The relationships among severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden of family caregivers
Keywords:
aggression behaviors, caregiving burden, coping; family caregiver, traumatic brain injuryAbstract
This study aimed to identify the severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden perceived by family caregivers, and to examine the relationships among severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden. Eighty-five family caregivers of patients after traumatic brain injury from Songkhla province were purposively recruited. Data were collected using four measurements consisting of 1) The General Data Form of Patients and Family Caregivers, 2) The Modified Version of the Overt Aggression Scale, 3) The Jalowiec Coping Scale, and 4) The Zarit Burden Interview. The data were analyzed using descriptive statistic and Spearman rank correlation coefficient.
The results showed that the family caregivers perceived that patients after traumatic brain injury showed a severity of aggressive behaviors, mostly with a low level (94.1%). The family caregivers used confrontive coping strategy at the highest level (80 %), palliative coping strategy was used at a high level (63.5%), and emotive coping strategy was used at a low level (67.1%). Overall caregiving burden was at a low level (64.7%). Considering each dimension of caregiving burden, social; physical; and psychological burdens were at a low level (74.1%, 72.9%, and 68.2%, respectively). However, the financial burden at a high level (54.1%). The severity of aggressive behaviors had statistically significant positive correlation with caregiving burden (rs = .29, p < .01). Confrontive coping strategy had statistically significant negative correlation with caregiving burden (rs = -.38, p < .001). Palliative coping and emotive coping strategies had statistically significant positive correlation with caregiving burden (rs = .41, p < .001; rs = .65, p < .001, respectively).
The findings of this study suggest that nurses and multidisciplinary team should provide education and counselling to family caregivers regarding aggressive behaviors of patients after traumatic brain injury and appropriate use of coping strategies. In addition, they should coordinate with the associated organizations to the improve patients’ physical, psychological, and occupational rehabilitation to reduce caregiving burden of family caregivers.
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