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FAMILY HEALTH CARE FOR CHRONIC ILLNESS PEOPLE IN COMMUNITY: QUALITATIVE STUDY 社区慢性病患者的家庭保健:定性研究
Pub Date : 2022-08-12 DOI: 10.53555/hsn.v8i8.2109
Saovakon Virasiri, Patcharaporn Jenjaiwit
Introduction: Chronic illness person has trouble in both body and mind, including family system. Therefore, health personnel should provide care for the whole family. However, there is less insight into family health care practice for families with chronic illness persons in community settings. Therefore, the study aimed at describing family health care practices for chronic illness persons from the participants ‘view.Method: Qualitative study was conducted. Participants included chronic illness persons, family members, healthcare personnel, and community leaders. Data collection consisted of in-depth interviews with tape recording, observation, note taking, and focused group interviews. Content analysis was done for data analysis.Findings: The findings displayed three major themes with nine subthemes in relation to the participants’ narration. First, “prioritizing personal illness severity for providing care at home.” Second, “common disease, more complication, difficult to control, and need special one to provide health care.” And third, the “community strongly participation, supports, follows up, and learns from patients and families’ styles.”Conclusion: The results support nurses and health personnel in gaining insight into family health care in the community setting based on the perception of patients, family members, health personnel, and community leaders. Therefore, an effective family health care model and intervention should thus be developed fitting to the needs and primary health care system.
简介:慢性病患者有身体和精神上的困扰,包括家庭系统。因此,保健人员应为整个家庭提供护理。然而,对社区环境中患有慢性病的家庭的家庭保健实践了解较少。因此,本研究旨在从参与者的角度描述慢性病患者的家庭保健实践。方法:定性研究。参与者包括慢性病患者、家庭成员、卫生保健人员和社区领导人。数据收集包括用磁带记录的深度访谈、观察、笔记和焦点小组访谈。对数据进行内容分析。研究结果:研究结果显示了与参与者的叙述有关的三个主要主题和九个次要主题。首先,“优先考虑个人疾病的严重程度,以提供家庭护理。”二是“疾病常见病多,并发症多,控制难度大,需要专人提供保健”。第三,“社区大力参与,支持,跟进,并从患者和家庭的风格中学习。”结论:研究结果支持护士和卫生人员基于患者、家庭成员、卫生人员和社区领导的感知来了解社区环境中的家庭卫生保健。因此,应开发一种适合需求和初级卫生保健系统的有效的家庭卫生保健模式和干预措施。
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引用次数: 0
KANGAROO MOTHER CARE: A QUALITATIVE STUDY ON THE PRACTICE AND EXPERIENCES OF MOTHERS OF PRETERM NEONATES IN A TERTIARY TEACHING HOSPITAL IN EASTERN UGANDA. 袋鼠妈妈护理:乌干达东部一家三级教学医院早产儿母亲的实践和经验的定性研究。
Mercy Naloli, Lydia V N Ssenyonga, Enid Kawala Kagoya, Julius Nteziyaremye, Rebecca Nekaka

Introduction: Globally, neonatal deaths continues to be a challenge especially to to attainment of sustainable development goal 3. About 4 million neonatal deaths per year, with 99% of the deaths occurring in low and middle resource countries, 75% of these occurring in the first week of life. Prematurity remains an indirect leading cause of mortality and morbidity. Uganda's progress on the improvement of perinatal morbidity and mortality has largely stagnated at 27 deaths per 1,000 live births from the year 2006. One of the cost-effective readily available interventions that would curtail perinatal mortality is kangaroo mother care(KMC)- a low tech four decades old intervention. However challenges about its implementation persist on in Uganda despite intensified implementation and roll-out startegies in 2010. This study, the first of its kind to the best of our knowledge in eastern Uganda sought to find the facilitators and barriers of KMC.

Materials and methods: This was a qualitative study using in-depth interviews(IDI) carried out at a tertiary university teaching hospital. Twenty IDIs were carried out among mothers/caretakers using the phenomena theory. After each IDI, each transcript was analyzed by two researchers working independently using NVIVO software version 11 plus (QSR International, Burlington, Massachusetts) and themes and subthemes developed.

Results: Majority of mothers/caretakers, were adolescents and young adults and primiparous at 55%. The major facilitators to KMC were supportive staff that facilitated positive attitude, ability to substitute provider and family support.The major barriers were lack of family support, lack of male involvement, maternal stress and poor health and multiple gender roles, infrastructural challenges, and misconceptions associated with preterm births such as early sexual intercourse and lack of herbal medicine use.

Conclusion: More facility leadership involvement and engagement of mothers during antenatal, community and promotion of male involvement in sexual and reproductive health matters will improve uptake of KMC. This can be spearheadded by sexual and reproductive health, and neonatal and child health care service providers.

导言:在全球范围内,新生儿死亡仍然是一个挑战,特别是对实现可持续发展目标3的挑战。每年约有400万新生儿死亡,其中99%发生在低资源和中等资源国家,其中75%发生在生命的第一周。早产仍然是死亡和发病的间接主要原因。自2006年以来,乌干达在降低围产期发病率和死亡率方面取得的进展基本上停滞在每1 000例活产死亡27例。降低围产期死亡率的一种具有成本效益的现成干预措施是袋鼠妈妈护理(KMC)——一种已有40年历史的低技术干预措施。然而,尽管乌干达在2010年加强了实施和推广战略,但在实施方面的挑战仍然存在。据我们所知,这项研究是乌干达东部第一个此类研究,旨在找到肯尼亚文化管理的促进因素和障碍。材料和方法:本研究采用深度访谈的定性研究方法,在某三级大学教学医院进行。使用现象理论在母亲/看护人中进行了20次IDIs。在每次IDI之后,两名研究人员使用NVIVO软件version 11 plus (QSR International, Burlington, Massachusetts)独立分析每个转录本,并开发主题和子主题。结果:大多数母亲/照顾者为青少年和年轻成人,初产妇占55%。主要的促进者是支持人员,他们促进了积极的态度、替代提供者的能力和家庭支持。主要障碍是缺乏家庭支持、缺乏男性参与、产妇压力和健康状况不佳以及多重性别角色、基础设施挑战以及与早产有关的误解,如过早性交和缺乏草药使用。结论:更多的机构领导参与和母亲参与产前、社区和促进男性参与性健康和生殖健康事务将提高KMC的吸收。这可以由性健康和生殖健康以及新生儿和儿童保健服务提供者带头。
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引用次数: 0
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International journal for research in health sciences and nursing
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