Kummabutr Jeeraporn, Buaboon Natthapat, Kaewsriwong Siriluck
Faculty of Nursing, Thammasat University, Thailand.
Belitung Nurs J. 2025 May 27;11(3):305-313. doi: 10.33546/bnj.3711. eCollection 2025.
Millions of adults in Thailand serve as caregivers, facing significant public health challenges related to caregiver burden and well-being. Resilience is linked to better caregiver outcomes, yet the predictors of resilience are not fully understood.
This study aimed to identify the factors predicting resilience among caregivers of people with chronic illness.
A descriptive, cross-sectional design was used with a sample of 172 caregivers selected through multi-stage random sampling. Data were collected between February 2020 and January 2021 using validated instruments. Data were analyzed using descriptive statistics, bivariate analysis, and multiple regression analysis, with significance set at p <0.05.
Caregiver resilience scores were within the normal range (Mean = 61.40, SD = 8.735). In bivariate analysis, 7 out of 10 variables-age, stress, self-efficacy, social support, self-esteem, attitude toward care, and family functioning-were significantly associated with caregiver resilience ( <0.05). Multiple regression analysis revealed that key factors significantly predicting caregiver resilience included self-esteem ( = 0.213, <0.001), attitude toward care (β = 0.268, <0.001), family function ( = 0.317, <0.001), and age ( = -0.114, = 0.037). In contrast, stress (β = -0.230, <0.001) and knowledge ( = -0.182, = 0.001) were negatively related to resilience, indicating that higher stress levels diminish coping abilities and that greater caregiving knowledge may contribute to emotional burden. Together, these predictors explained 56.8% of the variance in caregiver resilience ( = 0.568), highlighting their substantial influence on caregivers' ability to manage caregiving challenges.
This study identifies key factors that influence caregiver resilience, particularly family support, self-esteem, and attitude toward care, while also highlighting the negative impacts of stress and age on resilience. Nurses play a crucial role in enhancing caregiver resilience by focusing on these factors through family-centered interventions, stress management programs, and psychosocial support. Strengthening these areas can significantly improve the quality of life for both caregivers and patients, leading to more effective caregiving outcomes.
泰国数百万成年人担任照顾者，面临与照顾者负担和幸福感相关的重大公共卫生挑战。心理韧性与照顾者更好的结果相关，但心理韧性的预测因素尚未完全明确。
本研究旨在确定慢性病患者照顾者心理韧性的预测因素。
采用描述性横断面设计，通过多阶段随机抽样选取172名照顾者作为样本。于2020年2月至2021年1月期间使用经过验证的工具收集数据。使用描述性统计、双变量分析和多元回归分析对数据进行分析，显著性设定为p<0.05。
照顾者心理韧性得分在正常范围内（均值=61.40，标准差=8.735）。在双变量分析中，10个变量中的7个——年龄、压力、自我效能感、社会支持、自尊、对照顾的态度和家庭功能——与照顾者心理韧性显著相关（p<0.05）。多元回归分析显示，显著预测照顾者心理韧性的关键因素包括自尊（β=0.213，p<0.001）、对照顾的态度（β=0.268，p<0.001）、家庭功能（β=0.317，p<0.001）和年龄（β=-0.114，p=0.037）。相比之下，压力（β=-0.230，p<0.001）和知识（β=-0.182，p=0.001）与心理韧性呈负相关，表明较高的压力水平会削弱应对能力，而更多的照顾知识可能会加重情感负担。这些预测因素共同解释了照顾者心理韧性56.8%的变异（R²=0.568），突出了它们对照顾者应对照顾挑战能力的重大影响。
本研究确定了影响照顾者心理韧性的关键因素，特别是家庭支持、自尊和对照顾的态度，同时也强调了压力和年龄对心理韧性的负面影响。护士通过以家庭为中心的干预、压力管理项目和心理社会支持来关注这些因素，在增强照顾者心理韧性方面发挥着关键作用。加强这些方面可以显著改善照顾者和患者的生活质量，从而带来更有效的照顾结果。
