ABSTRACT
Objectives: To evaluate coping and the health problems of caregivers at the time of survivor discharge and at one month after discharge and to determine correlations among personal data, coping and health problems of caregivers and disability of survivors. Method: Eighty-five dyads of survivors with traumatic brain injury and their caregivers were included. The instruments employed for data collection were the 27-item Thai version of the Coping and Adaptation Processing Scale-Short Form, the Health Problem Questionnaire for caregivers and the Disability Rating Scale for survivors. The Roy Adaptation Model was used as a conceptual framework for this study. Pearson's product moment correlation coefficient was employed for analysis. Results: No statistical differences were found between coping and health problems among caregivers. The health problems most frequently reported by caregivers were headache on the day of discharge and no health problems after one month of caregiving engagement. The disability level and marital status of the caregivers were correlated negatively with coping (r = -.245, p = .024, r = -.220, p = .043, respectively). Conclusions: The findings delineated that the caregivers remained able to handle the difficulties involved in caring for survivors at home with fewer health problems. Married caregivers were likely to manage this burden better than other caregivers.
Objetivos: Evaluar el afrontamiento y los problemas de salud de los cuidadores en el momento en que el sobreviviente fue dado de alta y un mes después de que el sobreviviente fue dado de alta. Además, determinar las correlaciones entre los datos de carácter personal, afrontamiento y los problemas de salud de los cuidadores y la incapacidad de los sobrevivientes. Método: Fueron incluidos en la investigación ochenta y cinco diadas de supervivientes con lesiones cerebrales traumáticas y sus cuidadores. Los instrumentos utilizados para la recolección de datos fueron la versión tailandesa de la Escala de Medición del Proceso de Afrontamiento y Adaptación - Formato Corto, con 27 ítems, el Cuestionario de Problemas de Salud para los cuidadores y la Clasificación de Escala de Discapacidad para los sobrevivientes. El Modelo de Adaptación de Roy se utilizó como marco conceptual para este estudio. La correlación producto-momento de Pearson se utilizó para el análisis. Resultados: No se encontraron diferencias estadísticas entre los problemas de afrontamiento y de salud en los cuidadores. Los problemas de salud reportados más frecuentemente por los cuidadores fueron dolor de cabeza en el día de alta y ningún problema de salud después de un mes de participación en el cuidado del sobreviviente. El nivel de la discapacidad de los sobrevivientes y el estado civil de los cuidadores se correlacionaron negativamente con el afrontamiento (r = - 0,245 , p = 0,024, r = - 0,220, p = 0,043, respectivamente). Conclusiones: Los resultados demuestran que los cuidadores permanecieron capaces de manejar las dificultades que implica el cuidado de los sobrevivientes en casa con menos problemas de salud. Los cuidadores casados eran propensos a manejar esta carga mejor que otros cuidadores.
Objetivos: avaliar a adaptação e os problemas de saúde dos cuidadores no momento em que o sobrevivente recebe alta e um mês depois disso, e determinar as correlações entre os dados de caráter pessoal, adaptação e os problemas de saúde dos cuidadores e a incapacidade dos sobreviventes. Método: 85 díades de sobreviventes com lesões cerebrais traumáticas e seus cuidadores foram incluídos na pesquisa. Os instrumentos utilizados para a coleta de dados foram a versão tailandesa da Escala de Medição do Processo de Enfretamento e Adaptação - formatação curta, com 27 itens, o Questionário de Problemas de Saúde para os cuidadores e a Classificação de Escala de Deficiência para os sobreviventes. O Modelo de Adaptação de Roy foi utilizado como marco conceitual para este estudo. A correlação produto-momento de Pearson foi utilizada para a análise. Resultados: não se constataram diferenças estatísticas entre os problemas de adaptação e de saúde nos cuidadores. Os problemas de saúde relatados mais frequentemente pelos cuidadores foram dor de cabeça no dia da alta e nenhum problema de saúde depois de um mês de participação no cuidado do sobrevivente. O nível da deficiência dos sobreviventes e o estado civil dos cuidadores se correlacionaram negativamente com o afrontamento (r = - 0,245 , p = 0,024 , r = -0,220 , p = 0,043 , respectivamente). Conclusões: os resultados demonstram que os cuidadores permaneceram capazes de lidar com as dificuldades que implica o cuidado dos sobreviventes em casa com menos problemas de saúde. Os cuidadores casados eram propensos a lidar com essa carga melhor que outros cuidadores.
Subject(s)
Humans , Adaptation, Psychological , Caregivers , Survivors , Brain Injuries, Traumatic , Patient Discharge , Turkey , NursingABSTRACT
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 patients’ 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 Scale–Short 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.
ABSTRACT
Objective: One of the health outcomes indicating the quality of care is the length of hospital stay. This descriptive research aimed to examine the associations between psychological factors (mood state), operative factors (cardiopulmonary bypass (CPB) time, type of surgery) and post-operative length of hospital stay (LOS) in coronary artery bypass graft (CABG) patients. Methods: A convenient sample of 109 coronary artery disease (CAD) patients admitted to a university hospital in central Thailand to have elective CABG surgery for the first time were approached. Data were collected by using a socio-demographic and clinical profile with the Profile of Mood State Brief-Thai (POMS-B Thai). Data were analyzed using Pearson’s Product Moment Correlation and Spearman’s Rank Correlation Coefficient to answer the research questions. Results: The majority of the participants were males with an average age of 63.1 ± 9.5 years. The postoperative LOS ranged from 4 to 15 days with the average being 7.3 days. The total mood disturbance score averaged 10.5 points. The most common negative mood states were confusion and anxiety. The majority of the patients had only CABG surgery with an average CPB time of 89.9 minutes (SD 40.1). The significant factors associated with post-operative length of hospital stay were type of surgery and CPB time, while mood state was not found to be significantly related to LOS. Conclusion: In order to promote patients’ recovery by shortening LOS, a rehabilitation program established by a health care team should be tailored specifically for the type of surgery and CPB time following CABG surgery.