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Factors Influencing Daily Living Activities of Stroke Survivors from Perspectives of Family Caregivers: A Secondary Data Analysis in Thailand

*Sangthong Terathongkum orcid  -  Ramathobodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand
Nopparat Suanpan  -  Faculty of Nursing, Boromrajonani College of Nursing, Thailand
Open Access Copyright (c) 2025 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Stroke survivors tend to face disabilities that impact activities of daily living. However, limited studies, particularly across diverse cultural contexts in Thailand, have examined the factors affecting the ADL of stroke survivors from the perspectives of family caregivers.

Purpose: The study aimed to examine factors predicting the activities of daily living of stroke survivors from the perspectives of family caregivers.

Methods: A cross-sectional correlational research design using secondary data was employed. Ninety-nine family caregivers from diverse cultural backgrounds who met the inclusion criteria were recruited into the study using stratified random sampling and completed seven questionnaires, including demographics, perceived self-efficacy (SE), activities of daily living (ADL), family relationships, social support, caregiver stress, and illness beliefs. All data were analyzed using Pearson’s product-moment correlation coefficient, the chi-square test, and multiple linear regression with the stepwise method.

Results: Family caregivers reported that stroke survivors had a moderate level of ADL (n = 99, M = 12.88, SD = 6.23). Age, gender, communication ability, and severity of stroke disease among stroke survivors were significantly correlated with ADL (p < 0.01). Moreover, the severity of stroke disease, gender, symptom improvement, education, and age of stroke survivors were significant predictors of ADL, accounting for 41.6% of the variance (F = 13.27, p < 0.001).

Conclusion: This study indicates that the severity of stroke disease, gender, symptom improvement, education, and age of stroke survivors can predict ADL. These findings offer valuable insights for nurses, highlighting the importance of effectively rehabilitating stroke survivors before discharge from the hospital to home to achieve better clinical outcomes and an improved quality of life.

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Keywords: Activities of daily living; stroke survivors; family caregiver perspectives; Thailand

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