Batangas State University

College of Nursing and Allied Health Sciences

Pablo Borbon Campus, Rizal Avenue, Batangas City, Batangas,
Philippines Tel No: (043) 980-0385 Local 1127 Email:
conahs.pb@g.batstate-u.edu.ph

Dear Respondents,

Good day!

We, the undersigned 3rd year BS Nursing students, are currently conducting a research study
“Caregiving to the Elderly in Batangas City Before and During the COVID-19 Pandemic”.
This study will assist caregivers in providing better care to the elderly. Caregivers will be able to
identify caregiving issues in the midst of the COVID-19 pandemic. In line with this, we would
like to ask for your permission to be a part of our research study.

You will be asked to answer and complete the two sets of questionnaires that we provided. In
total, the two questionnaires comprise 40 items and will take approximately 10-15 minutes of
your time. Your participation is completely voluntary and you can withdraw anytime you please.
Rest assured that the information that you’ll provide will be treated with the utmost and sincere
confidentiality and will be used for academic purposes only.

For any concerns, questions, and clarifications, please feel free to contact Mark Jerwin G. Abella
at 09685901470, or send an email through markjerwin.abella@g.batstateu-u.edu.ph. We are
more than willing to answer your queries regarding our study.

By answering our questionnaires, your consent is indicated. Thank you for your time and
cooperation.

Sincerely yours,

______________________
Abella, Mark Jerwin G.
Researcher 1

______________________
Alvarez, Angela Marie A.
Researcher 2

______________________
Lucena, Glydine Ricci S.
Researcher 3
Part I. Respondents’ Profile
Directions: Please answer the needed information below by putting a checkmark (/) on the space

provided.

Name: (Optional) Contact Number:

Address:

Please indicate your relationship to the elderly care recipient: _______________

1.1 Age

( ) 18-22 years old

( ) 23-27 years old

( ) 28-32 years old

( ) 33-37 years old

( ) 38-42 years old

( ) 43 years old and above

1.2 Sex

( ) Male

( ) Female

1.3 Living Arrangement (select all that apply)

( ) Living independently

( ) Living with a spouse

( ) Living with their sibling/s

( ) Living with their child/children

( ) Living with their grandchild/children

( ) Living with an elderly care recipient

1.4 Duration of Caregiving Experience

 ( ) Less than a month

( ) 1-6 months

( ) 6-12 months

( ) More than a year

Choose "FORMAL CAREGIVER" (those who are currently working within private/public

institution and those who undergone proper training) or "INFORMAL CARGIVER" (those

who are living only with their family together with the elder that they are taking care of)

( ) FORMAL CAREGIVER

( ) INFORMAL CAREGIVER

Part II: Caregiving Practices Before and During COVID-19 Pandemic

Direction: The following items describe caregiving to the elderly in terms of (feeding,

medication administration, caregiver-patient relationship, and struggles in caregiving) before and

during the pandemic. Using the scale below, indicate your agreement or disagreement with the

following statements by checking the column that corresponds to your response.

Legend:

SA - Strongly Agree (4)

A - Agree (3)

D - Disagree (2)

SD - Strongly Disagree (1)

BEFORE PANDEMIC
 A. Feeding SA A D SD
(4) (3) (2) (1)

1 I am giving my patient/loved one enough portion of food to eat

every day. (Binibigyan ko ng sapat na pagkain ang aking
pasyente/mahal sa buhay sa araw-araw.)

I make sure that my patient/loved one is eating three times a day.

2 (Sinisiguro ko na ang aking pasyente/mahal sa buhay ay
kumakain ng tatlong beses sa isang araw.)

3 I find it fairly easy to feed him/her. (Madali para sa akin ang

pakainin siya.)

I make sure that my patient/loved one receives enough nutrients

4 every mealtime. (Sinisiguro ko na ang pagkain ng aking
pasyente/mahal sa buhay ay may sapat na sustansya)

5 I make sure that the food I give to my patient/loved one is in

accordance with his/her health restrictions (e.g.,allergies, acidic,
diabetic, etc.) (Sinisigurado ko na ang pagkain na binigay ko sa
aking pasyente/mahal sa buhay ay naaayon sa paghihigpit sa
kanyang kalusugan (hal., alerhiya, acidic, diyabetes, atbp)

B. Body Cleaning

1 I give daily baths to the elderly I care for (bed bath for bedridden
elderly). (Pinapaliguan ko ang aking inaalagaang matanda
araw-araw.) (bed bath para sa hindi na makabangon)

2 I always check the water temperature before bathing the elderly.

(Sinisiguro ko muna ang tamang temperatura ng tubig bago ko
siya paliguan.)

3 I use mild soap and water at room temperature when bathing

him/her. (Gumagamit ako ng banayad na sabon at maligamgam
na tubig kapag pinapaliguan siya.)

