Factors Predicting Stress on Family Caregivers of Stroke Survivors in Selected Community

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นพรัตน์ สวนปาน
แสงทอง ธีระทองคำ
สมนึก สกุลหงส์โสภณ


          This predicting correlational study aims at examining factors predicting stress on family caregivers of stroke survivors based on the Ecological System Theory. The study utilized a stratified random sampling and recruited 99 family caregivers of stroke patients following the inclusion criteria. Data were collected using questionnaires, including the demographic data questionnaire of family caregivers and stroke patients, self-efficacy questionnaire, Barthel Index of Daily Live Activities, questionnaire of relationships among patients, family caregivers and family, social support questionnaire, caregiver stress questionnaire and illness beliefs questionnaire. All data were analyzed using descriptive statistics and multiple linear regression.

          The result showed that duration of care was significantly positively correlated with stress of family caregivers  (r= .30, p<.05);  self-efficacy, relationships among patients, family caregivers and families, and illness beliefs were significantly negatively correlated with stress of family caregiver (r=-.48, p<.01; r= -.374, p<.01; r = -.25, p<.05, respectively). Care duration and self-efficacy could significantly predict stress of family caregivers (p < .05), equally 27.4 percent (R2adj = .26, F = 5.35) using the prediction formula for standardized regression equation: Zstress of family caregivers = -.44self-efficacy +.21care duration. Findings suggest that an enhancement self-efficacy program be provided for family caregivers at home resulting in decreased stress for caring stroke survivors


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1) Bronfenbrenner, U. (2005). Making human beings human biological perpectives on human development. United State of America.

2) Bureau of Non-Communicable Diseases, Department of Disease Control. (2017). Annual report 2017. Nonthaburi: The War Veterans Organization of Thailand Under Royal Patronage Of His Majesty The King (in Thai)

3) Donnelly N.A., Hickey A., Burns A., Murphy P. & Doyle F. (2015). Systematic review and meta-Analysis of the Impact of Carer Stress on Subsequent Institutionalisation of Community-Dwelling Older People. PLoS ONE 10(6), 1-19.

4) Gbiri, C.A., Olawalea, O.A. & Isaaca, O. (2015). Stroke management: Informal caregivers’ burdens and strains of caring for stroke survivors. Annals of Physical and Rehabilitation Medicine, 58(2), 98-103.

5) Gray, R. & Thapsuwan, S. (2014). Determinants of stress among family caregivers to older persons. Songklanakarin Journal of Social Sciences and Humanities, 20(1), 203-228. (in Thai)

6) Health Data Center. (2018). Rate of stroke. Accessible from https://bit.ly/2zYSEpp

7) Junpanit, A., Lawang, W., & Toonsiri, C. (2018). Factors Influencing The positive aspects of caregiving among stroke family caregivers. Journal of Nursing and Education, 11(2), 61-73. (in Thai)

8) Kim D. (2017). Relationships between caregiving stress, depression, and self-Esteem in family caregivers of adults with a disability. Occupational therapy international, 2017,1686143

9) Mayr S., Erdfelder E., Buchner A., & Faul F. (2007). A short tutorial of G*Power. Tutorials in Quantitative Methods for Psychology, 3(2), 51-59.

10) Pesantes, M.A., Brandt, L.R., Ipince, A., Miranda, J.J. & Diez-Canseco, F. (2017). An exploration into caring for a stroke-survivor in Lima, Peru: Emotional impact, stress factors, coping mechanisms and unmet needs of informal caregivers. eNeurologicalSci, 6, 33-50.

11) Prombut, P., Piaseu, N., & Sakulhongsopon, S. (2014). Factors related to stress of Family caregiver of patients with stroke at home. Ramathibodi Nursing Journal, 20(1), 82-96. (in Thai)

12) Sakunhongsophon, S., Sirapo-ngam, Y., Tripp-Reimer, T., & Junda, T. (2011). Stroke caregiving networks in Bangkok: patterns of social exchange behavior. Pacific Rim International Journal of Nursing Research, 15(2), 152-165

13) Salini, P., Conjeevaram, J., & Munisusmitha, K. (2017). Female caregivers and stroke severity determines caregiver stress in stroke patients. Annals of Indian Academy of Neurology, 20(4), 418-424.

14) Thuenyang, T., (2011). Factors influencing health promoting behaviours among family caregivers of stroke patients. (Master’s thesis) Burapha University, Chonburi. (in Thai)

15) World Health Organization. (2014). Global status report on noncommunicable diseases 2014. Switzerland: World Health Organization.