Exploring the contextual factors that impact the dementia family caregiving experience in Soweto township, South Africa.
Exploring the contextual factors that impact the dementia family caregiving experience in Soweto township, South Africa.
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DOI：
10.1177/14713012221117905
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发表时间：
2022-10
影响因子：
2.4
通讯作者：
Pretorius, Chrisma
中科院分区：
文献类型：
--
作者：
Mahomed, Aqeela;Pretorius, Chrisma
乡镇和农村地区面临贫困、失业、教育水平低、收入来源不稳定、社会经济贫困和缺乏交通等困难。此外，犯罪、暴力和药物滥用等心理社会问题也是南非城镇普遍存在的其他背景因素。一直缺乏研究集中在背景和社会经济条件对痴呆症家庭照顾者的经验的影响。这项定性研究旨在解决这一差距。采用目的抽样方法，对30名家庭照顾者进行半结构式访谈。使用自反主题分析（RTA）的数据分析产生了四个广泛的主题，即：（1）。贫困，（2）.犯罪、暴力和药物滥用（3）。实际挑战（4）。一种正常的感觉。这项研究的结果描述了生活在索韦托的家庭照顾者的社会经济条件及其对痴呆症的影响。这项研究中的大多数家庭照顾者都失业了，他们认为失业的经济方面是一个重大的压力。除了财政方面，一些家庭照顾者报告的实际挑战包括空间限制和物质资源不足。由于这种社会经济背景造成的危险，护理人员提出了安全问题。然而，有一种暗示的正常感，不愿意确定照顾者所面临的挑战。进一步研究的建议及其对公共卫生政策的影响和倡导痴呆症护理人员及其家庭成员的重要举措进行了概述。
Townships and rural areas endure difficult circumstances such as poverty, unemployment, low educational levels, unstable income sources, socioeconomic deprivation and the lack of transportation. Furthermore, psychosocial issues such as crime, violence and substance abuse are additional contextual factors prevalent within South African townships. There has been a paucity of research focussing on the impact of contextual and socioeconomic conditions on the dementia family caregiver experience. This qualitative study aimed to address this gap. Semi-structured interviews were conducted with 30 family caregivers via purposeful sampling methods. Data analysis using Reflexive Thematic Analysis (RTA) generated four broad themes, namely – (1). Poverty, (2). Crime, Violence and Substance Abuse, (3). Practical Challenges and (4). A Sense of Normalcy. The findings of this study depict the socioeconomic conditions of family caregivers living in Soweto and its impact on dementia caregiving. The majority of the family caregivers in this study were unemployed and identified the financial aspects of caregiving as a significant strain. Beyond financial aspects, practical challenges that some family caregivers reported included spatial constraints and insufficient material resources. Caregivers raised safety concerns due to the dangers that this socioeconomic context posed. However, there was an implied sense of normalcy and a reluctance to identify challenges that caregivers endured. Recommendations for further research and its implications for public health policies and important initiatives to advocate for dementia caregivers and their family members are outlined.
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影响因子：
4.4
作者：
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通讯作者：
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