4 I change his/her clothes regularly. (Pinapalitan ko siya ng damit

palagi)

5 I ensure that the bathing time is not too long nor too short.
(Sinisigurado ko na ang oras ng pagligo ay hindi masyadong
mahaba o masyadong maikli.)

C. Medication administration
1 I find it easy to maintain giving medication to my patient/loved
one. (Madali para sa akin ang panatilihin ang palagiang
pagbibigay ng tamang gamot sa aking pasyente/mahal sa buhay.)

I regularly accompany my patient/loved one to his/her primary

2 care physician for up-to-date changes on his/her prescription.
(Palagi kong sinasamahan ang aking pasyente/mahal sa buhay sa
kanyang doktor para sa kaniyang medikasyon na naaayon sa
petsa ng gamutan)

3 I find it convenient to order and pick up medications from the

pharmacy. (Madali para sa akin ang bumili ng gamot sa
parmasiya)

I find it easy to administer medication to my patient/loved one

4 because of his/her compliance to the medication. (Madali para sa
akin ang pagpapainom ng gamot sa aking pasyente/mahal sa
buhay dahil sa kanyang pagsunod dito)

5 I am mindful of giving medications to my patient/loved one at the

right time. (Inaalala ko ang pagbibigay ng mga gamot sa aking
pasyente/mahal sa buhay sa tamang oras.)

D. Caregiver-Patient relationship

1 I make sure that my patient/loved one feels safe and comfortable

around me. (Sinisiguro ko na ang aking pasyente/mahal sa buhay
ay ligtas at komportable)

2 I encourage my patient/loved one to share his/her personal

experiences and stories about his/her life. (Hinihikayat ko ang
aking pasyente/mahal sa buhay na malayang magbahagi ng
kanyang mga personal na karanasan at magkwento sa akin
tungkol sa kanilang buhay.)

3 I assure my patient/loved one that he/she can count on me.

(Tinitiyak ko sa aking pasyente/mahal sa buhay na ako'y
maaasahan niya.)

4 I build a strong relationship between me and my patient/loved

one. (Bumubuo ako ng matibay na relasyon sa pagitan ko at ng
aking pasyente/mahal sa buhay.)

5 I show appropriate gestures whenever my patient/loved one is

talking to me so that he/she will feel loved and understood.
(Nagpapakita ako ng mga angkop na kilos sa tuwing kinakausap
ako ng aking pasyente/mahal sa buhay para maramdaman niyang
siya ay mahal at naiintindihan.)
 DURING PANDEMIC

A. Feeding SA A D SD
(4) (3) (2) (1)

1 I am giving my patient/loved one enough portion of food to eat

every day. (Binibigyan ko ng sapat na pagkain ang aking
pasyente/mahal sa buhay sa araw-araw.)

I make sure that my patient/loved one is eating three times a day.

2 (Sinisiguro ko na ang aking pasyente/mahal sa buhay ay
kumakain ng tatlong beses sa isang araw.)

3 I find it fairly easy to feed him/her. (Madali para sa akin ang

pakainin siya.)

I make sure that my patient/loved one receives enough nutrients

4 every mealtime. (Sinisiguro ko na ang pagkain ng aking
pasyente/mahal sa buhay ay may sapat na sustansya)

5 I make sure that the food I give to my patient/loved one is in

accordance with his/her health restrictions (e.g.,allergies, acidic,
diabetic, etc.) (Sinisigurado ko na ang pagkain na binigay ko sa
aking pasyente/mahal sa buhay ay naaayon sa paghihigpit sa
kanyang kalusugan (hal., alerhiya, acidic, diyabetes, atbp)

B. Body Cleaning

1 I give daily baths to the elderly I care for (bed bath for bedridden
elderly). (Pinapaliguan ko ang aking inaalagaang matanda
araw-araw.) (bed bath para sa hindi na makabangon)

2 I always check the water temperature before bathing the elderly.

(Sinisiguro ko muna ang tamang temperatura ng tubig bago ko
siya paliguan.)

3 I use mild soap and water at room temperature when bathing

him/her. (Gumagamit ako ng banayad na sabon at maligamgam
na tubig kapag pinapaliguan siya.)

4 I change his/her clothes regularly. (Pinapalitan ko siya ng damit

palagi)

5 I ensure that the bathing time is not too long nor too short.
 (Sinisigurado ko na ang oras ng pagligo ay hindi masyadong
mahaba o masyadong maikli.)

