Factors Predicting Role Strain in Family Caregivers of Dependent Older Adults Living at Home
Article Sidebar
Main Article Content
Abstract
The objectives of this predictive research were to examine the role strain of family caregivers of dependent older adults living at home and to investigate the predictive power of the factors: resilience, and the level of dependency of older adults on the role strain of family caregivers. The sample consisted of 100 primary family caregivers caring for dependent older adults living at home. Data were collected using a personal data record form, the Role Strain Scale, and the Resilience Scale for both family caregivers and the dependent older adults. The data were analyzed by descriptive statistics and multiple linear regression analysis. The research results found that the role strain score of family caregivers for the dependent older adults was at a low level (Mean = 33.08, SD = 7.87). The factors that could predict the role strain of family caregivers of dependent older adults were resilience and the level of dependency of older adults, which could jointly predict the role strain of family caregivers for the dependent older adults by 25.1% (R2 = 0.251, p < .05). The results of the study suggest that nurses and health personnel should organize programs to promote the resilience of the family caregivers and improve health status of the dependent older adults to reduce dependency
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Department of Health, Ministry of Public Health. Dependency of the Thai elderly in the next 20 years: health forecast. [Internet]. [cited 2025 Apr 28]. Available from: https://hfd.anamai.moph.go.th/. (in Thai).
Wat Salut Subdistrict Health Promoting Hospital, Samut Prakan. Annual report of the elderly 2018-2020. Samut Prakan: Wat Salut Subdistrict Health Promoting Hospital; 2020. (in Thai.)
David LL. Building a science of caring for caregivers. Family and Community Health 1992;15(2):1-9.
Saokaew A. The quality of life for dependent elderly in Patunnakure subdistrict municipality. Journal of Health Sciences Scholarship 2022;9(1):103-23. (in Thai.)
Department of Health. Information system supporting health promotion and environmental health. [Internet]. [cited 2024 Feb 11]. Available from: https://dashboard.anamai.moph.go.th/dashboard/Agedcareplan/index?year=20. (in Thai).
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.
Mangmee S, Monkong S, Sutti N. Relationships between mutuality preparedness and predictability to care and caregiver role strain from caregiving activities for older people with dementia. Journal of Thailand Nursing and Midwifery Council 2021;36(3):151-64. (in Thai).
Yotkhamlue K, Bundasak T, Prommarut A, Jangasem N, Kaewsaad C. Positive aspects of caregivers caring for older adults with dependency and its associated factors. RTN Med J 2024;51(3):574-87. (in Thai.)
Yusamran K. Factors related to stress among elderly caregivers in Mueang District, Nakhon Ratchasima province. Community Health Academic Journal 2021;7(4):42-55. (in Thai.)
Chumyen S. Factors affecting the performance of the work roles of caregivers for the dependent elderly in Uttaradit Province. [Master’s Thesis, Faculty of Public Health]. Naresuan University; 2022. (in Thai).
Grotberg EH. A guide to promoting resilience in children: strengthening the human spirit. The Hague: The Bernard van Leer Foundation; 1995.
Watcharojanasakul W, Suwannayot C, Phatrasakul P. Effects of a life resilience promotion program on stress in caregivers of people with dementia. Journal of Nursing and Health Science Research 2024;16(2):e271031:1-19. (in Thai).
Department of Health, Ministry of Public Health. Manual for screening and evaluating the health of the elderly 2021. Nonthaburi: Nachanta Creation; 2021. (in Thai).
Dilokkhunanan T. Work stress, social support and life resilience of nurses working in emergency units in risk areas of southern border provinces. [Master’s Thesis, Faculty of Nursing]. Prince of Songkla University; 2017. (in Thai).
Phimphakarn K. Development of an integrated individual counseling model to enhance the resilience of women who lost their husbands in the unrest situation in the southern border provinces. [Doctoral Dissertation, Faculty of Applied Psychology.]. Srinakharinwirot University; 2018. (in Thai).
Cohen J. Statistical power analysis for the behavioral sciences. Revised ed. New York: Academic Press; 1977.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates Publishers; 1988.
Rattanavimol C. Role strain of family caregivers of dependent elderly: a case study of the municipality of Sukhothai province. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2002. (in Thai).
Longphasuk N., Mankong S., Siriphothingam Y. Health status and self-care of elderly caregivers who care for bedridden elderly. Journal of Nursing Council 2018;33(2):97-109. (in Thai).
Lazarus RS, Folkman S. Stress appraisal and coping. 15th ed. New York: Springer; 2011.
Yongpattanajit S, Mankong S, Sutthi N. Stress and care of terminally ill patients and coping of stress of
caregivers in palliative care wards. Journal of Nursing 2020;35(2):117-31. (in Thai).
Yusamran K, Chanaphan S, Kaenkan P. Stress and stress coping of caregivers of dependent elderly Mueang district, Nakhon Ratchasima province. Journal of Health Center 9 2022;16(1):1-16. (in Thai).
Putthachat P, Atthawong P,Tanakulrungsee P, Kaewkraset R, Gaewtongma P, Nontaphun W. Model development of self-help group aided by tele-consultation for caregivers of dependent older adults patients. J Gerontol Geriatr Med 2022;21:49-63. (in Thai).
Prasanthong N. Strengthen resilience program for elderly caregivers. Nonthaburi: Division of Mental Health Promotion and Development, Department of Mental Health, Ministry of Public Health; 2019. (in Thai).
Grotberg EH. Resilience for tomorrow. [Internet]. [cited 2025 Apr 26]. Available from: http://www.resilnet.uiuc.edu/library/grotberg2005_resilience-for-tomorrow-razil.pdf.
Nakprom S. The effect of psychological resilience enhancement program on reducing burnout the elderly caregivers in Sawang Arom district, Uthai Thani province. [Master’s Thesis, Faculty of Public Health]. Naresuan University; 2022. (in Thai).
Kaewkiaw J, Junwin B. Factors predicting resilience among the elderly in Nakhon Si Thammarat province. Journal of Council of Community Public Health 2025;7(1):1-15. (in Thai).
