Effect of the Resilience Enhancing Program on Stress Among Family Caregivers of Persons with Dementia
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Abstract
This research is a quasi-experimental study aimed at examining the effect of the resilience enhancing program on stress among family caregivers of persons with dementia. The sample group consisted of 18 caregivers of persons with dementia who received services at the outpatient department of a psychiatric hospital under the Department of Mental Health in Chiang Mai Province. The research instruments included the resilience enhancing program on stress among family caregivers of persons with dementia, a Perceived Stress Scale with a reliability coefficient of .88, a Resilience Inventory with a reliability coefficient of .89, and a personal information questionnaire. The experiment and data collection were conducted from December 2023 to February 2024. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-Square Test, Fisher exact Probability Test, Paired Sample t-Test, and Mann-Whitney U Test.
The result of the research showed that: 1) The average stress score of family caregivers of persons with dementia after receiving the resilience enhancing program for 1 month was significantly lower than before receiving the program, with statistical significance (p < .05) and 2) The average stress score of family caregivers of persons with dementia in the group that received the resilience enhancing program was significantly lower than that of the group receiving regular care, with statistical significance (p<.05).
Therefore, this research indicates that the resilience enhancing program can reduce the stress of family caregivers of persons with dementia.
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References
Alzheimer's Association. (2018). 2018 Alzheimer's disease facts and figures. Alzheimer's & Dementia, 14(3), 367-429.
Alzheimer's Association. (2023). Alzheimer’s disease facts and figures. Created with data from the Alzheimer’s association. Retrived (2023, January 22). from https://www.alz.org/media/documents/alzheimers-facts-and-figures.pdf
Bang, M. & Kim, O. (2016). Effect of the family resilience reinforcement program for family caregivers of the elderly with dementia. Korean Journal of Adult Nursing, 28(1), 71-82.
Chirawatkul, A. (2015). Health science statistics for research (4th ed.). Bangkok: S. Asia Press Co., Ltd. (in Thai).
Cohen, J. (1988). Statistical power analysis for the behavioural sciences. (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Cohen, S., Kamarck, T. & Mermelstein, R. (1994). Perceived stress scale. Measuring stress: a guide health and social scientists, 10(2), 1-2.
Fernandez-Calvo, B., Castillo, I. C., Campos, F. R., Carvalho, V. M. D. L., Silva, J. C. D. & Torro Alves, N. (2016). Resilience in caregivers of persons with Alzheimer's disease: a human condition to overcome caregiver vulnerability. Estudos de Psicologia (Natal), 21, 125-133.
Fong, T. K. H., Cheung, T., Chan, W. C. & Cheng, C. P. W. (2022). Depression, anxiety, and stress on caregivers of persons with dementia (CGPWD) in Hong Kong amid COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(1), 184.
Ghaffari, F., Rostami, M., Fotokian, Z. & Hajiahmadi, M. (2019). Effectiveness of resilience education in the mental health of family caregivers of elderly patients with alzheimer’s disease. Iranian Journal of Psychiatry and Behavioral Sciences, 13(3), e695074.
Ghezelsefloo, M., Saadati, N., Yousefi, Z. & Zamanpour, M. (2019). Study the effect of resilience training on reducing stress and communication problems in the primary caregivers of the elderly with alzheimer disease. Iranian Journal of Ageing, 14(3), 284-297.
Grotberg, E. H. (1995). A guide to promoting resilience in children: strengthening the human spirit. The Hague, Netherlands: Bernard van leer foundation.
International Psychiatric Association. (1996). Complete guides to behavioral psychological symptoms of dementia. Retrived (2022, December 10). from http://www.ipa-online.org/publications/guide-to-bpsd.
Kaewsakultong, S. & Kaewsakultong, C. (2024). The effect of a mental health empowerment program to reduce burnout for caregivers of dependent elderly in Chai Buri district, Surat Thani province. Academic Research and Innovation, 1(1), 1-12. (in Thai).
Lagana, V., Bruno, F., Altomari, N., Bruni, G., Smirne, N., Curcio, S., ... & Maletta, R. (2022). Neuropsychiatric or behavioral and psychological symptoms of dementia (BPSD): focus on prevalence and natural history in alzheimer's disease and frontotemporal dementia. Frontiers in Neurology, 13, 832199.
Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal and coping. Springer publishing company.
Liu, C. C., Lee, C. F., Chang, T. & Liao, J. J. (2020). Exploring the relationship between the caregiver’s stress load and dementia patient behavior: a case study of dementia specialist outpatient data from the Southern medical center of Taiwan. International Journal of Environmental Research and Public Health, 17(14), 4989.
Liu, R., Chi, I. & Wu, S. (2022). Caregiving burden among caregivers of people with dementia through the lens of intersectionality. The Gerontologist, 62(5), 650-661.
Mekawichai, P. & Saetang, S. (2013). Caregiver burden among Thai dementia patients’caregivers. Journal of the Psychiatric Association of Thailand, 58, 101-110. (in Thai).
Nintachan, P., Sangon, S. & Thaweekoon, T. (2012). The resilience enhancement program. Thai Population Development Project, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok: Chutthong. (in Thai).
Phuttharod, P. & Lakkanasirorat, M. (2022). The effectiveness of resilience enhancing programon resilience quotients and depressive symptoms in a schizophrenia patients caregiver. The Journal of Psychiatric and Mental Health Nursing, 36(3), 1-13. (in Thai).
Sasat, S. (2003). Nursing care for patients with dementia and management, teaching materials for advanced geriatric nursing II. Bangkok: Faculty of Nursing, Chulalongkorn University. (in Thai).
Schoenmakers, B., Buntinx, F. & Delepeleire, J. (2010). Factors determining the impact of care-giving on caregivers of elderly patients with dementia. A systematic literature review. Maturitas, 66(2), 191-200.
Suvanayos, C. & Thapinta, D. (2020). Reducing stress in caregivers of people with dementia. Journal of Psychiatric and Mental Health Nursing, 34(2), 1-17. (in Thai).
Tabtim, D. & Intarakamhang, U. (2020). Resilience enhancement program on caregiver behavior for elderly diabeites melliutus patients: Mixed methods research. (phd’s thesis). Srinakharinwirot University. (in Thai).
Tossungnoen, B., Tungpunkom, P. & Sethabouppha, H. (2021). The effect of a resilience enhancement program on the stress of students preparing for university entrance exams during the COVID-19 pandemic. Journal of Psychiatric and Mental Health Nursing, 35(3), 170-185. (in Thai).
Verma, S., Sayal, A., Vijayan, V. K., Rizvi, S. M. & Talwar, A. (2016). Caregiver’s burden in pulmonary arterial hypertension: a clinical review. Journal of exercise rehabilitation,12(5), 386.
Wongpakaran, N. & Wongpakaran, T. (2010). The Thai version of the PSS-10: an investigation of its psychometric properties. BioPsychoSocial Medicine, 4(1), 1-6.
World Health Organization. (2021). Dementia. Retrived (2023, January 22). from https://www.who.int/news-room/fact-sheets/detail/dementia
Zarit, S. H., Reever, K. E. & Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The gerontologist, 20(6), 649-655.
Zucca, M., Isella, V., Lorenzo, R. D., Marra, C., Cagnin, A., Cupidi, C., ... & SINdem COVID-19 Study Group. (2021). Being the family caregiver of a patient with dementia during the coronavirus disease 2019
