Factors Related to Readiness to Care of Caregivers of Critical Illness Survivors before Hospital Discharge
Keywords:
Caregivers, Readiness to care, Social support, Critical Illness Survivors, AnxietyAbstract
Caregivers of critical illness survivors are important in terms of caring for those survivors during rehabilitation and helping them with all activities. The purpose of this descriptive correlational research was to study factors involved in the readiness to care of caregivers. Participants were 85 caregivers of patients who had survived a critical illness before discharge from a university tertiary hospital in the northern region. The research instruments were composed of a Personal Record Form for caregivers, the Readiness to Care Questionnaire for caregivers, a questionnaire on Social Support from Healthcare Provider for caregivers, and an Anxiety Assessment. Validity and reliability of all analytical tools were approved. Data were analyzed using descriptive statistics and Pearson's correlation coefficient statistics.
The results showed that the participants were at a high level of readiness to care (M = 85.32, SD = 26.42), received social support from their healthcare provider at a moderate level (M = 74.70, SD = 19.92), and had anxiety at a moderate level (M = 46.77, SD = 9.60). In addition, social support from the healthcare provider was significantly positively correlated with the readiness to care of caregivers of intensive care unit survivors (r = .53, p < 0.01). Caregivers’ anxiety was significantly negatively correlated with the readiness to care of caregivers of intensive care unit survivors (r = - .52, p < 0.01).
The findings of this study can be used as basic information for nurses to prepare caregivers’ readiness in caring for critical illness survivor patients. Furthermore, they can be used to improve the quality of nursing services.
References
Archbold, P. G., & Stewart, B. J. (1986). Family caregiving inventory [Unpublished manuscript]. Department of Family Nursing, Oregon Health Sciences University.
Archbold, P. G., Stewart, B. J., Miller, L. L., Harvath, T. A., Greenlick, M. R., van Buren, L., Kirschling, J. M., Valanis, B. G., Brody, K. K., Schook, J. E., & Hagan, J. M. (1995). The Prep system of nursing interventions: A pilot test with families caring for older members. Research in Nursing & Health, 18(1), 3-16. https://doi.org/10.1002/nur.4770180103
Benjamin, E. J., Blaha, M. J., & Muntner, P. (2017). Heart disease and stroke statistics-2017 update: A report from the American Heart Association. Circulation, 135(10), e146-e603.
Boonchuwong, O., Saneha, C., Pinyopasakul, W., & Nilanont, Y. (2017). Factors influencing readiness of caregivers of patients with stroke before hospital discharge. Journal of Nursing Science, 35(3), 46-57.
Cassel, J. (1976). The contribution of the social environment to host resistance: The fourth wade hampton frost lecture. American Journal of Epidemiology, 104(2), 107-122.
Charoenwuttimakorn, P. (2012). Factors related to preparedness for caregiving among caregivers of patients with ischemicstroke [Unpublished master’s thesis]. Burapha University. (in Thai)
Dethkan, S. (2020). Stress and quality of life caregivers of elderly in Lao Phatthana Sub-District Health Promotion Hospital. Journal of Council of Community Public Health, 3(2), 31-43. (in Thai)
Diehl, M., Coyle, N., & Labouvie-Vief, G. (1996). Age and sex differences in strategies of coping and defense across the life span. Psychology and Aging, 11(1), 127–139.
Gordo, F., & Abella, A. (2014). Intensive care unit without walls: Seeking patient safety by improving the efficiency of the system. Medicina Intensiva (English Edition), 38(7), 438-443.
House, J. S. (1981). Work stress and social support. Addison- Wesley.
Imote, P. (2007). Factors related to stress of family caregiver of patients with stroke at home [Unpublished master's thesis]. Christain University. (in Thai)
Iwashyna, T. J., & Netzer, G. (2012). The burdens of survivorship: An approach to thinking about long-term outcomes after critical illness. Seminars in Respiratory and Critical Care Medicine, 33(4), 327-338.
Mueanchoo, S., Keeratiyutawong, P., & Wachirawut, W. (2016). Predictive factors in stress-coping ability of caregivers of spinal cord injury patients. Thai Journal of Nursing Council, 31(1), 124-136. (in Thai)
Myhren, H., Ekeberg, O., Toien, K., Karlsson, S., & Stokland, O. (2010). Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge. Critical Care, 14(1), R14. https://doi.org/10.1186/c8870
Orem, D. E., Taylor, S. G., & Renpenning, K. M. (2001). Nursing: Concepts of practice (6th ed.). Mosby.
Pattharapakorn, R. (2014). The Influences of anxiety, perceived health status and social support on self-care behaviors of stroke caregivers. Journal of Nursing Science, 32(2), 52-61. (in Thai)
Phommatat, P., & Watthnakitkrileart, D. (2011) Factors influencing caregivers’ readiness incaring patients with tracheostomy in transition from hospital to home. Journal of Nursing Science Chulalongkorn University, 23(3), 107-118. (in Thai)
Polit, D. F., & Beck, C. T. (2008) Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Lippincott Williams & Wilkins.
Schumacher, K. L., Stewart, B. J., Archbold, P. G., Caparro, M., Mutale, F., & Agrawal, S. (2008). Effects of caregiving demand, mutuality, and preparedness on family caregiver outcomes during cancer treatment. Oncology Nursing Forum, 35(1), 49-56.
Shives, L. R. (2008). Basic concepts of psychiatric-mental health nursing (7th ed.). Lippincott.
Silberman, S., Bitran, D., Fink, D., Tauber, R., & Merin, O. (2013). Very prolonged stay in the intensive care unit after cardiac operations: Early results and late survival. The Annals of Thoracic Surgery, 96(1), 15-22.
Silver, P. M., Oliver, B. G., & White, T. C. (2004). Role of candida albicans transcription factor Upc2p in drug resistance and sterol metabolism. Eukaryot Cell, 3(6), 1391-1397.
Spielberger, C. D. (1972). Review of profile of mood states [Review of the book profile of mood states, by D. M. McNair, M. Lorr & L. F. Droppleman]. Professional Psychology, 3(4), 387–388. https://doi.org/10.1037/h0020742
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI. Mind Garden.
Spielberger, C. D., & Sydeman, S. J. (1994). State-Trait Anxiety Inventory and State-Trait Anger Expression Inventory. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcome assessment (pp. 292-321). L. Erlbaum Associates.
Somboon, S. (2005). Caregiving preparedness among caregivers of persons with dementia attending at Suan Prung Psychiatric Hospital [Unpublished master's thesis]. Chiang Mai University. (in Thai)
Svenningsen, H., Langhorn, L., Agard, A. S., & Dreyer, P. (2017). Post-ICU symptoms, consequences, and follow-up: An integrative review. Nursing in Critical Care, 22(4), 212-220.
Thapinta, D. (1991). Reduction of anxiety of staff nurses working with AIDS patients through cognitive reconstructuring and mindfulness training [Unpublished master's thesis]. Chulalongkorn University. (in Thai)
Tungmephon, P. (2005). Social support, caregiving preparedness and stress among mothers of autistic children. [Unpublished master's thesis]. Chiang Mai University. (in Thai)
Wattradul, D. (2010). Effects of health promotion program on self care knowledge, anxiety and behavioral change in stroke patients and caregivers. Thai Journal of Cardio-Thoracic Nursing, 21(2), 18-33. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nursing Journal CMU
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
