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. 2022 Jan 5;19(1):567.
doi: 10.3390/ijerph19010567.

Listening to Caregivers' Voices: The Informal Family Caregiver Burden of Caring for Chronically Ill Bedridden Elderly Patients

Jinpitcha Mamom  1   2 , Hanvedes Daovisan  3
Affiliations

Listening to Caregivers' Voices: The Informal Family Caregiver Burden of Caring for Chronically Ill Bedridden Elderly Patients

Jinpitcha Mamom et al. Int J Environ Res Public Health. .

Abstract

The informal family caregiver burden (IFCB) for chronically ill bedridden elderly patients (CIBEPs) is a major issue worldwide. It is a significant challenge due to the ongoing increased palliative care in the family setting; therefore, we explored the IFCB of caring for CIBEPs in Thailand. This article utilized a qualitative method, the total interpretive structural modeling (TISM) approach, with purposive sampling of thirty respondents between September and December 2020. The data were analyzed using cross-impact matrix multiplication applied to classification (MICMAC) to determine the relationship between the driving and dependence power of the enabling factors. The IFCB of the palliative care of CIBEPs was associated with primary care, nursing, extrinsic monitoring and complication prevention. The results showed that the IFCB involves taking responsibility, daily workload, follow-up caring, caring tasks, caregiving strain, financial distress, patient support, external support and caregiving strategy; thus, assistance with taking responsibility, extrinsic monitoring and follow-up care daily tasks may reduce the caregiver burden.

Keywords: Thailand; bedridden elderly patient; chronic illness; informal caregiver burden; palliative care.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of the TISM approach.
Figure 2
Figure 2
Structural model of the TISM.
Figure 3
Figure 3
Direct with significant transitive links.
Figure 4
Figure 4
Driving power and dependence power matrix.
See this image and copyright information in PMC

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