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.

Objective To evaluate telenursing for caregivers (CGs) to treat and prevent pressure injury (PI) in bedridden patients (BPs) during the COVID-19 pandemic in Thailand. Methods Purposive sampling of 70 CGs [intervention group (i-group): n = 35 and control group (c-group): n = 35)] using an embedded approach was conducted from August 2020 to February 2021. The QUAN data were concurrently collected via online semi-structured interviews (OSIs) and video in-depth interviews (VIIs), then analysed using multivariate analysis of variance and thematic analysis. Results The QUAN data showed that CGs treating and preventing PI in BPs has a significant and positive effect ( p < 0.01). The qual data illustrates that telenursing for CGs treating and preventing PI in BPs is associated with training and education, skin cleaning, repositioning, monitoring, and assessment of PI during the COVID-19 pandemic. Conclusion and implications Telenursing for CGs treating and preventing PI in BPs is valuable to the professional consultation during the COVID-19 pandemic. Telenursing can reduce the CG burden, instructing them how to visually examine, clean, monitor, and risk assess the skin of BPs to prevent PIs.

Monitoring the early stage of developing tissue injuries requires intact skin for surface detection of cell damage. However, electronic alert signal for early detection is limited due to the lack of accurate pressure sensors for lightly pigmented skin injuries in patients. We developed an innovative pressure sensor mattress that produces an electronic alert signal for the early detection of tissue injuries. The electronic alert signal is developed using a web and mobile application for pressure sensor mattress reporting. The mattress is based on body distributions with reference points, temperature, and a humidity sensor to detect lightly pigmented skin injuries. Early detection of the pressure sensor is linked to an electronic alert signal at 32 mm Hg, a temperature of 37 °C, a relative humidity of 33.5%, a response time of 10 s, a loading time of 30 g, a density area of 1 mA, and a resistance of 7.05 MPa (54 N) at 0.87/min. The development of the innovative pressure sensor mattress using an electronic alert signal is in line with its enhanced pressure detection, temperature, and humidity sensors.

No abstract

Purpose Lao PDR is a developing country with increasing female participation in the informal labour market. However, these informal female workers are often emotionally and physically drained due to stress in the workplace. This study aims to examine the determinants of job stress on physical symptoms associated with the mental health stigma of informal female workers in Lao PDR. Design/methodology/approach A convergent parallel approach was used with 1,037 structured interviews and 15 in-depth interviews between October 2017 and June 2019. Fractional response regression was used to analyse the quantitative data and thematic analysis to analyse the qualitative data. Findings The quantitative data showed a positive effect on job stress and physical symptoms associated with mental health stigma. The qualitative data illustrated that job characteristics, work environment, time pressure, job control, complexity related to workload, physical working conditions and physical demand were associated with emotional distress, depressive symptoms and long-term self-stigma. Practical implications The study findings provide guidance for developing strategies for female workers in an informal economy to help mitigate the impacts of job stress related to physical symptoms and mental health stigma. Originality/value This study offers a deeper understanding of the emotional and physical stress experienced by informal female workers in the workplace in Lao PDR, showing that job stress due to the physical workload leads to mental health stigma.