The relationships among severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden of family caregivers

Authors

  • มุขรินทร์ ทองหอม Master Nursing Student, Faculty of Nursing, Prince of Songkla University, Songkhla
  • ลัพณา กิจรุ่งโรจน์ Assistant Professor, Faculty of Nursing, Prince of Songkla University, Songkhla.
  • จินตนา ดำเกลี้ยง Assistant Professor, Faculty of Nursing, Prince of Songkla University, Songkhla

Keywords:

aggression behaviors, caregiving burden, coping; family caregiver, traumatic brain injury

Abstract

          This study aimed to identify the severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden perceived by family caregivers, and to examine the relationships among severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden. Eighty-five family caregivers of patients after traumatic brain injury from Songkhla province were purposively recruited. Data were collected using four measurements consisting of 1) The General Data Form of Patients and Family Caregivers, 2) The Modified Version of the Overt Aggression Scale, 3) The Jalowiec Coping Scale, and 4) The Zarit Burden Interview. The data were analyzed using descriptive statistic and Spearman rank correlation coefficient.

            The results showed that the family caregivers perceived that patients after traumatic brain injury showed a severity of aggressive behaviors, mostly with a low level (94.1%). The family caregivers used confrontive coping strategy at the highest level (80 %), palliative coping strategy was used at a high level (63.5%), and emotive coping strategy was used at a low level (67.1%). Overall caregiving burden was at a low level (64.7%). Considering each dimension of caregiving burden, social; physical; and psychological burdens were at a low level (74.1%, 72.9%, and 68.2%, respectively). However, the financial burden at a high level (54.1%). The severity of aggressive behaviors had statistically significant positive correlation with caregiving burden (rs = .29, p < .01). Confrontive coping strategy had statistically significant negative correlation with caregiving burden (rs = -.38, p < .001). Palliative coping and emotive coping strategies had statistically significant positive correlation with caregiving burden (rs = .41, p < .001; rs = .65, p < .001, respectively).

            The findings of this study suggest that nurses and multidisciplinary team should provide education and counselling to family caregivers regarding aggressive behaviors of patients after traumatic brain injury and appropriate use of coping strategies. In addition, they should coordinate with the associated organizations to the improve patients’ physical, psychological, and occupational rehabilitation to reduce caregiving burden of family caregivers.

         

