ผลของโปรแกรมดูแลผู้ป่วยโรคหลอดเลือดสมองระยะเปลี่ยนผ่านต่อความพร้อมและภาระในการดูแลของญาติผู้ดูแล

Pasika Kimhong; Duangkamol   Wattradul; Aurauma  Chutinet

Authors

Pasika Kimhong Department of Adult and Gerontological Nursing, Srisavarindhira Thai Red Cross Institute of Nursing
Duangkamol Wattradul Faculty of nursing, Rangsit University
Aurauma Chutinet Faculty of Medicine, Chulalongkorn University

Keywords:

readiness, family caregiver, transitional care program, stroke patients, burden

Abstract

This quasi-experimental research aimed to study the effects of the transitional care program for stroke patients on family caregivers’ readiness and burden. The sample consisted of family caregivers of stroke patients admitted to King Chulalongkorn Memorial Hospital, the Thai Red Cross Society. Purposive sampling was used to select subjects. The control group (n = 28) received routine nursing care, while the experimental group (n = 28) received routine nursing care along with the transitional care program for seven consecutive days during hospitalization, followed by six weeks of continuous follow-up phone visits after discharge. Caregivers were provided with teaching material through the LINE official account, consisting of video clips and five infographics. Data were collected using questionnaires for the family caregiver’s readiness, and the family caregiver’s burden. Descriptive statistics, Chi-square tests, and t-tests were employed for data analysis.

The results revealed that the mean score of family caregivers’ readiness after the experiment in the experimental group was significantly higher than that of the control group (t = -14.00, p = .00). Additionally, the mean score of family caregivers’ readiness after the experiment in the experimental group was significantly higher than that before the experiment (t = -29.86, p = .00). Moreover, the mean score of family caregivers’ burden after the experiment in the experimental group was significantly lower than that of the control group (t = 12.32, p = .00), and lower than that before the experiment (t = 26.38, p = .00). Therefore, nurses are encouraged to utilize the transitional care program and the LINE official account to enhance the readiness of stroke patients’ family caregivers.

Downloads

Download data is not yet available.

References

Jadboonnak, B. (2019). Development of transitional care program for bedridden elderly patients from hospital to home care. Mahasarakham Hospital Journal, 16(3), 63-71.

Junsiri, P. (2021). Caregiver burden among caregivers of stroke patient in intermediate care service of Kosumpisai hospital. Mahasarakham Hospital Journal, 18(2), 72-80.

King Chulalongkorn Memorial Hospital Stroke unit, Thai Red Cross Society. (2023). Statistics on stroke patients 2021-2023.

Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel index. Maryland State Medical Journal. 14, 61-65.

Meleis, A. I. (2010). Transitional theory: Middle-range and situation-specific theories in nursing research and practice. New York, NY: Springer.

Nakhornriab, S., Wattanakitkrileart, D., Charoenkitkarn, V., Chotikanuchit, S., & Vanijja, V. (2017). The Effectiveness of mobile application on medication adherence in patients with stroke. Nursing Science Journal of Thailand, 35(3), 58-69.

Polit, D. F., & Beck, C.T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Philadelphia, PA: Wolters Kluwer.

Prasat Neurological Institute. (2015). Clinical nursing practice guideline for stroke (Complete version 2015) (pp. 54-55). Bangkok, Tana Press.

Public health statistics, Ministry of Public Health. (2020). Public health statistics A.D. 2020. Retrieved from https://shorturl.asia/dDUoY

Schumaker, K. L., Stewart, B. J., & Archbold, P. G. (2008). Effect of caregiving demand, mutuality, and preparedness of family caregiver outcome during cancer treatment. Oncology Nursing, 35(1), 49-56.

Seangmanee, S., Arpanantikul, M., & Siripo-ngam, Y. (2013). A case study: Adaptation of a working caregiver to a stroke patient. Ramathibodi Nursing Journal, 18(1), 119-133.

Srisakhot, K., Kuleelung P., Aungvanit, B., Sondos, B., & Sriruksa, S. (2022). Development of integrated discharge-planning programme for stroke patients. Journal of Thailand Nursing and Midwifery Council, 37(3), 20-43.

Stewart, B. J., & Archbold, P. G. (1986). New measures of concepts central to understanding of a caregiving (Unpublished manuscript). School of nursing, Oregon Health & Science University, Portland, Oregon.

Thato, R. (2018). Nursing research: concepts to application (4th ed.). Bangkok: Chulalongkorn University.

Toonsiri, Ch., Sunsern, R., & Lawang, W. (2011). Development of the burden interview for caregivers of patients with chronic illness. Journal of Nursing and Education, 4(1), 62-75.

Wirojratana, V. (2002). Development of the Thai family care inventory (Doctor of Philosophy). School of nursing, Oregon Health & Science University, Portland, Oregon.

Wonginyoo, A., Prasarnnate, R., & Wongcharee, A. (2019). The study of stress and burden of caregivers of stroke patients, Mueang, Udon Thani. Nursing, Health, and Education Journal, 2(4), 40-19.

World Stroke Organization. (2022). Global stroke fact sheet 2022. Retrieved from https://world-stroke-academy.org/media/uploads/2022/02/World-Stroke-Organization-WSO-Global-Stroke-Fact-Sheet-2022.pdf

Zarit, S. H., & Zarit, J. M. (1990). The memory and behavior problems checklist and the burden interview. University Park, PA: Pennsylvania State University, Gerontology Center.