Effect of the Family Centered Care Program on Anxiety Among Caregivers of Stroke Patients

Authors

  • Paweena Yotsurin Registered Nurse
  • Jindarat Chaiard Faculty of Nursing, Chiang Mai University
  • Chomphoonut Srirat Faculty of Nursing, Chiang Mai University

Keywords:

Family-centered care, Caregivers, Anxiety, Stroke patients

Abstract

Stroke is an acute condition of the neurological system. This illness affects caregivers by increasing their anxiety related to the patients’ condition.  Therefore, it is necessary to provide care which centers on the patients’ family. The purpose of this quasi experimental research study was to evaluate the effect of the Family-Centered Care Program on anxiety among caregivers of stroke patients.  The sample consisted of primary caregivers who were family members of stroke patients hospitalized in the stroke unit at Maharaj Nakorn Chiang Mai Hospital and acting as caregivers for these stroke patients. These participants were purposively selected and assigned equally into control and experimental groups, with fifteen participants in each group. The instruments used in this study were the Family-Centered Care Program developed by the researcher based on the concept of family-centered care and the State-Trait Anxiety Inventory form Y (STAI form Y) of Spielberger et al., which was translated into Thai by Tapinta (1992) to assess of anxiety in caregivers of stroke patients. In this study, A-state anxiety was used.  Data were analyzed descriptive statistics and t-test.

          This study generated two findings: 1) anxiety scores of caregivers in the experimental group were significantly lower after participating in the Family Centered Care Program than before participating in the program (p < .001); and 2) anxiety scores of the caregivers in the experimental group were significantly lower than scores for the control group (p < .05).

          The results of this study indicated that the Family-Centered Care Program could decrease anxiety among caregivers of stroke patients. Therefore, this program should be used to enhance participation of caregivers in caring for stroke patients in order to decrease the anxiety of the caregivers.

References

Ahmann, E., & Dokken, D. (2014). Patient- and family–centered transitions from pediatric to adult care. Pediatric Nursing, 40(6), 307-309.

Balhara, Y. P. S., Verma, R., Sharma, S., & Mathur, S. (2012). A study of predictors of anxiety and depression among stroke patient-caregivers. Journal of Mid-Health, 3(1), 31-35.

Baning, K. M. (2012). Outcomes of a comprehensive patient and family-centered care program in an adult intensive care unit (Doctoral dissertation). University of Arizona. Retrieved from http://gradworks.umi.com/3507312.pdf

Charnnarong, N., & Chutinet, O. (2010). Neuroscience 1. Bangkok: Chulalongkorn University Printing House. (In Thai)

Thapinta, D. (1992). Reduction of anxiety of stage nurses working with aids patient through cognitive reconstruction and mindfulness training (Doctoral dissertation). Chulalongkorn University. (In Thai)

Davidson, J. E. (2009). Family-centered care: Meeting the needs of patients’ families and helping families adapt to critical illness, Critical Care Nurse, 29(3). doi: 10.4037/ccn2009611

Dempsey, P. A., & Dempsey, A. D. (1992). Nursing research with basic statistical application. Boston: Jones & Barlett.

Ghazavi, Z., Feshangchi, S., Alavi, M., & Keshvari, M. (2016). Effect of family-oriented communication skills training program on depression, anxiety and stress in older adults: A randomized clinical trial. Nurse Midwifery study, 5(1), doi: 10.17795/nmsjournal28550

Gooding, J. S., Cooper, L. G., Blaine, A. I., Franck, L. S., Howse, J. L., & Berns S. D. (2011). Family support and family-centered care in the neonatal intensive care unit: Origins, advances, impact, Seminars in Perinatology, 35, 20-28. doi:10.1053/j.semperi.2010.10.004

Institute for Patient-Family Centered Care. (2015). Patient-and family-centered care.
Retrieved from http://www.familycenteredcare.org

Keawpralad, A. (2009). The study of family-centered care continuing care in first stroke patients (Master’ s thesis). Hua Chiew Chalermprakiet University. (In Thai)

Limphasathan, K. (2010). Stroke. Chiang Mai: Surgery Unit Department of Surgery, Faculty of Medicine, Chiang Mai University. (In Thai)

Martin-Arafeh, J. M., Watson, C. L., & Baird, S. M. (1999). Promoting family-centered care in high risk pregnancy. The Journal of perinatal & neonatal nursing, 13(1), 27-42.

