Hussain, Noor Aini
(2016)
Kesan modul pendidikan kesihatan dalam meningkatkan kepuasan hidup kalangan perawat keluarga yang merawat pesakit strok kali pertama di rumah.
Masters thesis, Universiti Sains Malaysia.
Abstract
The involvement of family member as “unpaid caregivers” negatively affected the
caregivers’ psychological, physical and social health either while the stroke survivors
are in hospitals or at home. The objective of this study was to determine the effect of
the health education module on life satisfaction among family caregivers of first ever
stroke survivors at home, health progress of first ever stroke patient and predictors of
life satisfaction among family caregiver.
A quasi-experimental pre and post intervention design with purposive sampling was
used in this study. Life satisfaction of family caregivers was measured using the
Bakas Caregiving Outcome Scale (BCOS), whereas the health status perception of
stroke patients was measured by Barthel’s Index (BI) and EQ-5D. A repeated
measures Split Plot two-way ANOVA and multiple linear regression test was used to
test the hypothesis. The assumption of SPANOVA test was met when the Levene’s
and Box test are not significant (p > .05). Huynh-Feldt Epsilon value was used when
Mauchly Sphericity test is significant [p < .05].
This research involved 52 family caregivers of intervention group, while 50
family caregivers were in the non intervention group of hospitalized first ever stroke
patients from two tertiary hospitals in Kelantan. Data collection was atpreintervention visit (hospital) and post intervention home visits (1 month, 3 month
and 6 month).
The findings showed that majority of the family caregivers are among the
aged of 20 to 60 years old, female, unemployed and wife or children of the first-ever
stroke patient. The SPANOVA findings showed that there was a significant
interaction between repeated measure time and family caregiver groups [F (2.45,
245.73) = 25.76, p < .001, η2 = .21] and main effect between the groups of family
caregivers [F (1, 100) = 65.980, p < .001, η2 = .39] on the family caregivers life
satisfaction score. The findings also showed that there was a significant interaction
between repeated measure time and first ever stroke patient groups [F (2.09, 209.58)
= 9.29, p < .000, η2 = .85] and main effect between groups of first ever stroke patient
[F (1, 100) = 23.20, p < .000, η2= .19] on the score of health perception status of
stroke patient. A large effect size was evident. Significant predictors of life
satisfaction of family caregivers were combination of caregiver’s health and presence
of chronic diseases [F (2, 49) = 34.807, p < .001], stroke patient’s age (> 61 years) [F
(1, 50) = 9.436, p <. 05] and physical function ability [F (1, 50) = 9.363, p < .05].
Families are responsible for their disabled sick family members in hospital or
at home because of the social values and religion. A structured health educational
module with skills manual developed in this study has proven to improve life
satisfaction of the family caregivers and health status perception of the first-ever
stroke patients. This health educational module is suggested to be a guidance for
nurses and become a tool in the improvement of existing health education modules
for the benefit of the family caregivers, stroke patients, and rehabilitation centers.
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