Main Article Content
Background: After sustaining severe traumatic brain injury (TBI), most patients suffer both physical and mental disabilities.
Caregivers of those critically ill patients have to deal with crises not only from unexpected injury, but also from difficult
situations in giving care to them. The preparation program (PP) which assists caregivers to cope by enhancing the participation
in care during intensive episode is needed.
Objective: To examine differences between mean coping scores of TBI patientsั caregivers who received the PP and those
receiving the usual nursing care.
Methods: A quasi-experimental research design was conducted. The sample included 40 caregivers of ICU patients with severe
TBI, 20 for a control group and 20 for an experimental group, was recruited. The Preparation Program (PP) implemented in
the experimental group was developed based on an extensive review of related literature. The Thai version of the Coping and
Adaptation Processing ScaleึShort Form (TCAP-SF) was administered before and after the training of caregivers with PP to
determine their coping abiility. Data were analyzed using Chi-square and t-test.
Results: Caregivers who received the PP had a higher mean of coping score (x= 98.50, SD = 8.32) than those receiving the
usual care did (x = 79.55, SD = 12.20) at p <.001.
Conclusion: Caregivers were able to cope better after receiving the PP. The PP facilitated them to deal with a crisis episode
of a family member with TBI in the ICU by getting more participation in their care. However, the coping of caregivers after
patient discharge from the ICU to ward and after returning home should be evaluated.
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