"Why take the patient back home?": Exploring the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi.
"Why take the patient back home?": Exploring the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi.
复制标题
DOI：
10.1371/journal.pgph.0001601
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
2019冠状病毒病（COVID-19）大流行继续对健康及社会经济造成严重后果。在马拉维，COVID-19病例在家中进行管理，严重病例则留院治疗。这项研究描述了马拉维布兰太尔COVID-19感染者的照顾者的生活经历。这项描述性定性研究于2021年1月至6月在马拉维的布兰太尔进行，对象是参加SARS-CoV-2研究的确诊SARS-COV-2病例的护理人员，旨在探索感染、传播动态和家庭影响。本研究对37名SARS-COV-2病例的照顾者进行了有目的抽样的深度访谈。我们使用电话采访捕获数据，数字记录，逐字转录，使用NVivo管理，并使用主题方法进行分析，该方法由动态理论指导。照料者指出，家庭的经济状况在很大程度上影响到家庭的作用和能力，因为它决定了家庭能否获得资源。护理人员表示，尽管对COVID-19的传染性感到担忧，但他们对在家管理COVID-19患者的准备不足，但他们仍致力于自己的角色。他们优先考虑病人的健康，确保他们在场提供营养和医疗。护理人员强调，由于财政限制和文化因素，在实施预防措施方面面临挑战。他们还表示担心死亡率的上升，缺乏适当的信息使他们对治愈病人的期望受到挑战。照顾者表示，他们通过分担责任、随着时间的推移不断改进以及从宗教机构和社交网络获得支持来管理自己的角色。护理COVID-19确诊病例需要护理人员的承诺，同时确保将病毒传播降至最低。有必要向与世隔绝的家庭提供关于如何管理其病人的正确信息，并简化对赤贫者的社会支助。
The Corona Virus Disease 2019 (COVID-19) pandemic continues to have serious health and socio-economic consequences. In Malawi, COVID-19 cases are managed at home, with hospital admission reserved for severe cases. This study described the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi. This descriptive qualitative study was conducted from January to June 2021 in Blantyre, Malawi, among caregivers of confirmed SARS-COV-2 cases enrolled in the SARS-CoV-2 study and aimed to explore infections, transmission dynamics, and household impact. We conducted 37 in-depth interviews with caregivers of SARS-COV-2 cases who were purposively sampled. We captured data using telephonic interviews, digitally recorded, transcribed verbatim, managed using NVivo, and analysed it using a thematic approach guided by the theory of caregiving dynamics. Caregivers stated that the economic status of a family largely influenced caregiving roles and abilities because it determined the resources that a household could access or not. Caregivers expressed being committed to their role despite being ill-prepared to manage a COVID-19 patient at home, in addition to fears about the contagious nature of COVID-19. They prioritised their patients’ health by ensuring that they were present to offer nutritional and medical treatment. Caregivers highlighted challenges faced in the implementation of preventive measures because of financial limitations and cultural factors. They further expressed fear resulting from the increase in death rates, and the lack of proper information challenged their expectation of having their patients healed. Caregivers stated that they managed their role by sharing responsibilities, getting better at it with time, and getting support from religious institutions and social networks. Caring for confirmed cases of COVID-19 demanded commitment from the caregivers while ensuring that the transmission of the virus was minimised. There is a need to support households in isolation with the right information on how to manage their patients and streamline social support for the ultra-poor.