooq ZI, Alonso A, Beaton AZ, Bittencourt MS, et al. Heart disease and stroke statistics-2022 update: a report from the american heart association. Circulation 2022;145(8):e153-e639.
Thiamkao S. Stroke situation. Thai Journal of Neurology 2020;22(4):54-60. (in Thai).
Hesamzadeh A, Dalvandi A, Maddah SB, Khoshknab MF, Ahmadi F, Arfa NM. Family caregivers' experience of activities of daily living handling in older adult with stroke: a qualitative research in the Iranian context. Scand J Caring Sci 2017;31(3):515-26.
Tongtem N, Puwarawuttipanit W, Koositamongkol S. Factors predicting activities of daily living among patients with stroke. Nurs Sci J Thail 2022;40(3):76-89. (in Thai).
Hamid GM, MacKenzie MA. CE: Early intervention in patients with poststroke depression. Am J Nurs 2017;117(7):32-40.
Pittayapong S. Situations, problems, and barriers of post-stroke care in the transitional period from hospital to home. Thai Red Cross Nursing Journal 2018;11(2):26-39. (in Thai)
Meleis AI, Sawyer LM, Im EO, Hilfinger Messias DK, Schumacher K. Experiencing transitions: an emerging middle-range theory. ANS Adv Nurs Sci 2000;23(1):12-28.
Camicia M, Lutz BJ, Harvath T, Kim KK, Drake C, Joseph JG. Development of an instrument to assess stroke caregivers' readiness for the transition home. Top Stroke Rehabil 2020;45(5):287-98.
Chen L, Xiao LD, Chamberlain D. Exploring the shared experiences of people with stroke and caregivers in preparedness to manage post-discharge care: a hermeneutic study. J Adv Nurs 2022;78(9):2983-99
Lutz BJ, Young ME, Creasy KR, Martz C, Eisenbrandt L, Brunny JN, et al. Improving stroke caregiver readiness for transition from inpatient rehabilitation to home. Gerontologist 2017;57(5):880-9.
Udonsat S, Chananin Y, Bundasak T. Nursing care for empowerment of family caregivers of elderly with stroke. Royal Thai Navy Medical Journal 2021;48(2):58-72. (in Thai).
Jiru-Hillmann S, Gabriel KMA, Schuler M, Wiedmann S, Muhler J, Dotter K, et al. Experiences of family caregivers 3-months after stroke: results of the prospective trans-regional network for stroke intervention with telemedicine registry (TRANSIT-Stroke). BMC Geriatrics 2022;22(1):228.
Mou H, Wong MS, Chien WT. Effectiveness of dyadic psychoeducational intervention for stroke survivors and family caregivers on functional and psychosocial health: a systematic review and meta-analysis. Int J Nurs Stud 2021;120:103969.
Blanton S, Clark PC, Cotsonis G, Dunbar SB. Factors associated with depressive symptoms of carepartners of stroke survivors after discharge from rehabilitation therapy. Top Stroke Rehabil 2020;27(8):590-60.
Camicia M, Lutz BJ, Theodore BR. The preparedness assessment for the transition home after stroke predicts key domains of caregiver health. Top Stroke Rehabil 2023;30(4):384-92.
Kilkenny MF, Dalli LL, Kim J, Sundararajan V, Andrew NE, Dewey HM, et al. Factors associated with 90-day readmission after stroke or transient ischemic attack: linked data from the australian stroke clinical registry. Stroke 2020;51(2):571-78.
Liu J, Liu Q, Huang Y, Wang W, He G, Zeng Y. Effects of personal characteristics, disease uncertainty and knowledge on family caregivers' preparedness of stroke survivors: a cross-sectional study. Nurs Health Sci 2020;22(4):892-902.
Archbold PG, Stewart BJ, Greenlick MR, Harvath T. Mutuality and preparedness as predictors of caregiver role strain. Res Nurs Health 1990;13(6):375-84.
Pucciarelli G, Savini S, Byun E, Simeone S, Barbaranelli C, Vela RJ, et al. Psychometric properties of the caregiver preparedness scale in caregivers of stroke survivors. Heart Lung 2014;43(6):555-60.
Gutierrez-Baena B, Romero-Grimaldi C. Predictive model for the preparedness level of the family caregiver. Int J Nurs Pract 2022;28(3):e13057.
Dionne-Odom JN, Azuero A, Taylor RA, Wells RD, Hendricks BA, Bechthold AC, et al. Resilience, preparedness, and distress among family caregivers of patients with advanced cancer. Support Care Cancer 2021;29(11):6913-20.
Hebdon MCT, Xu J, Reblin M, Clayton MF, Mooney K, Ellington L. Balancing work and hospice caregiving- a closer look at burden, preparedness, and mental health. J Pain Symptom Manage 2022;63(2):283-92.
Boonchuwong O, Saneha C, Pinyopasakul W, Nilanont Y. Factors influencing readiness of caregivers of patients with stroke before hospital discharge. Nurs Sci J Thail 2017;35(3):46-57. (in Thai).
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Lawrence Erlbaum Associates; 1988.
Burns N, Grove S. The practice of nursing research: appraisal, synthesis and generation of evidence. 6th ed. St. Louis: Saunders Elsevier; 2009.
Wirojratana V. Development of the Thai family care inventory. [Dissertation, School of Nursing]. Oregon Health & Science University; 2002.
Mishel MH. Reconceptualization of the uncertainty in illness theory. Image J Nurs Sch 1990;22(4):256-62.
Songsab R. Relationships between perceived severity of illness, social support, credible authority, and uncertainty among family members of brain injury patients undergoing brain surgery. [Master's Thesis, Faculty of Nursing]. Burapha University; 2011. (in Thai).
Imoth P, Nimit-anan N, Kasom S, Hemathorn J. Factors influencing home care behavior of relatives caring for stroke patients. Christian University Journal 2009;15(2):130-41. (in Thai).
Zsido AN, Teleki SA, Csokasi K, Rozsa S, Bandi SA. Development of the short version of the spielberger state-trait anxiety inventory. Psychiatry research 2020;291:113223.
Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression Anxiety 2003;18(2):76-82.
Vongsirimas N, Thanoi W, Yobas PK. Evaluating psychometric properties of the Connor–Davidson Resilience Scale (10-Item CD-RISC) among university students in Thailand. Nurs Sci J Thail 2017;35(3):25-35. (in Thai).
Piriyajaratchai N, Sasat S. Factors predicting the readiness of caregivers to care for dependent elderly people during the transition from hospital to home. Journal of The Royal Thai Army Nurses 2018;19(Suppl December):231-40. (in Thai).
Ni C, Peng J, Wei Y, Hua Y, Ren X, Su X, et al. Uncertainty of acute stroke patients: a cross-sectional descriptive and correlational study. J Neurosci Nurs 2018;50(4):238-43.
Shyu YI, Chen MC, Chen ST, Wang HP, Shao JH. A family caregiver-oriented discharge planning program for older stroke patients and their family caregivers. J Clin Nurs 2008;17(18):2497-508.