ผลของโปรแกรมเสริมสร้างสมรรถนะแห่งตนของผู้ดูแลต่อการรับรู้สมรรถนะแห่งตนในการดูแลผู้สูงอายุที่ได้รับบาดเจ็บที่ศีรษะระดับเล็กน้อย

Rattiya  Chupanya; Surachat  Sittipakorn; Apinya  Wongpiriyayothar

Authors

Rattiya Chupanya Faculty of Nursing, Mahasarakham University
Surachat Sittipakorn Faculty of Nursing, Mahasarakham University
Apinya Wongpiriyayothar Faculty of Nursing, Mahasarakham University

Keywords:

self-efficacy, mild traumatic brain injury, older adults

Abstract

This quasi-experimental study aimed to 1) compare the mean perceived self-efficacy scores of caregivers in the experimental group before and after participating in a self-efficacy enhancement program, and 2) compare the post-intervention perceived self-efficacy scores between the experimental group and the control group, which received standard nursing care. The sample consisted of 42 caregivers of older adults with mild traumatic brain injury, divided into two groups: 21 in the experimental group and 21 in the control group. The control group received standard nursing care, while the experimental group participated in a two-week caregiver self-efficacy enhancement program. The research instruments included: the caregiver self-efficacy enhancement program, which comprised four components-knowledge provision, vicarious learning, skill practice, and verbal encouragement; and a perceived self-efficacy assessment tool for caregivers of older adults with mild traumatic brain injury demonstrated good overall reliability, with a Cronbach’s alpha coefficient of .86. Data were analyzed using frequency, minimum, maximum, percentage, mean, standard deviation, Paired t-test, and Independent t-test.

The results showed that caregivers in the experimental group who received the self-efficacy enhancement program had significantly higher mean self-efficacy scores post-intervention compared to pre-intervention (M = 140.57, SD = 8.61 and M = 50.52, SD = 20.31; t = -20.74, p = .000). The experimental group's mean self-efficacy score was also significantly higher than the control group who received standard nursing care (M = 140.57, SD = 8.61 and M = 85.09, SD = 12.34; p = .000).

The caregiver self-efficacy enhancement program was effective in improving perceived self-efficacy among caregivers of older adults with mild traumatic brain injury. It is recommended that this program be implemented in healthcare settings that care for older adults with head injuries to enhance caregiving effectiveness and reduce the risk of post-injury complications.

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