UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery & Health Systems, 8797University College Dublin, Dublin, Ireland.
Alzheimer's and Dementia Organisation Kenya (ADOK), Nairobi, Kenya.
Dementia (London). 2021 Nov;20(8):2916-2932. doi: 10.1177/14713012211022989. Epub 2021 May 31.
As chronic conditions such as dementia become increasingly prevalent, the role of caregivers will become ever more critical. In the East African region, little is known about the experiences of caring for people living with dementia. This study aims to describe the views of being a caregiver, including day-to-day responsibilities and duties, determine the impact of caregiving and understand participants' experiences of supports available or required to facilitate caring for a person living with dementia in Kenya.
This was a qualitative study that employed an interpretative phenomenological analysis (IPA) approach. We used convenience sampling to identify study participants in three counties in Kenya. Participants were main caregivers for the family and hence included both families and paid caregivers. We recruited 10 caregivers to participate in the study (9 females and 1 male). Data were analysed manually following the IPA approach.
Three main themes emerged from the analysis: the personal experience of caregiving, supports to assist with caregiving and the perceived unmet care needs. The challenges experienced varied based on the support available to the caregiver, the number of years in the caregiving role and knowledge and skills related to providing care.
Our study shows that caring for a person living with dementia is an arduous experience, requiring significant mental and physical effort. The study highlights a general lack of knowledge and awareness of dementia among families, healthcare professionals and the general public. Training programmes for caregivers, including dementia care skills, educating healthcare practitioners and organising public awareness programmes to understand and accept dementia are urgently needed.
随着痴呆等慢性疾病的日益普遍,照顾者的角色将变得越来越重要。在东非地区,人们对照顾痴呆患者的经验知之甚少。本研究旨在描述照顾者的观点,包括日常责任和义务,确定照顾的影响,并了解参与者在肯尼亚照顾痴呆患者时可获得或需要的支持的经验。
这是一项定性研究,采用解释性现象学分析(IPA)方法。我们使用便利抽样法在肯尼亚的三个县确定研究参与者。参与者是家庭的主要照顾者,因此包括家庭和有偿照顾者。我们招募了 10 名照顾者参与研究(9 名女性和 1 名男性)。数据采用 IPA 方法进行手动分析。
分析得出了三个主要主题:照顾的个人经验、支持照顾的措施和感知到的未满足的照顾需求。所经历的挑战因照顾者可获得的支持、照顾角色的年限以及与提供护理相关的知识和技能而异。
我们的研究表明,照顾痴呆患者是一项艰巨的任务,需要大量的精神和体力投入。研究强调了家庭、医疗保健专业人员和公众普遍缺乏对痴呆症的了解和认识。迫切需要为照顾者提供培训计划,包括痴呆症护理技能,教育医疗保健从业者,并组织公众意识计划,以了解和接受痴呆症。