Stress, Appraisal, Coping and Adaptation of Family Caregivers of Patients on Dialysis: A Transactional Theory Approach

Claire   Tudayan-Espiritu,

Stress, Appraisal, Coping and Adaptation of Family Caregivers of Patients on Dialysis: A Transactional Theory Approach

Abstract:

The primary purpose of this research was to determine the levels of stress, appraisal, coping, and adaptation among family caregivers. The study employed a quantitative descriptive research design. There were 402 respondents involved in this study who completed a survey questionnaire. The results demonstrated that family caregivers experienced moderate stress levels, yet exhibited exceptional levels of appraisal, coping, and adaptation. The data analysis led to the conclusion that family caregivers of dialysis patients face stressors, including financial burden, but cope well. They feel supported, satisfied, and in control of their caregiving experiences. They also manage their responsibilities well by adjusting to their work, social life, and finances, and prioritizing patient care. To address these findings, the researcher recommends that healthcare providers establish tailored stress management and counseling programs to support family caregivers of dialysis patients. By providing such resources, healthcare providers can help caregivers manage the range of stressors they face on a daily basis. Furthermore, social workers should continue offering emotional support and resources to caregivers, which will help maintain their positive appraisal and sense of control over their caregiving experiences. Empowering family caregivers in this way can help them feel better equipped to tackle the challenges that come with caring for their loved ones.

References:

Hawamdeh, S., Almari, A., Almutairi, A., and Dator, W. (2017) Determinants and
Prevalence of Depression in Patients with Chronic Renal Disease, and their Caregivers. International Journal of Nephrology,10:183–189. doi:10.2147/IJNRD.S139652
Jansen, A. P., Hout, P., Nijpels, G., Marwijk, W., Gundy, M., Horst, E., and Bosmans, E. (2020). Self-perceived Coping and Caregiving Satisfaction in Family Caregivers of People with Mild Cognitive Impairment.. International Journal of Geriatric Psychiatry, 35(6), 649–660.
Jankowski, K. R. B., Hammond, C., & Wocial, L. D. (2016). The Role of Spirituality in Family Caregiving to Persons With Alzheimer’s Disease. Journal of Religion, Spirituality & Aging, 28(2), 148–160.
LaFontaine, J., Davis, J. C., and Bergman, E. J. (2014). The Importance of Caregiver Adaptation to the Success of Client-Centred Home Care Services. Health and Social Care in the Community, 18(4), 378–386.
Li, Q., and Ang, S. (2019). Positive Aspects of Caregiving Experience Among Chinese Dementia Family Caregivers. Aging & Mental Health, 23(2), 246–253.
Montgomery, V., and Kosloski, K. (2013). Coping with Caregiving: Caregiver Reappraisal Buffering the Effect of Caregiving Stress on Depressive Symptoms in Elderly Family Members. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 64B(3), 356–365.
Hirst, S. P., Carers, S., Glendinning, C., and Carers, M. (2018). Adaptation or unmet need? : Understanding different responses to the pressures of informal care. Journal of Gerontology Series. 18(5), 625–641.
Etchin, A., Fonda, J., McGlinchey, R., and Howard, E. (2020). Toward a System Theory of Stress, Resilience, and Reintegration.. Advances in Nursing Science, 43(1):75-85. doi: 10.1097/ANS.0000000000000277
Ebadi, A., Sajadi, S.A., and Moradian, S.T.(2021) Psychological Consequences for Family
Caregivers of Patients Receiving Hemodialysis: Threat or Opportunity?. BMC Psychol 9, 154 (2021). https://doi.org/10.1186/s40359-021-00667-7
Pinquart, M., and Sörensen, S. (2013). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18(2), 250-267.