東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Decisional Conflicts, Social Support...

Isarangura Na Ayudhaya, Phitinan.

Linked to FindBook

Google Book

Amazon

博客來

Decisional Conflicts, Social Support, and Psychological Distress among Thai Family Caregivers of End-of-Life Patients in the ICU.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Decisional Conflicts, Social Support, and Psychological Distress among Thai Family Caregivers of End-of-Life Patients in the ICU./
Author:	Isarangura Na Ayudhaya, Phitinan.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	100 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-01, Section: B.
Contained By:	Dissertations Abstracts International83-01B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28499130
ISBN:	9798516933844

Decisional Conflicts, Social Support, and Psychological Distress among Thai Family Caregivers of End-of-Life Patients in the ICU.
Isarangura Na Ayudhaya, Phitinan.

Decisional Conflicts, Social Support, and Psychological Distress among Thai Family Caregivers of End-of-Life Patients in the ICU. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 100 p.

Source: Dissertations Abstracts International, Volume: 83-01, Section: B.

Thesis (Ph.D.)--Saint Louis University, 2021.

This item must not be sold to any third party vendors.

Caregivers play significant roles in the care of family members at the end-of-life in the ICU making difficult decisions. The family caregivers may experience significant depression and anxiety as a result of the caregiving stress. Very little research exists that investigates the relationships between psychological distress, decisional conflicts, and social support in this situation. Thus, the purpose of this study was to explore decisional conflict, social support, and psychological distress among Thai family caregivers of ICU patients, and to determine the role of social support as a potential mediator of the relationship between stressors and caregiving outcomes. A cross-sectional study was conducted from four hospitals in the Chiangmai province of Northern Thailand. A total 106 participants were adult family caregivers who were involved in treatment and care decisions for the end-of-life of the ICU patients. The results showed that most of family caregivers were female (72.6%) and close relatives (93.39%) such as parents, spouses, daughters/sons. Participants ranged in age from 20 to 66 years (M = 41.33, SD = 11.06). Around one-third participants reported a high level of anxiety and depressive symptoms (29.2%, 24.5%, respectively). Most participants (47.6 %) selected supportive care as their choice of treatment options, they made for their family member. Decisional conflict and perceived social support significantly predicted both anxiety (F = 15.212, p < .001) and depression (F = 27.501, p < .001) among family caregivers. Higher levels of decisional conflict were not only positively associated with higher anxiety (B = .778, p < .001) but also higher depression (B = .774, p < .001). According to mediation analysis, the social support served as partial mediator between decisional conflict and psychological distress (anxiety and depression). Results support the stress process model and provide evidence that Thai family caregivers experience decisional conflict that is associated with anxiety and depression. Social support was a significant mediating factor and should be promoted as a strategy to reduce psychological distress in this population. Further research is needed to evaluate the long-term effects of stress and decisional conflict in family caregivers.

ISBN: 9798516933844Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Decisional conflicts

Decisional Conflicts, Social Support, and Psychological Distress among Thai Family Caregivers of End-of-Life Patients in the ICU.
LDR:03583nmm a2200397 4500 001 2281463
005 20210920103010.5
008 220723s2021 ||||||||||||||||| ||eng d
020 $a 9798516933844
035 $a (MiAaPQ)AAI28499130
035 $a AAI28499130
040 $a MiAaPQ $c MiAaPQ
100 1 $a Isarangura Na Ayudhaya, Phitinan. $3 3560103
245 1 0 $a Decisional Conflicts, Social Support, and Psychological Distress among Thai Family Caregivers of End-of-Life Patients in the ICU.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 100 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-01, Section: B.
500 $a Advisor: Lach, Helen W.
502 $a Thesis (Ph.D.)--Saint Louis University, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Caregivers play significant roles in the care of family members at the end-of-life in the ICU making difficult decisions. The family caregivers may experience significant depression and anxiety as a result of the caregiving stress. Very little research exists that investigates the relationships between psychological distress, decisional conflicts, and social support in this situation. Thus, the purpose of this study was to explore decisional conflict, social support, and psychological distress among Thai family caregivers of ICU patients, and to determine the role of social support as a potential mediator of the relationship between stressors and caregiving outcomes. A cross-sectional study was conducted from four hospitals in the Chiangmai province of Northern Thailand. A total 106 participants were adult family caregivers who were involved in treatment and care decisions for the end-of-life of the ICU patients. The results showed that most of family caregivers were female (72.6%) and close relatives (93.39%) such as parents, spouses, daughters/sons. Participants ranged in age from 20 to 66 years (M = 41.33, SD = 11.06). Around one-third participants reported a high level of anxiety and depressive symptoms (29.2%, 24.5%, respectively). Most participants (47.6 %) selected supportive care as their choice of treatment options, they made for their family member. Decisional conflict and perceived social support significantly predicted both anxiety (F = 15.212, p < .001) and depression (F = 27.501, p < .001) among family caregivers. Higher levels of decisional conflict were not only positively associated with higher anxiety (B = .778, p < .001) but also higher depression (B = .774, p < .001). According to mediation analysis, the social support served as partial mediator between decisional conflict and psychological distress (anxiety and depression). Results support the stress process model and provide evidence that Thai family caregivers experience decisional conflict that is associated with anxiety and depression. Social support was a significant mediating factor and should be promoted as a strategy to reduce psychological distress in this population. Further research is needed to evaluate the long-term effects of stress and decisional conflict in family caregivers.
590 $a School code: 0193.
650 4 $a Nursing. $3 528444
650 4 $a Individual & family studies. $3 2122770
650 4 $a Health care management. $3 2122906
650 4 $a Southeast Asian studies. $3 3344898
653 $a Decisional conflicts
653 $a End-of-life care
653 $a Family caregiver
653 $a Pearlin's model
653 $a Psychological distress
653 $a Social support
690 $a 0569
690 $a 0222
690 $a 0628
690 $a 0769
710 2 $a Saint Louis University. $b Nursing. $3 3429144
773 0 $t Dissertations Abstracts International $g 83-01B.
790 $a 0193
791 $a Ph.D.
792 $a 2021
793 $a English
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28499130