References

1. The Bureau of epidemiology. Annual epidemiological surveillance report 2014. [Internet]. [cited 4 May 2018]. Available from: https://www.boe.moph.go.th/ Annual/ AESR2014/
2. The Bureau of epidemiology. Annual epidemiological surveillance report 2015. [Internet]. [cited 4 May 2018]. Available from: https://www.boe.moph.go.th/Annual/ AESR2015/sum_aesr.php
3. The Bureau of epidemiology. Annual epidemiological surveillance report 2016. [Internet]. [cited 4 May 2018]. Available from: https://203.157.15.110/boe/ viewnews.php?nid=MU5FV1MwMDI4Ng==&gid=NQ==&title=4LmA4Lij4Li34LmI4Lit4LiH4LmA4LiU4LmI4LiZ
4. Khiewchaum R. Effect of Traumatic Brain Injury. Journal of Phrapokklao Nursing College. 2015; 27(1): 103-11. (in Thai).
5. Ta-ue I, Utriyaprasit K, Chayaput P, Sitthinamsuwan B. The relationships between post concussion syndrome and functional status in patients with mild traumatic brain injury. Thai Journal of Nursing Council. 2010; 25(2): 39-53. (in Thai).
6. Lane KS, Pierre ME, Lauterbach MD, Koliatsos VE. Patient profiles of criminal behavior in the context of traumatic brain injury. J Forensic Sci. 2017; 62(2): 545-8. doi: 10.1111/1556-4029.13289
7. Aaronson A, Lloyd RB. Aggression after brain injury: a review of the current literature. Psychiatr Ann. 2015; 45(8): 422-6.
8. Sabaz M, Simpson GK, Walker AJ, Rogers JM, Gillis I, Strettles B.Prevalence, comorbidities, and correlates of challenging behavior among community-dwelling adults with severe traumatic brain injury: a multicenter study. J Head Trauma Rehabil. 2014; 29: E19 - E30.
9. Patsadu P, Wongwatanyu S, Sirapo-ngam Y. Family caregiver’s stress, coping, and management of behavioral and emotional problems following traumatic brain injury. Vajira Nursing Journal. 2013; 15(1):47-57. (In Thai
10. Baguley IJ, Cooper J, Felmingham K. Aggressive behavior following traumatic brain injury: How common is common?. J Head Trauma Rehabil. 2006; 21(1): 45-56.
11. Rao V, Rosenberg P, Bertrand M, Salehinia S, Spiro J, Vaishnavi S, et al. Aggression after traumatic brain injury: prevalence and correlates. Neuropsychiatry Clin Neurosci. 2009; 21(4): 420-9.
12. Dickens G, Alderman N, Bowers L. Potential severity of aggression behavior after acquired brain injury: implications for recording. Psychiatr Ment Health Nurs. 2011;18(7): 586-94.
13. Varghese A, Khakha DC, Chadda RK. Pattern and type of aggressive behavior in patients with severe mental illness as perceived by the caregivers and the coping strategies used by them in a tertiary care hospital. Arch Psychiatr Nurs. 2016; 30(1): 62-9.
14. Harmanci P, Duman ZC. Investigating relationship between burden of caregivers of patients with schizophrenia and mental health conditions. J Psychiatr Nurs. 2016; 7(2): 82-6.
15. Rafiyah I, Suttharangsee W, Sangchan H. Coping and Burden of Indonesian family caregivers caring for person with schizophrenia. Songkla Medical Journal. 2012; 30(3): 135-42. (in Thai).
16. Jalowiec A. Confirmatory factor analysis of the Jalowiec Coping Scale. In: Waltz CF, Strickland L, editor. Measurement of nursing outcome: measuring client outcome. New York: Springer; 1988. p.287-308.
17. Kate N, Grover S, Kulhara P, Nehra R. Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia. Asian J Psychiatr. 2013; 6(5): 380-8.
18. Nafiah H, Sawangchareon K. The relationship between burden of care and coping strategies among caregivers of patients with schizophrenia. Journal of Nursing Science and Health. 2015; 38(3): 75-85. (in Thai).
19. Rakkhamnuan S, Lueboonthavatchai P. Behavioral and psychological symptoms of dementia (BPSD) and caregiver burden among caregivers of Alzheimer’s dementia patients at department of psychiatry, King Chulalongkorn Memorial Hospital. The Journal of the Psychiatric Association of Thailand. 2012; 57(3): 335-46. (in Thai).
20. Huang SS, Lee MC, Liao YC, Wang WF, Lai TJ. Caregiver burden associated with behavioral and psychological symptoms of dementia (BPSD) in Taiwanese elderly. Arch Gerontol Geriatr. 2012; 55(1): 55-9.
21. Rosdinom R, Zarina MZ, Zanariah MS, Marhani M, Suzaily W. Behavioural and psychological symptoms of dementia, cognitive impairment and caregiver burden in patients with dementia. Prev Med. 2013; 57: 67-9.
22. Thai RSC. Statistical Report 2561. [Internet]. [cited 10 Mar 2018]. Available from: https://rvpreport.rvpeservice.com/viewrsc.aspx?report=0486&session=16
23. Lazarus RS, Folkman S. Stress appraisal and coping. New York: Spring; 1984.
24. Kay SR, Wolkenfeld F, Murrill LM. Profiles of aggression among psychiatric patients. I.Nature and prevalence. Nerv Ment Dis. 1988; 176(9): 539 - 46.
25. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlated of feelings of burden. Gerontologist.1980; 20(6): 649-55.
26. Cohen, J. Statistical power analysis for the behavioral sciences. 2 nd. ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers; 1988.
27. Sawasdipanich N, Tiansawad S. Instrument translation for cross-cultural research: technique and issues to be considered. Thai Journal of Nursing Council. 2011; 26(1): 19-28. (in Thai).
28. Luaute J, Plantier D, Wiart L, Tell L, SOFMER group. Care management of the agitation or aggressiveness crisis in patients with TBI. Systematic review of the literature and practice recommendations. Ann Phys Rehabil Med. 2016; 59(1): 58-67.
29. Pomrod T, Monkong S, Sirapo-ngam Y. Responses to needs and coping to stress of patients’ relatives before transferring from the intensive care unit. Rama Nurs J. 2011; 17(1): 75-89. (in Thai),
30. Lueboonthavatchai O. Mental Health and Psychiatric Nursing. 5th. ed. Bangkok: V Print (1991); 2013. (in Thai).
31. Khiewchaum R, Thosingha O, Chayaput P, Thosingha O. Coping with traumatic brain injury using preparation program among caregivers of patients in the intensive care unit. Siriraj Medical Journal. 2011; 63(4): 128-31.
32. Bastawrous M. Caregiver burden--a critical discussion. Int J Nurs Stud. 2013; 50(3): 431-41.
33. Lau BH, Cheng C. Gratitude and coping among familial caregivers of persons with dementia. Aging Ment Health. 2017; 21(4): 445-53.
34. Choomee P, Insawang V, Rueangsawat S. Roles of community nurses as advocators for the rights of the disables and families. Songkla Medical Journal. 2017; 37(4): 137- 46. (in Thai).
35. Bigatti SM, Steiner JL, Miller KD. Cognitive appraisals, coping and depressive symptoms in breast cancer patients. Stress Health. 2012; 28(5): 355-61.

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Published

2019-07-02

How to Cite

1.
ทองหอม ม, กิจรุ่งโรจน์ ล, ดำเกลี้ยง จ. The relationships among severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden of family caregivers. Thai J. Cardio-Thorac Nurs. [Internet]. 2019 Jul. 2 [cited 2024 Mar. 29];30(1):74-88. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200443

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Research Articles