Maronga-Feshete Faith, Pilusa Sonti, Dreyer Abigail
Department of Rural Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Afr J Disabil. 2024 Jun 27;13:1357. doi: 10.4102/ajod.v13i0.1357. eCollection 2024.
Caregivers of children with cerebral palsy (CP) are critical in the survival and well-being of their children. Despite the caregivers' particularly demanding responsibilities, literature on their experiences is limited.
This study explored the caregivers' experiences of providing care to children with CP.
An explorative qualitative study design using semi-structured interviews was employed. All interviews were audio-recorded, transcribed verbatim and analysed guided by Colaizzi's seven-step methodology.
Two themes emerged: the challenges in caregiving and positive experiences of providing care. Caregivers faced financial, psychological, social and physical challenges such as stigmatisation, a lack of work accommodations, time constraints due to demands of providing care, strained family relations, isolation, exclusion, emotional and physical exhaustion in their caregiving role. Despite the challenges, they also had fulfilling, positive experiences. Caregivers became more resilient, some relationships were strengthened and awareness of the CP condition increased over time.
Caring for a child with CP is challenging. Cerebral palsy is a permanent disability; therefore, a holistic, long-term perspective to supporting caregivers is necessary to ensure they can care for their children adequately.
There is a need for various support structures for caregivers to lessen the burden of care. It is necessary to establish the relationships between the support structures available and the way that these structures are viewed and consequently utilised by the caregivers. This study highlights the experiences and needs of caregivers to inform stakeholders on intervention strategies.
脑瘫患儿的照料者对孩子的生存和幸福至关重要。尽管照料者的责任格外艰巨,但关于他们经历的文献却很有限。
本研究探讨了照料者照料脑瘫患儿的经历。
采用探索性定性研究设计,运用半结构式访谈。所有访谈均进行录音,逐字转录,并依据科莱齐的七步法进行分析。
出现了两个主题:照料中的挑战以及提供照料的积极体验。照料者面临经济、心理、社会和身体方面的挑战,比如遭受污名化、缺乏工作便利、因照料需求导致时间受限、家庭关系紧张、孤立、被排斥、在照料角色中情感和身体疲惫。尽管面临这些挑战,他们也有充实、积极的体验。照料者变得更有韧性,一些关系得到加强,随着时间推移对脑瘫状况的认识有所提高。
照料脑瘫患儿具有挑战性。脑瘫是一种永久性残疾;因此,需要从整体、长期的角度支持照料者,以确保他们能够充分照料自己的孩子。
需要为照料者建立各种支持结构以减轻照料负担。有必要确立现有支持结构之间的关系以及照料者看待并进而利用这些结构的方式。本研究突出了照料者的经历和需求,为利益相关者提供干预策略方面的信息。