FACTORS PREDICTING THE BURDEN IN FAMILY CAREGIVERS OF DEMENTIA PATIENTS
Main Article Content
Abstract
This descriptive correlation aimed to study the factors to predict the burden in family caregivers of dementia patients. The sample were family caregivers of dementia patients who receive service at Suansaranrom hospital and Songkhla Rajanagarindra Psychiatric hospital. A Simple sampling of 365 subjects was used. They spent six hours plus per day in providing care for a minimum of six months for patients diagnosed with dementia (F00-F04), using the International statistical classification of diseases and related health problems 10th revision (ICD-10) criteria. The instrument were questionnaires of caregivers’ burden of dementia patients, positive aspects of caregiving, and the depression screening. The reliability by using Cronbach's alpha coefficient were .926, .845, and .894 respectively. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.
The results revealed that:
The factors that predicted the sense of burden of family caregivers of dementia patients or the variables that entered the equation were the positive aspect of caregiving, depression, age of caregiver and number of hours of care per day which could explain the variance of caregivers’ burden of dementia patients 47.10% ( = .471, p <.001) with statistical significance at .001 level.
Sense of burden in caregivers of dementia patients have a high level when the caregivers have depression, older, and more hours to care for. If t dementia caregivers have a positive aspect of caregiving, that reduce sense of burden.
Article Details
References
ติรยา เลิศหัตถศิลป์. (2555). ภาวะซึมเศร้าและความรู้สึกเป็นภาระในผู้ดูแลผู้ป่วยเด็กออทิสติกที่มารับการรักษาที่โรงพยาบาลธรรมศาสตร์เฉลิมพระเกียรติ. กรุงเทพมหานคร: โรงพยาบาลธรรมศาสตร์เฉลิมพระเกียรติ.
ประสบชัย พสุนนท์. (2556). วิจัยไม่ใช่เรื่องยาก. วารสารศึกษาศาสตร์มหาวิทยาลัยสงขลานครินทร์ วิทยาเขตปัตตานี, 22(2), 139–150.
ภาวดี เหมทานนท์. (2560). การศึกษาและการเสริมสร้างมุมมองเชิงบวกของผู้ดูแลผู้ป่วยสมองเสื่อมด้วยการให้คำปรึกษาโดยใช้บ้านเป็นฐาน. ใน ดุษฎีนิพนธ์ ปรัชญาดุษฎีบัณฑิต สาขาการวิจัยและพัฒนาศักยภาพมนุษย์. มหาวิทยาลัยศรีนครินทรวิโรฒ.
วิเชียร เกตุสิงห์. (2538). ค่าเฉลี่ยและการแปลความหมาย. วารสารการศึกษา , 18 (3), 8 -11.
วีระศักดิ์ เมืองไพศาล. (2559). การป้องกัน การประเมินและการดูแลผู้ป่วยสมองเสื่อม (พิมพ์ครั้งที่ 4). กรุงเทพมหานคร: ภาควิชาเวชศาสตร์ป้องกันและสังคม คณะแพทยศาสตร์ศิริราชพยาบาล.
Alzheimer’s Australia. (2015). Caring for Someone with Dementia: the Economic, Ocial, and Health Impacts of Caring and Evidence Based Supports for Carers. Retrieved November 16, 2019, from https://www.dementia.org.au/files/NATIONAL/documents/Alzheimers-Australia-Numbered-Publication-42.pdf
Brodaty, H., & Donkin, M. (2009). Family Caregivers of People with Dementia. Dialogues Clinical Neuroscience. Retrieved December 7, 2014, from http://www.ncbi.nlm.nih.gov/ pmc/articles/PMC3181916/pdf/DialoguesClinNeurosci-11-217.pdf
Bruvik, F. K., Allore, H. G. et al. (2013). The Effect of Psychosocial Support Intervention on Depression in Patients with Dementia and Their Family Caregivers: An Assessor-Blinded Randomized Controlled Trial. Dementia and Geriatric Cognitive Disorder, 3(1),386-397.
Chumbler, N. R., Grimm, J. W. et al. (2003). Gender, Kinship and Caregiver Burden: The Case of Community-Dwelling Memory Impaired Seniors. International Journal of Geriatric Psychiatry, 18(8), 722-732.
Clay, O. J., Roth, D. L. et al. (2008). Changes in Social Support andtheir Impact on Psychosocial Outcome over a 5-Year Period for African American andWhite Dementia Caregivers. International Journal of Geriatric Psychiatry, 23(8), 857-862.
Elwick, H., Joseph, S. et al. (2010). Manual for the Adult Carer Quality of Life Questionnair (AC-QoL). London: The Princess Royal Trust for Carers.
Gallicchio, L., Siddiqi, N. et al. (2002). Gender Differences in Burden and Depression among Informal Caregivers of Demented Elders in the Community. International Journal of Geriatrics Psychiatry, 17(2), 154-163.
Gulin, S. L., Peralta, et al. (2018). The Influence of Personal Strengths on Quality of Care in Dementia Caregivers from Latin America. Journal of Rehabilitation, 84(1), 13-21.
Hair, J. F., Black, W. C. et al. (2014). Multivariate Data Analysis. USA: Pearson Education Limited.
Hilgeman, M. M., Allen, et al. (2007). Positive Aspects of Caregiving as a Moderator of Treatment Outcome over 12 Months. Psychological Aging, 22(2), 361-371.
Kate, N., Grover, S. et al. (2012). Scale for Positive Aspects of Caregiving Experience: Development, Reliability, and Factor Structure. East Asian Archive Psychiatry, 22(2), 62 -69.
Kim, H., Chang, M. et al. (2012). Predictors of Caregiver Burden in Caregivers of Individuals with Dementia. Journal of Advanced Nursing, 68(4), 846–855.
Pankong, O., Pothiban, L. et al. (2018). A Randomized Controlled Trial of Enhancing Positive Aspects of Caregiving in Thai Dementia Caregivers for Dementia. Pacific Rim International Journal of Nursing Research, 22(2), 131-143.
Rose, K., & Lopez, R. (2012). Transitions in Dementia Care: Theoretical Support for Nursing Roles . The Online Journal of Issues in Nursing, 17(2), 4.
Semiatin, A. et al. (2012). The Relationship between Self - Efficacy and Positive Aspects of Caregiving in Alzheimer’s Disease Caregiver. Retrieved November 20, 2018, from http://people.bu.edu/abudson/ctcn/Publica tionsSemiatin-Oconnor%202012.pdf
Tremont, G. (2011). Family Caregiving in Dementia. Medicine & Health, 94(2), 36 – 38.
WaAmbrose-Miller, W., & Ashcrof, R. (2016). Challenges Faced by Social Workers asMembers of Interprofessional Collaborative Health Care Teams. Health & Social Work, 41(2), 101-110.
Wiijngaart, V. D., Vernooij-Dassen, F. J. & Felling, A. (2007). The Influence of Stressors, Appraisal and Personal Conditions on the Burden of Spousal Caregivers of Persons with Dementia. Aging & Mental Health, 11(6),626-636.
World Health Organization. (2017). Dementia: a Public Health Policy. Retrieved November 20, 2018, from http://www.who. int/mental_health/neurology /dementia/infographic_dementia/en/.
Zarit, S. H., & Zarit, J. M. (1990). The Memory and Behavior Problems Checklist and the Burden Interview. University Park, Texas: Pennsylvania State University.