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平衡负担与纽带:加纳北部终末期肝病患者家庭照料者面临的挑战与动力——一项质性研究

Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana-a qualitative inquiry.

作者信息

Dogtir Jacob Deri, Adjei Charles Ampong, Kyei Josephine M, Ani-Amponsah Mary, Marfo Emmanuel A, Asirifi Mary A

机构信息

Presbyterian Nursing and Midwifery Training College, Dormaa Ahenkro, Ghana.

University of Ghana, Accra, Ghana

出版信息

BMJ Open. 2025 Jun 8;15(6):e086699. doi: 10.1136/bmjopen-2024-086699.

Abstract

OBJECTIVE

This study explored the burdens and motivations of family caregivers (FCs) for patients with end-stage liver disease (ESLD) in a tertiary hospital in Ghana.

DESIGN

A qualitative exploratory, descriptive approach with a purposive sampling technique was adopted. Data were collected through face-to-face semi-structured interviews. The interviews were audio-recorded, transcribed verbatim and analysed using content analysis.

SETTING

Participants were recruited from a tertiary hospital in the Northern Region of Ghana.

PARTICIPANTS

15 FCs aged between 18 and 50 years caring for patients with ESLD were recruited.

RESULTS

The study's findings revealed that FCs of individuals with ESLD encountered considerable challenges, including sleep deprivation, physical exhaustion, family conflicts, financial difficulties and social restrictions. These difficulties contributed to a sense of being overwhelmed as caregivers strived to fulfil their duties. Family bonds, reciprocal relationships and religious obligations were the motivation/driving force for FCs caring for relatives with ESLD.

CONCLUSION

Integrating palliative care services in tertiary health facilities will reduce the burdens FCs of patients with ESLD face. Relevant stakeholders in the health sector need to develop culturally sensitive interventions to support FCs caring for patients with ESLD in Ghana.

摘要

目的

本研究探讨了加纳一家三级医院中终末期肝病(ESLD)患者家庭照顾者(FCs)的负担和动机。

设计

采用定性探索性描述性方法及立意抽样技术。通过面对面半结构化访谈收集数据。访谈进行录音,逐字转录并采用内容分析法进行分析。

背景

参与者从加纳北部地区的一家三级医院招募。

参与者

招募了15名年龄在18至50岁之间、照顾ESLD患者的家庭照顾者。

结果

研究结果显示,ESLD患者的家庭照顾者面临诸多挑战,包括睡眠不足、身体疲惫、家庭冲突、经济困难和社会限制。这些困难导致照顾者在努力履行职责时感到不堪重负。家庭纽带、互惠关系和宗教义务是家庭照顾者照顾ESLD亲属的动机/驱动力。

结论

在三级卫生设施中整合姑息治疗服务将减轻ESLD患者家庭照顾者所面临的负担。卫生部门的相关利益攸关方需要制定具有文化敏感性的干预措施,以支持加纳照顾ESLD患者的家庭照顾者。

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