CAREGIVING BURDEN AND ADJUSTMENTS OF FAMILY MEMBERS OF TERMINALLY ILL PERSONS ADMITTED IN A UNIVERSITY TEACHING HOSPITAL IN NIGERIA
Abstract
Introduction: Prolonged hospitalization is a function of the nature of conditions presented by the ill persons. Terminal diseases are irreversibly progressive in nature. Conditions such as cancers, idiopathic pulmonary fibrosis, leukemia, HIV/AIDS are classified as terminal illnesses with poor recovery outcome.
Objective: This study examined the effects, and the coping strategies adopted by family members of terminally-ill persons during a period of prolonged hospitalization.
Methods: The study took place at Jos University Teaching Hospital where the relations significant ones of various terminally-ill persons were used as participants for the study. Fifty people participated in the study. The instrument of data collection was a questionnaire which had three sections: socio-demographic profile; effects of hospitalization; and coping strategies.
Findings: The study revealed that patients’ family members and relations use different coping strategies such as spiritual and social support, borrowing from friends and relations, and having the grasp of the reality of the health condition as means of adjusting to the prolonged effects of hospitalization.
Conclusion & Recommendations: The family resources are often overstretched during terminal illness period, and the need to give adequate support to the ill persons, who are part of the family during a challenging period, cannot be discounted. This situation requires nurses as a helping resource toward enhancing family members’ capacities as these would enable them to function at an optimal level during the period of stress. Nurses are expected to guide families as to how they can explore the available support system, and community resources needed by families to make necessary adjustments to prolonged hospitalization.
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Alamigir N, Naheed A and Luby SP (2010). Coping strategies for financial burdens of families with childhood pneumonia in Bangladesh. BMC Public Health 10: 622. DOI. 10.1186/1471-2458-10-622
Cicoline G, Cerratti F, Pelle CD and Simonetti V (2016). The experience of family caregivers of patients with left ventricular assist device: An integrative review. Progress in Transplantation, 16 (2) 135-148
Hickman RL and Douglas SL (2010). Impact of chronic critical illness on the psychological outcomes of family members. AACN Adv Crit Care, 21 (1).DOI: 10.1097/NCI.0b013e3181c930a3
Hildenbrand AK, Clawson KJ, Alderfer MA and Marsac ML (2011). Coping with pediatric cancer: Strategies employed by children and parents to manage cancer-related stressors during treatment. Journals of Pediatric Oncology Nursing, 28 (6) 344-354
Horn H and Tesh A (2000). Impact of critical care hospitalisation on family members; Stree and responses. Dimensions of Critical Care Nursing, 19 (4) 44-49
Kathuri-Ogola LN, Mugenda O and Kerre FP (2014). Challenges faced and the coping strategies adopted by family caregivers in dealing with people living with HIV/AIDs in Thika District, Central Pronvince, Kenya. Internnational Journal of Humanities and Social Science, 4 (6) 184-193
Kong Wong KS (2010). The impact on families with hospitalised children: Development of a hospitalisation impact and coping scale on families. Doctoral dissertation, The Hong Kong Polytechnic University
Lai, DWL (2012). Effect of financial costs on caregiving burden of family caregivers of older adults. SAGE Open, 1-14. DOI: 10.1177/2158244012470467.
Marques FRB, Botelho MR, Marcon SS and Pupulim JSL (2014). Coping strategies used by family members of individuals receiving hemodialysis. Http://dx.doi.org/10.1590/0104-07072014002220011. 915-924
Nogueira FL and Sakata RK (2012). Palliative sedation of terminally ill patients. Rev Bras Anestesiol, 62 (4) 580-592
Sullivan K (2015). An application of family stress theory to clinical work with military families and other vulnerable populations. Clin. Soc Work J 43:89-97. DOI 10.1007/S 10615-014-0500-7
Wilmoth JD (2009). The ABC-X model of family stress in the book of Phillipians, Journal of Psychology and Theology, 37 (3), 155-162
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