Stress, Coping Resources, and Constraints against Utilizing Coping Resources of Relatives of Adult Patients in the ICU

2.50
Hdl Handle:
http://hdl.handle.net/10755/154727
Type:
Presentation
Title:
Stress, Coping Resources, and Constraints against Utilizing Coping Resources of Relatives of Adult Patients in the ICU
Abstract:
Stress, Coping Resources, and Constraints against Utilizing Coping Resources of Relatives of Adult Patients in the ICU
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:Wanichapichat, Rungrat
P.I. Institution Name:Sawanpracharak Hospital
Objective: To explore stress, coping resources, and constraints against utilizing coping resources of relatives of adult patients in the ICU. Design: Descriptive research design. Population, Sample, Setting, Years: Population of the study was relatives of adult patients who were admitted to the medical intensive care unit and surgical intensive care unit at Sawanpracharak Hospital Nakhonsawan, Thailand from May to July, 1999. Samples were purposively selected from relatives of patients. 64 relatives who were spouses, parents or children and were the most significant and closest to the patients were selected to be the informants. Concept or Variables Studied Together or Intervention and Outcome Variables: Lazarus and Folkman’s theory of stress, appraisal, and coping was used as a conceptual framework for this study to explore stress, coping resources, and constraints against utilizing coping resource of relatives of adult patients in the ICU. Methods: Two instruments were used in this study: the Demographic questionnaire and perceived stress situation, coping resources, and constraints against utilizing coping resources questions. The data were collected by interviewing the informants and were analyzed by using content analysis and reported in terms of percentage. Findings: Results of the study revealed that relatives perceived 1-5 stressful situations during the patients’ admission to the ICU. Stressful situations appraised by most relatives were perceived severity of the illness (95.3%), followed by financial problems (57.8%), disruption of normal routines (23.4%), decreased stability of the family (21.9%), and lack of information about patient’s diagnosis and plan of treatment (6.3%). The relatives reported their coping resources including: 1) health and energy: they perceived they were healthy (89.1%); 2) problem solving skills: the ability to make decisions and choose methods to conduct their routine tasks (62.5%), to plan for problem solving (46.8%), and to seek information (32.8%), 3) social skills: the ability to communicate with people for consulting and ventilating with (92.2%), for seeking help (53.1%), and for seeking information (39.1%); 4) positive belief: having hope ( 67.2%), trust in staff competency (43.8%),and spiritual belief (28.1%). Another psychological resource in Thai culture was the concept of “ TAMJAI” which helped the relatives cope by accepting the situation of the eventual loss of the patients (32.8%) and strengthening their mind for fighting obstacles (31.1%); 5) social support: having someone to listen to their problems (90.6%), having someone to give advice (78.1%), having financial assistance (34.4%), and having assistance in routine tasks (31.3%); and 6) material resources: receiving reimbursement (81.2%), having suitable accommodations for going to visit patents (81.3%). A few relatives reported that they had certain constraints. Conclusions: The relatives had stressful experiences when adult patient was admitted in ICU. They had both personal and environmental resources that were drew on in order to cope with stressful situations. Implications: The results of this study ought to be used for the information to develop the instruments that can be used to assess the relative’s stress, coping resources, and constraints against utilizing coping resources and plan to specific nursing interventions for the relatives of patients admitted to the ICU.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleStress, Coping Resources, and Constraints against Utilizing Coping Resources of Relatives of Adult Patients in the ICUen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154727-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Stress, Coping Resources, and Constraints against Utilizing Coping Resources of Relatives of Adult Patients in the ICU</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wanichapichat, Rungrat</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sawanpracharak Hospital</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">raopp@mahidol.ac.th</td></tr><tr><td colspan="2" class="item-abstract">Objective: To explore stress, coping resources, and constraints against utilizing coping resources of relatives of adult patients in the ICU. Design: Descriptive research design. Population, Sample, Setting, Years: Population of the study was relatives of adult patients who were admitted to the medical intensive care unit and surgical intensive care unit at Sawanpracharak Hospital Nakhonsawan, Thailand from May to July, 1999. Samples were purposively selected from relatives of patients. 64 relatives who were spouses, parents or children and were the most significant and closest to the patients were selected to be the informants. Concept or Variables Studied Together or Intervention and Outcome Variables: Lazarus and Folkman&rsquo;s theory of stress, appraisal, and coping was used as a conceptual framework for this study to explore stress, coping resources, and constraints against utilizing coping resource of relatives of adult patients in the ICU. Methods: Two instruments were used in this study: the Demographic questionnaire and perceived stress situation, coping resources, and constraints against utilizing coping resources questions. The data were collected by interviewing the informants and were analyzed by using content analysis and reported in terms of percentage. Findings: Results of the study revealed that relatives perceived 1-5 stressful situations during the patients&rsquo; admission to the ICU. Stressful situations appraised by most relatives were perceived severity of the illness (95.3%), followed by financial problems (57.8%), disruption of normal routines (23.4%), decreased stability of the family (21.9%), and lack of information about patient&rsquo;s diagnosis and plan of treatment (6.3%). The relatives reported their coping resources including: 1) health and energy: they perceived they were healthy (89.1%); 2) problem solving skills: the ability to make decisions and choose methods to conduct their routine tasks (62.5%), to plan for problem solving (46.8%), and to seek information (32.8%), 3) social skills: the ability to communicate with people for consulting and ventilating with (92.2%), for seeking help (53.1%), and for seeking information (39.1%); 4) positive belief: having hope ( 67.2%), trust in staff competency (43.8%),and spiritual belief (28.1%). Another psychological resource in Thai culture was the concept of &ldquo; TAMJAI&rdquo; which helped the relatives cope by accepting the situation of the eventual loss of the patients (32.8%) and strengthening their mind for fighting obstacles (31.1%); 5) social support: having someone to listen to their problems (90.6%), having someone to give advice (78.1%), having financial assistance (34.4%), and having assistance in routine tasks (31.3%); and 6) material resources: receiving reimbursement (81.2%), having suitable accommodations for going to visit patents (81.3%). A few relatives reported that they had certain constraints. Conclusions: The relatives had stressful experiences when adult patient was admitted in ICU. They had both personal and environmental resources that were drew on in order to cope with stressful situations. Implications: The results of this study ought to be used for the information to develop the instruments that can be used to assess the relative&rsquo;s stress, coping resources, and constraints against utilizing coping resources and plan to specific nursing interventions for the relatives of patients admitted to the ICU.</td></tr></table>en_GB
dc.date.available2011-10-26T13:13:46Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T13:13:46Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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