ผู้วิจัย/Authors: Pataraumpai Pipatananond

ชื่อเรื่อง/Title: Caregiver Burden predictive Model:An Empirical Test Among Caregivers for the Schizophrenic

แหล่งที่มา/Source: Thai Journal of Nursing Research Vol. 6 No. 2 April-June 2002:24-39

รายละเอียด / Details:

Schizophrenia has the highest incidence among psychiatric illnesses. The illness is not only chronic in nature but also makes the patients unable to Control themselves, as well as appropriately care for and act for themselves. For schizophrenic patients, living independently in the community is impossible The burden of care, therefore, is placed continuously on their caregivers. The purpose of this cross-sectional descriptive study was to examine causal relationships among age, gender, education, income, social support, perceived seriousness of illness, sence of coherence, and caregiver burden. Orem's General Theory of Nursing(Orem, 1995) was used as the conceptual framework. Five hundred and sixty-six caregivers of schizophrenic patients participated in the study. The proposed model was tested and modified by the LIsrel8.30 program. The modified model adequately fit with the data and accounted for 64 % of caregiver burden. The results demonstrated that age had a direct positive effect on caregiver burden (y=0.16, p‹0.001). Education had a direct positive effect on sense of coherence (y=0.29,p<0.001) and indirect effect on caregiver burden(y=-0.05, p<0.01) through sense of coherence. Moreover, income had a direct positive effect on sence of coherence (y=0.20,p<0.001) and indirect effect(y=-0.03,p<0.01) through sence of coherence. Furthermore, perceived seriousness of illness had a direct negative effect on sense of chherence (y=-0.23,p<0.001), direct positive effect on caregiver burden(y=0.07, p<0.001), and indirect effect on caregiver burden (y=0.04,p<0.01) through sense of burden (B=-0.16, p<0.001). However, gender could not significantly predict caregiver burden. The results have indicated that the proposed mpdel provides a guideling in explaining and prediciting the caregiver burden of Thai caregivers for schizophrenic patients.Therefore, healthcare providers need to recognize the influence of the contributing factors of caregivers' sence of coherence and their burden. Additionally, a capability strenghening program to enhance caregivers' sense of cherence should be developed both in hospital and in community settings. In particular, counseling and collaborative services to assist caregivers in dealing with the existing burden should be provided.

Keywords: caregiver burden, schizophrenia, sense of coherence, Orem's General theory of nursing, psychiatric nursing, psychiatry

ปีที่เผยแพร่/Year: 2002

Address: Thailand Nursing Council

Code: 00083

ISSN/ISBN: 0859-7685

Country of publication: Thailand.

Language: English.

Category: Abstract Journal.

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