The Effects of a Continuing Care Program on the Perceived Self-Efficacy of Caregivers and Post- Concussion Syndrome in Persons with Mild Traumatic Brain Injury

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Panitnart Lum Teeranut Harnirattisai Dilok Tantongtip

Abstract

This study used a quasi-experimental research design with pretest-posttest and control groups aimed at evaluating the effects of a continuing care program on the perceived self-efficacy of caregivers and post-concussion syndrome in persons with mild traumatic brain injury (mild TBI). The study was undertaken at a university hospital in Pathum Thani, Thailand from May 2017 to January 2018. A total of 72 mild TBI patients and their caregivers that met the inclusion criteria was studied. The experimental group participated in the continuing care program, designed based on self-efficacy theory and the concept of continuing care, whereas the control group received usual care by the nursing staff. The instruments used were a demographic questionnaire, the self-efficacy scale for mild TBI patient care, the Rivermead Post-Concussion Symptom Questionnaire, a continuing care program, a video regarding the caregiver’s experience in caring for mild TBI, and a handbook for mild TBI patients. Data were analyzed using descriptive statistics, independent sample t-test, and repeated measures ANOVA. The findings showed that the experimental group had a significantly greater mean score on the self-efficacy scale for caring for patients at weeks 1 and 4 after being discharged from the hospital, and greater than the control group (p<.001). The experimental group decreased its mean score for post-concussion syndrome at weeks 1, 4, and 6 after being discharged from the hospital and the score was less than that of the control group (p<.05). These results demonstrated that a continuing care program can increase the perceived self-efficacy of caregivers and decrease the post-concussion syndrome in persons with mild TBI. Healthcare teams can apply this program to prepare caregivers and persons with mild TBI, after being discharged from the hospital, for the prevention of the post-concussion syndrome and complications especially during the first 4 week.

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How to Cite
1.
Lum P, Harnirattisai T, Tantongtip D. The Effects of a Continuing Care Program on the Perceived Self-Efficacy of Caregivers and Post- Concussion Syndrome in Persons with Mild Traumatic Brain Injury. Ramathibodi Nursing Journal [Internet]. 22Apr.2019 [cited 23Aug.2019];25(1):58-3. Available from: https://www.tci-thaijo.org/index.php/RNJ/article/view/130384
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บทความวิจัย

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