C. Medication administration

1 I find it difficult to maintain giving medication to my

patient/loved one due to the presence of barriers (e.g. cost,
forgetting medication, large numbers of medication). (Mahirap
para sa akin ang panatilihin ang palagiang pagbibigay ng
tamang gamot sa aking pasyente/mahal sa buhay dahil ng mga
ilang balakid (halaga ng gamot, nakakalimutang pagpapainom
ng gamot, malaking bilang ng gamot)

2 I regularly accompany my patient/loved one to his/her primary

care physician for up-to-date changes on his/her prescription.
(Palagi kong sinasamahan ang aking pasyente/mahal sa buhay sa
kanyang doktor para sa kaniyang medikasyon na naaayon sa
petsa ng gamutan)

3 I find it inconvenient to order and pick up medications from the

pharmacy. (Hindi madali para sa akin ang bumili ng gamot sa
parmasiya)

I find it difficult to administer medication to my patient/loved one

4 because of his/her noncompliance to the medication. (Mahirap
para sa akin ang pagpapainom ng gamot sa aking
pasyente/mahal sa buhay dahil sa kanyang hindi pagsunod dito)

5 I sometimes forget to give medications at the right time to my

patient/loved one. (Minsan nakakalimutan kong bigyan ng gamot
ang aking pasyente/mahal sa buhay sa tamang oras.)

D. Caregiver-Patient relationship

1 I make sure that my patient/loved one feels safe and comfortable

around me. (Sinisiguro ko na ang aking pasyente/mahal sa buhay
ay ligtas at komportable)

2 I encourage my patient/loved one to share his/her personal

experiences and stories about his/her life. (Hinihikayat ko ang
aking pasyente/mahal sa buhay na malayang magbahagi ng
kanyang mga personal na karanasan at magkwento sa akin
tungkol sa kanilang buhay.)

3 I assure my patient/loved one that he/she can count on me.

(Tinitiyak ko sa aking pasyente/mahal sa buhay na ako'y
maaasahan niya.)
4 I build a strong relationship between me and my patient/loved
one. (Bumubuo ako ng matibay na relasyon sa pagitan ko at ng
aking pasyente/mahal sa buhay.)

5 I show appropriate gestures whenever my patient/loved one is

talking to me so that he/she will feel loved and understood.
(Nagpapakita ako ng mga angkop na kilos sa tuwing kinakausap
ako ng aking pasyente/mahal sa buhay para maramdaman niyang
siya ay mahal at naiintindihan.)

Part III. Struggles of Caregivers

Direction: The following items describe caregiving to the elderly in terms of (feeding,

medication administration, caregiver-patient relationship, and struggles in caregiving) before and

during the pandemic. Indicate your agreement or disagreement with the following statements by

checking your response using the scale below.

Legend:

SA - Strongly Agree (4)

A - Agree (3)

D - Disagree (2)

SD - Strongly Disagree (1)

STRUGGLES OF CAREGIVERS

SA A D SD
(4) (3) (2) (1)

3.1 Emotion

1 I feel exhausted after a long day of giving care to my

patient/loved one. (Pakiramdam ko ay pagod na pagod ako
pagkatapos ng mahabang araw ng pag-aalaga sa aking
pasyente/mahal sa buhay.)

2 I forget to do self-care (e.g. sleep, diet) due to caregiving.

 (Nakakalimutan ko nang alagaan ang aking sarili (e.g. pagtulog,
pagdiyeta) dahil sa pag-aalaga.)

3 I've been bothered by how much my patient/loved one has

changed from his or her old self. (Naabala ako sa kung gaano
nagbago ang aking pasyente/mahal sa buhay mula sa kanyang
dating pagkatao.)

4 I feel a high level of stress and frustration since I started caring

for my patient/loved one. (Nakakaramdam ako ng mataas na
antas ng stress at pagkabigo mula nang magsimula akong mag-
alaga ng aking pasyente/mahal sa buhay.)

3.2 Privacy

1 I felt the loss of privacy and/or personal time. (Naramdaman ko

ang pagkawala ko ng pribado at/o personal na oras para sa
sarili.)

2 I'm experiencing sleep disturbance because of caring for my

patient/loved one. (Nakakaranas ako ng abala sa pagtulog dahil
sa pag-aalaga sa aking pasyente/mahal sa buhay.)

3 I can't do things that I personally want to do due to caregiving to

my patient/loved one. (Hindi ko magawa ang mga bagay na
personal kong gustong gawin dahil sa pag-aalaga sa aking
pasyente/mahal sa buhay.)

4 I do not have any time for myself anymore. (Wala na akong oras
para saaking sarili.)

3.1 Transportation

1 I am the one who arranges or provides most of the transportation

for my patient/loved one. (Ako ang nag-aayos o nagbibigay ng
karamihan sa transportasyon para sa aking pasyente/mahal sa
buhay.)

2 I cannot afford to pay for transportation assistance for my

patient/loved one. (Hindi ko kayang magbayad para sa tulong sa
transportasyon para sa aking pasyente/mahal sa buhay.)

3 Transporting my patient/loved one from home to hospital is

stressful. (Ang paghahatid-sundo sa aking pasyente/mahal sa
buhay mula sa bahay patungo sa ospital ay nakaka-stress.)

4 Providing transportation for my patient/loved one has required

adjustments in my life. (Ang paglalaan ng transportasyon sa
aking pasyente/mahal sa buhay ay nangangailangan ng
pagbabago at pagsasaayos sa aking buhay.)