Menlove, L., Crayton, E., Kneebone, L., Crooke, R. A., Otto, E., & Harder, H. (2014). Predictors of anxiety after stroke: A systematic review of observational studies. Journal of Stroke and Cerebrovascular Disease, 24(6), 1118-1119. doi: 10.1016/j.jstrokecerebrovasdis.2014.12.036

Mitra, Z., Pravaneh, A., Fatemeh, B., & Hamid, H. (2015). Comparison of two educational methods (family-centered and patient-centered-care) on hemodialysis: Related complications. Iranian Journal of Nursing & Midwifery Research, 20(1), 87-92.

Mitchell, M., Chaboyer, W., Burmeister, E., & Foster, M. (2009). Positive effects of a nursing intervention on family-centered care in adult critical care. American Journal of Critical Care, 18(6), 543-552.

NIational Institute of Neurological Disorders and Health Stroke scale. (1999). NIH stroke scale. Retrieved from http://www.nihstrokescale.org

National Stroke Association. (2012). Stroke recovery. Retrieved from http://www.stroke.org.

Office of Strategic Policy. (2012). Individual patient database Universal health coverage and welfare for medical treatment of civil servants and families Office of Strategic Policy Ministry of Public Health. Retrieved http://www.thai.cd.com/information-statistic/noncommunicable- disease data.php (In Thai)

Omalley, P. J., Brow, K., Krung, S. E., & the Committee on pediatric emergency medicine. (2008). Patient-and family-centered care of children in the emergency department. American Academy of Pediatrics, 122(2), doi: 10.1542/peds.2008-1569

Oosterveer, D. M., Mishre, R. R., Oort, A. V., Bodde, K., & Aerden, L. A. M. (2014). Anxiety and low life satisfaction associate with high caregiver strain early after stroke. Journal Rehabilitation Medicine, 46, 139-143.

Panyasai, K. (2010). Effect of Information and Emotional Support on Anxiety and Satisfaction Among Family Members of Patients in General Intensive Care Unit, Lampang Hospital (Master’ s thesis). Chiang Mai University. (In Thai)

Rattanapreechakul, B. (2012). The Development of anxiety reduction pattern for family caregivers of stroke patients at the tertiary level hospital in Suphanburi province (Master’ s thesis). Christian University. (In Thai)

Senawong, P. (2007). Effect of providing information based on family-centered care concepts on anxiety level of mothers who had a low-birth-weight infant (Master’ s thesis). Mahidol University. (In Thai)

Shields, L., Tanner, A. (2004). Pilot study of a tool to investigate perceptions of family-centered care in different care setting. Pediatric Nursing, 30(3), 1189-1197.

Singdong, P., & Jitpanya, C. (2011). Caring for relatives of critically ill patients: Relatives’ perspectives. Princess of Naradhiwas University Journal, 3 (3), 17-32. (In Thai)

Spielberger, C. D. (1972). Anxiety as an emotional state. In C. D. Spielberger (Ed.), Anxiety: Current trend in theory and research (pp. 23-49). New York: Academic press.

Steinar, V., Pierce, L., Drauhuschak, S., Nofziger, E., Buchman, D., & Szirony, T. (2008). Emotional support, physical help of caregivers of stroke survivors. Journal Neuroscience Nurse, 4(1), 48-54.

Stroke unit. (2013). Statistics of patients admitted to the stroke ward. Maharaj Nakorn Chiang Mai Hospital. (In Thai)

Susan Cannon. (2011). Family-centered care in the critical care setting. Dimens Crit Care Nurse. doi: 10.1097/DCC.0b013e3182276f9a

World Health Organization. (2015). Cerebrovascular accident. Retrieved from http://www.WHO.
int/topics/cerebrovascular_accident/en/

Wilz, G., & Kalytta, T. (2008). Anxiety symptoms in spouses of stroke patient. Cerebrovascular Disease,
25(4), 311-315. doi: 10.1159/000118375

Zajicek-Farber, M. L., Lotrecchiano, G. R., Long, T. M., & Farber, J. M. (2015). Parental perception of family centered care in medical homes of children with neurodevelopmental disabilities. Maternal Child Health Journal, 1-12. doi: 10.1007/s10995-015-1688-z

Downloads

Published

2021-06-11

How to Cite

Yotsurin , P. . ., Chaiard , J. . . ., & Srirat , C. . . (2021). Effect of the Family Centered Care Program on Anxiety Among Caregivers of Stroke Patients. Nursing Journal CMU, 48(2), 132–145. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/251575

Issue

Section

RESEARCH  ARTICLES