SAHARA J. 2013;10(2):65-71. doi: 10.1080/17290376.2013.807065. Epub 2013 Oct 4.
This study was carried out in Kakola Location of Nyando District in Kenya. The aim of study was to determine the factors influencing the practice of self-care among caregivers for person living with HIV/AIDS (PLWHAs) as well as their practice of self-care. A study by World Health Organization approximated that in developing countries, the need for long-term care will increase by as much as 40% in the coming years. HIV/AIDS has been cited as one of the challenges in long-term care. As demand for long-term care increases, the assumption that extended family networks can meet all the needs of their members deteriorates. The community-based survey employed descriptive cross-sectional design, involving primary caregivers of PLWHAs in Kakola location who had practiced care giving for more than 3 months. A household survey was conducted with 150 respondents. Quantitative data were analyzed using the Statistical Package for Social Sciences (SPSS) program version 11.0. Simple frequencies and cross tabulations to compare variables were produced. Microsoft Excel was used to produce tables and graphs. Majority of the respondents 124 (82.7%) were female, while 26 (17.3%) were male. Self-care elements most practiced by the respondents in all the age categories were infection prevention and nutritional care. Female respondents had the highest proportions in all the practices of self-care. The results also showed that gender, relationship of patient to caregiver and marital status were the main demographic factors that significantly influenced the practice of self-care among caregivers. There was a significant relationship between main sources of income of caregivers with the practice of self-care. The study also revealed that respondents with no education had the lowest number of respondents practicing all the six practices of self-care and belonging to a support group. Recommendations for the study included, forging partnerships among stakeholders, training of caregivers and review of the home-based care policy.
这项研究是在肯尼亚恩扬多区卡卡洛地区进行的。研究目的是确定影响照顾艾滋病毒/艾滋病（PLWHA）患者的照顾者进行自我护理的因素以及他们的自我护理实践。世界卫生组织的一项研究估计，在发展中国家，未来几年对长期护理的需求将增加 40%。艾滋病毒/艾滋病已被认为是长期护理的挑战之一。随着对长期护理需求的增加，假设扩大的家庭网络可以满足其成员的所有需求的假设恶化。这项基于社区的调查采用描述性横断面设计，涉及在卡卡洛地区从事照顾艾滋病毒感染者超过 3 个月的主要照顾者。对 150 名受访者进行了家庭调查。使用统计软件包社会科学版（SPSS）11.0 程序对定量数据进行了分析。产生了简单频率和交叉表来比较变量。使用 Microsoft Excel 生成表格和图形。大多数受访者 124 人（82.7%）为女性，而 26 人（17.3%）为男性。在所有年龄段，受访者实践最多的自我护理要素是感染预防和营养护理。女性受访者在所有自我护理实践中所占比例最高。结果还表明，性别、患者与照顾者的关系和婚姻状况是影响照顾者自我护理实践的主要人口统计学因素。照顾者主要收入来源与自我护理实践之间存在显著关系。该研究还表明，没有受过教育的受访者在实践所有六项自我护理和属于支持小组的受访者中比例最低。该研究的建议包括在利益攸关方之间建立伙伴关系、培训照顾者和审查家庭护理政策。
