Factors Affecting Family Resilience in Families with Stroke Patients
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Abstract
BACKGROUND: Stroke is a chronic disease that affects not only the patients, but also the family of the patients. This is because the chronic patients at home often needs long-term care, which is a crisis that affects the family members' psychological and physical health. Family resilience is a theory of increased family strength, finding positive meaning in the difficulties, and to withstand and rebound from adversity. When family caregivers have family resilience, families would be able to survive and advance, grow stronger and improve the quality of care for the stroke patients. Family caregivers can also take care of the stroke patients while being able to take care of themselves during the care of the patients.
OBJECTIVES: To study the factors affecting family resilience in families with stroke patients.
METHODS: This was a survey research, and the sample group comprised 176 family members of stroke patients from Sirindhorn National Medical Rehabilitation Institute. The sample size was determined under the assumptions of the structural equation analysis, and they were recruited by simple random sampling. The instrument was a general questionnaire, which measured family resilience, coping, and social support. The data were collected during September 2021-January 2022. Structural equation modeling (SEM) was used to analyze the data.
RESULTS: The results showed that the SEM was fit to the data (p=0.17; /df=0.75; CFI=1; TLI=0.99; RMSEA=0.04; SRMR=0.04). Social support and coping directly affected the family resilience and was found to be statistically significant (β=0.30 and 0.22l p<.001). However, social support indirectly affected family resilience and coping as a mediator (β=0.15; p<0.001). From the bootstrap methods to test the indirect effects, the results showed that coping was the partial mediator (95%CI=[0.06-0.24]).
CONCLUSIONS: The main factor which affected family resilience in the families with stroke patients were social support and coping; however, the role of coping was the mediator.
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