Factors influencing family caregiver burden at a Taiwanese hospital
Review TypeNone: Degree-based Submission
Repository Posting Date2020-04-08T15:12:15Z
Author DetailsDr. Pi-Ming Yeh, PhD, RN
Lead Author Sigma AffliationOmicron Nu
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
In Taiwan, most of the hospitalized patients have their relatives with them 24 hours a day. New family caregivers are usually poorly prepared to take on their role, and little literature demonstrates that nurses assess the burden of family caregivers in the hospital. The purpose of this study was to examine cancer patients' dependency, caregivers' factors, and family support that predict outcomes of family caregiver burden, including impact on health, schedule, and finances in the hospitals in Taiwan. A multivariate descriptive design was used. This study was conducted with 91 Chinese family caregivers of patients diagnosed with cancer in the Chung-Shan Medical University Hospital in Taiwan. These family caregivers were asked to complete structured questionnaires. The instruments used to collect data were Sociodemographic Data Questionnaire, Caregiver Reaction Assessment, Family Caregiving Factors Inventory, and Psychological Well-Being Scale. Data were analyzed using descriptive statistics, t-test, MANOVA, Pearson-Product Moment Correlation and hierarchical multiple regression analyses. The results indicated that patients' ADL dependency had a significantly positive relationship with impact on visits to family and friends and time for relaxation components of the Impact on Schedule Subscale. Family caregivers who had higher scores of psychological well being, quality of relationship between family caregivers and care receivers, and knowledge of caregiving had lower impact on health scores. Family caregivers' psychological well being also had a negative relationship with impact on finances. Caregivers' psychological well being and quality of relationship with care receivers were significantly negative associated with impact on relaxation. Family caregivers who had more knowledge of caregiving had less impact on visits to family and friends. Family caregivers who had less family support had more impact on health, finances, visits to family and friends, and time for relaxation. The first model variables accounted for 59% of the variance in impact on health. Older caregivers, poorer health status after being a caregiver, lower scores of psychological well being, lower scores of quality of relationship, and lack of family support were found to predict significantly greater impact on health. The second model variables accounted for 21.3% of the variance in impact on finances. Family income and lack of family support were significant predictors for impact on finances. Family caregivers who had higher family income and family support had lower impact on finances. Recommendations for future research, nursing practice, and health policy are also included.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3100907; ProQuest document ID: 305285617. The author still retains copyright.
Advisor(s)Wierenga, Mary E.
Degree GrantorThe University of Wisconsin - Milwaukee
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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