Department of Community Medicine and Primary Care, Federal Medical Centre Abeokuta, Ogun State; Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Niger Postgrad Med J. 2022 Jan-Mar;29(1):20-28. doi: 10.4103/npmj.npmj_700_21.
Caring for patients in the hospital can cause a lot of stress for the caregivers, especially those who are involved with informal caregiving such as family members. Little is known in Nigeria on the stress of informal caregiving in the hospital environment. This study assessed the informal caregivers' stress level and their determinants in a tertiary hospital in Ilorin, Nigeria.
This was a hospital-based cross-sectional study. Between September and October 2019, using a simple random sampling method, data were collected from 400 informal caregivers of patients in University of Ilorin Teaching Hospital with interviewer-administered questionnaire which included socio-demographic characteristics, Caregivers Strain index (CSI) and caregivers' stress from institution and other factors index (CSIOI). Analysis was performed, and prevalence and determinants of stress of informal caregiving were presented using descriptive statistics and logistic regressions. P < 0.05 was considered statistically significant.
The majority, 381 (95.2%) of the informal caregivers, reported great stress levels using CSI, while 227 (56.7%) experienced a great level of stress with the CSIOI. Predictors of caregiver stress were perception that staying around was stressful (odds ratio [OR] - 17.5, P < 0.001), felt their patients will not be well cared for if not around (OR - 6.1, P < 0.001), staying at the hospital for >30 days (OR - 2.6, P = 0.001).
The informal caregivers experienced a great level of stress taking care of their patients on admission in the hospital. It is, therefore, expedient that issues surrounding the comfort of the informal caregivers as they care for their patients should be included in hospital policies.
在医院照顾患者会给护理人员带来很大的压力，尤其是那些从事非正式护理工作的人员，如家庭成员。在尼日利亚，关于医院环境中非正式护理人员的压力知之甚少。本研究评估了尼日利亚伊洛林大学教学医院非正式护理人员的压力水平及其决定因素。
这是一项基于医院的横断面研究。2019 年 9 月至 10 月，采用简单随机抽样方法，从伊洛林大学教学医院的 400 名患者的非正式护理人员中收集数据，采用访谈式问卷调查，包括社会人口学特征、护理人员压力指数（CSI）和护理人员来自机构和其他因素的压力指数（CSIOI）。采用描述性统计和逻辑回归分析进行分析，呈现非正式护理压力的流行率和决定因素。P < 0.05 被认为具有统计学意义。
使用 CSI，绝大多数（381 名，95.2%）非正式护理人员报告了高度的压力水平，而 227 名（56.7%）则经历了高度的 CSIOI 压力。护理人员压力的预测因素包括认为周围环境有压力（优势比[OR] - 17.5，P < 0.001）、认为如果不在身边，患者将得不到很好的照顾（OR - 6.1，P < 0.001）、在医院停留超过 30 天（OR - 2.6，P = 0.001）。
非正式护理人员在入院时照顾患者经历了高度的压力。因此，在制定医院政策时，应将围绕非正式护理人员在照顾患者时的舒适度问题纳入其中。
