The experiences and coping strategies among primary care givers of PLHIV

2017 ◽  
Vol 14 (1) ◽  
pp. 11
Author(s):  
Shwetha Thorat
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.


Author(s):  
Asha N. Patel

Background: Care givers, who are the front-line health workers during Covid-19 outbreak. Their emotional responses and adaptation of coping strategies are very important for health of themselves as well health services. Logically care givers emotional response and coping strategies measures their emotional well-being which also affects their work productivity. Hence, this study is undertaken to assess the emotional response and coping strategies of care givers in Covid-19 department at Civil hospital, Ahmedabad. Aims and objectives: To assess the emotional response and coping strategies of care givers worked in Covid-19 department at Civil hospital, Ahmedabad. To assess the association between emotional response and demographic variables, coping strategies and demographic variables. Materials and Methods: The study was conducted among 100 care givers worked in Covid-19 department at Civil hospital, Ahmedabad using Random sampling technique. Data were obtained using structured rating scale and checklist to assess emotional response and coping strategies of care givers. Descriptive and inferential statistics were used to analyze demographic data, rating scale and checklist. Results and Conclusions: The study reveled that majority of 73% of caregivers had emotionally strong response and 86% of caregivers adopted healthy coping strategies. Study also revealed that there is significant association between selected emotional responses and selected demographic variables. Also significant association between coping strategies and selected demographic variables.


2020 ◽  
Vol 10 (2) ◽  
pp. 210-220
Author(s):  
Tsitsi Mguwata

This study sought to unearth the challenges and coping strategies of caregivers with family members under palliative care. As a high-density suburb, Mufakose is a dwelling place for the most economically marginalised members of the Zimbabwe urban dwellers. Having a family member under palliative care while being from a low social class has its ramifications and this was what the researcher sought to find out by carrying a qualitative research on six care givers (n = 6) sampled by purposive sampling. In-depth interviews guided by a self-constructed interview guide were used to collect data and thematic analysis was used for analysis. The interviews were carried out in Shona, the local language for the participants, and responses were later translated to English. The study indicated that the caregivers encountered a myriad of challenges ranging from social, economic and health problems. Disturbed sleeping patterns, weight loss, stress, inhibited social mobility, strained family relationships, limited health information about the illness, role conflict and increased financial constraints were the major cited challenges. The research established that caregivers are proactive and numerous coping strategies are used in dealing with the challenges. The coping strategies being used can be classified into appraisal-focused, problem-focused and emotion-focused. Although some coping strategies are maladaptive, most of them are quite adaptive, and with effective interventions the fortunes and lifestyle of caregivers can be overturned.   Keywords: Palliative care, family caregiver, coping strategy, challenges, home-based care.


Cephalalgia ◽  
2007 ◽  
Vol 28 (2) ◽  
pp. 164-173 ◽  
Author(s):  
G Géraud ◽  
D Valade ◽  
M Lantéri-Minet ◽  
F Radat ◽  
C Lucas ◽  
...  

The SMILE study was conducted among migraine patients consulting in primary care in France. The first phase aimed to describe the study sample of patients at entry to the study, especially emotional dimension (Hospital Anxiety and Depression scale), functional impact (abridged Migraine Specific Questionnaire), stress (Perceived Stress Scale) and coping behaviours (brief COPE inventory avoidance subscale, Coping Strategies Questionnaire catastrophizing subscale), as well as treatments used and their effectiveness and treatments prescribed at end of consultation. Results indicate that consulting migraine patients suffer frequent migraine attacks, exhibit substantial levels of anxiety, functional impact and stress, and often use maladaptive coping strategies. Abortive treatments appear ineffective in most patients (74%). Patients with more affected psychometric variables and treatment ineffectiveness are more likely to be deemed eligible for prophylactic treatment. These data highlight the seriousness of migraine and maladjustment of patients consulting in primary care.


2020 ◽  
Author(s):  
Racheal Kyarimpa ◽  
Dan Muramuzi ◽  
Talbert Muhwezi

AbstractBackgroundHydrocephalus is a long-term neurologic condition, normally identified in early childhood, where there is excessive fluid in the ventricular system within the brain which results into enlargement of the head to an abnormal size. The most common cause of hydrocephalus in most patient population is infection (over 60%) typically meningitis. In Uganda, it is estimated that about 1000 to 2000 new cases of hydrocephalus occur every year with 60 percent of these are reportedly attributed to neonatal infections. The general objective was to explore care givers‘ experiences of living with a child having hydrocephalus.MethodsThe phenomenological descriptive study involved fifteen respondents who were purposively selected. The in-depth interviews were conducted with the aid of an interview guide and a tape recorder. Transcribed interviews were analyzed using the thematic approach.ResultsCare givers were experiencing financial problems, psychological problems, lack of social support and cultural constraints and stigma associated with hydrocephalus. The care givers experiences were full of life changes and coping strategies, and they used both problem and emotion focused coping strategies to deal with the challenges as compassionate and responsive care was illustrated by the participants.ConclusionThe study discovered that having a child with hydrocephalus is challenging and frustrating in terms of financial, physical, social, and psychological experience. Therefore, these findings are essential for counselling care givers, families and communities affected by hydrocephalus. In this context, attention should be targeted to families and communities to reduce stigma and isolation faced by the affected.


2020 ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  

Abstract:BACKGROUNDPrimary care physicians (PCPs) play a crucial role as first points-of-contact between suspected cases and the healthcare system in the current Coronavirus Disease 2019 (COVID-19) pandemic. An overlooked angle is the potential psychosocial impact on PCPs as they place themselves at increased risk of infection. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak.METHODS216 PCPs actively practicing in either a public or private clinic were convenience sampled from three primary care organizations in Singapore. Participants completed an online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19.RESULTSA total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection, and a source of risk and concern to loved ones. PCPs reported acceptance of these risks and the need to care for COVID-19 patients. Overall perceived pandemic preparedness was extremely high. PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors.CONCLUSIONSPrimary care will continue to be crucial in outbreak management efforts. Healthcare organizations should continue to support PCPs by managing their psychosocial and professional needs.


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