ปัจจัยที่มีความสัมพันธ์กับภาระของผู้ดูแลผู้ป่วยโรคปอดอุดกั้นเรื้อรังที่กลับมานอนโรงพยาบาลซ้ำ

Jeerapa Nuinapaya

Authors

Jeerapa Nuinapaya Registered Nurse, Lung Suan Hospital

Keywords:

Chronic Obstructive Pulmonary Disease, Caregiver Burden, Hospital Readmission

Abstract

This research employed a descriptive correlational design with the objectives of examining the level of caregiver burden among family caregivers of patients with chronic obstructive pulmonary disease (COPD) who were readmitted to the hospital, and investigating the relationships between stress, number of caregiving hours per day, patients’ ability to perform activities of daily living (ADLs), and caregivers’ perceived health status with caregiver burden. The sample consisted of 138 family caregivers, selected through simple random sampling. Data were collected using a demographic questionnaire, a stress assessment scale, a perceived health interview questionnaire, and the caregiver burden scale for chronic illness. Data were analysed using descriptive statistics and Pearson’s correlation analysis.

The results showed that caregivers experienced a moderate level of burden (mean = 46.82, SD = 12.45), moderate stress levels, and provided care for an average of 10.56 hours per day. Patients demonstrated a low level of functional ability in performing daily activities (mean = 6.50, SD = 2.12). Correlation analysis revealed that stress (r = .542, p < .001) and the ability to perform activities of daily living (r = .413, p < .001) were positively correlated with caregiver burden. In contrast, patients’ ability to perform daily activities (r = –.386, p < .001) and caregivers’ perceived health status (r = –.298, p = .001) were negatively correlated with caregiver burden, with statistical significance.

The findings suggest that caregivers of COPD patients who are frequently readmitted to hospital experience care burden, particularly those who have high stress, provide prolonged care, or care for patients with poor functional status. These results provide empirical evidence for developing supportive nursing interventions, organizing appropriate care systems, and designing caregiver burden reduction programs to enhance caregivers’ quality of life in the long term.

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