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Family Caregiving to AIDS Patients: The Role of Gender in Caregiver Burden in Uganda

机译:家庭照料艾滋病患者:性别在乌干达照料者负担中的作用

摘要

The objectives of the study were: 1) What is the burden of care for male and female family caregivers of AIDS patients? and 2) Which factors influence the family care burden for AIDS patients at home? A questionnaire was completed by 29 male and 91 female family caregivers of AIDS patients living in four rural areas in western Uganda. Participating caregivers were selected from a patient list of the home-based care program for AIDS patients and then interviewed. The responses from the questionnaire were used to calculate care burden scores for caregivers of both genders and the scores in each group were compared. In addition, other factors relevant to the burden of family care were extracted and tested in bivariate and multivariate analysis to test whether they were predictors of the care burden. Results show that the care burden scores were high in all domains, except those regarding relationship within the families and substance abuse. Both male and female caregivers reported a similar care burden. Caregivers for spouses had higher care burden scores compared to those who cared for other relatives. The intensity of care was also a significant predictor of the care burden, while other factors such as age, duration of care, and cognitive function of the care recipient were not associated with the care burden score. The high burden of care-giving puts family caregivers at risk for a lower health status, social isolation and depression. As both male and female caregivers report similar care burden scores for the same responsibilities, men are not unduly overburdened with the family care of AIDS patients compared to women and should be more actively involved in the care-giving process at home.
机译:该研究的目的是:1)艾滋病患者的男性和女性家庭护理人员的护理负担是什么? 2)哪些因素会影响家庭艾滋病患者的家庭照料负担?居住在乌干达西部四个农村地区的29位男性和91位女性爱滋病患者家庭护理人员填写了调查表。从针对艾滋病患者的家庭护理计划的患者列表中选择参与的护理人员,然后进行访谈。问卷的回答用于计算男女照料者的照料负担得分,并比较每组的得分。此外,还提取了与家庭照料负担相关的其他因素,并在双变量和多变量分析中进行了测试,以检验它们是否是照料负担的预测因素。结果显示,除了家庭亲属关系和药物滥用方面的照顾,所有领域的照顾负担得分都很高。男性和女性护理人员均报告了相似的护理负担。与照料其他亲戚的人相比,配偶的照料者的照料负担得分更高。护理强度也是护理负担的重要预测指标,而其他因素(例如年龄,护理时间和护理接受者的认知功能)与护理负担评分无关。提供照料的沉重负担使家庭照料者面临降低健康状况,社会孤立和抑郁的风险。由于男性和女性护理人员对相同职责的护理负担得分相似,因此与女性相比,男性在艾滋病患者的家庭护理方面不会负担过多,因此应该更积极地参与家庭护理过程。

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