Health Conditions and Self-Care Activities of Older Caregivers Caring for Bedridden Older Adults

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ณัชศฬา หลงผาสุข สุปรีดา มั่นคง ยุพาพิน ศิรโพธิ์งาม

Abstract

Abstract:
Objective: To study the health conditions and self-care activities of older caregivers
caring for bedridden older adults.
Design: Descriptive research.
Procedure: This study was conducted on 50 purposively sampled older caregivers
(60 years or above) of bedridden older adults in the Bangkok Metropolitan area. Data
were collected through semi-structured interviews, using (1) a general profle questionnaire;
(2) a health condition perception assessment questionnaire; and (3) an older caregiver’s
self-care ability measurement questionnaire. The data were analysed using descriptive statistics.
Results: The caregivers rated their health as being in a moderate condition. The
majority of the caregivers achieved a high average on their self-care activities. An
analysis by category revealed the caregivers’ high scores on developmental self-care
requisites and on health deviation self-care requisities, whilst their score on universal
self-care requisities was moderate. The most highly scored self-care activity was fnding
a well-ventilated area, and the least scored activity was fnding time for relaxation. In
addition, caring for bedridden older adults meant the older caregivers had to make a
greater self-care effort than before assuming this role. The older caregivers most increased
self-care activity was management of their stress and emotional changes, whilst their
most reduced self-care activity was engagement in social activities.
Recommendations: Based on the fndings, it is recommended that health-care
staff advise or support older caregivers to fnd time for relaxation and balance their own
self-care and their caregiving responsibilities.

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How to Cite
1.
หลงผาสุขณ, มั่นคงส, ศิรโพธิ์งามย. Health Conditions and Self-Care Activities of Older Caregivers Caring for Bedridden Older Adults. Thai Journal of Nursing Council [Internet]. 3Aug.2018 [cited 13Dec.2018];33(2):97-09. Available from: https://www.tci-thaijo.org/index.php/TJONC/article/view/117425
Section
Research Reports

References

References
1. Srithamrongsawat S, Boonthamcharoen K. Synthesis of long-term care system for the elderly in Thailand. Bangkok: Foundation of Thai Gerontology Research and Development Institute; 2010. (In Thai)
2. Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai elderly 2016. [Internet] 2018. [cited 2018 Feb 10]. Available from: https://thaitgri.org/?p=38427 (In Thai)
3. Pagaiya, N. Human resource for health in elderly care. In: Vitchavutt C, Thanawiriyakul S, editors. Care system and human resource in elderly care: Thailand direction. Bangkok: Foundation of Thai Gerontology Research and Development Institute; 2009. (In Thai)
4. Sritanyarat W, Damrikarnlerd L. Knowledge management and synthesis of clinical practice guideline of Sub-district Health Promoting Hospital: Clinical practice guideline of elderly care. Bangkok: Sahamitr Printing and Publishing; 2010. (In Thai)
5. Leelapattana W, Hathirat S. Working with caregiver burnout. [Internet] 2016. [cited 2016 Jun 12]. Available from: https://med.mahidol.ac.th/fammed/th/article/ postgrad/article_4 (In Thai)
6. Steiner V, Pierce L, Drahuschak S, Nofziger E, Buchman D, Szirony T. Emotional support, physical help, and health of caregivers of stroke survivors. J Neurosci Nurs 2008;40(1):48-54.
7. Sihapark S, Chuengsatiansup K, Tengrung K. Burden and impact in long term care for the elderly in Thailand.
Bangkok: Health Systems Research Institute, Foundation of Thai Gerontology Research and Development Institute, Policy and Strategy Division Ministry of Public Health; 2013. (In Thai)
8. Greenwood N, Smith R. The oldest carers: a narrative review and synthesis of the experiences of carers aged over 75 years. Maturitas 2016;94:61-172.
9. Orem DE. Nursing concepts of practice. 6th ed. St. Louis, Missouri: Mosby; 2001.
10. Taylor SG, Renpenning KE, Geden EA, Neuman BM, Hart MA. A theory of dependent-care: a corollary theory to Orem’s theory of self-care. Nursing Science Quarterly 2001;14(1):39-47.
11. Kasemkijwattana S, Prison P. Chronic patients’ family caregivers: a risk group that must not be overlooked. Thai Journal of Nursing Council 2014; 29(4):22-31. (In Thai)
12. Keatkrai P. The relationship between caregiving burden, self-care activities, and needs of support of working caregivers. [Thesis] Master of Science (adult health nursing), Faculty of Graduate studies, Mahidol University 2007. (In Thai)
13. Panyathorn K. Family care of the elderly: A case study of Nongtaguy village, Maung district Udonthani provine. Journal of Nursing and Health Care. 2014; 32(4):33-9. (In Thai)
14. Phothidara Y, Korcharoenyos C, Somkumlung P, Chaiyasit Y. Factors effecting on fatigue in strokes’ caregiver. Journal of Nursing Science & Health 2014;37(3):46-55. (In Thai)
15. Oldenkamp M, Hagedoorn M, Slaets J, Stolk R, Wittek R, Smidt N. Subjective burden among spousal and adult-child informal caregivers of older adults: Results from a longitudinal cohort study. BMC Geriatrics 2016;16(208):1-11.
16. Koyama A, Matsushita M, Hashimoto M, Fujise N,หลงผาสุข และคณะ Thai Journal of Nursing Council Vol. 33 No.2 April-June 2018 109 Ishikawa T, Tanaka H, et al. Mental health among younger and older caregivers of dementia patients. Psychogeriatrics 2017;17:108-14.
17. Milligan C, Morbey H. Care, coping and identity: Older men’s experiences of spousal care-giving. Journal of Aging Studies 2016;38:105-44.
18. Chen M, Chen K, Chu T. Caregiver burden, health status, and learned resourcefulness of older caregivers. West J Nurs Res 2015;37(6): 767-80.
19. Montgomery RJV, Stull DE, Borgatta EF. Measurement and the analysis of burden. Research
on Aging 1985;7(1):137-152.
20. Gray R, Pattaravanich U, Chamchan C, Suwannoppakoa R. New concept of older persons: The psycho-social
and health perspective. Nakhon Pathom: Institute for Population and Social Research, Mahidol University; 2013. (In Thai)
21. Gray R, Thapsuwan S, Thongcharoenchupong N, Pumsaithong P. Caregiving to older persons: happiness and stress. Nakhon Pathom: Institute for Population and Social Research, Mahidol University; 2013.
(In Thai)
22. Chaowararak N, Soonthornchaiya R. Experiences of elderly caregivers in caring for elderly depressed
patients. J Psychiatr Nurs Ment Health Serv 2017; 30(1):110-22. (In Thai)
23. Blair M. Family caregiving and compassion fatigue: a literature review. Perspective 2005;39(2):14-19.
24. Patsadu P, Wongvatunyu S, & Sirapo-ngam Y.Family caregivers stress, coping, and management of behavioral and emotional problems following traumatic brain injury. Vajira Nursing Journal 2013;15(1):47-57. (In Thai)