Characteristics and experiences of family caregivers in the mental health setting

精神健康机构中家庭照护者的特征和经历

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Abstract

OBJECTIVE. To describe the characteristics and experiences of family caregivers of persons with mental disorders in a highly complex institution. MATERIALS AND METHODS. Mixed method, explanatory study, with an initial quantitative and then qualitative sequence. The quantitative phase was carried out using validated instruments: characterization sheet of the person with chronic illness-family caregiver dyad; the Nkongho Caregiving Ability Inventory (CAI), and the Zarit burden scale. The qualitative phase was conducted with a hermeneutic phenomenological approach; the information was collected through in-depth interviews to understand the needs of the caregivers. RESULTS. The caregivers were mostly women, mainly mothers and daughters, home-occupied and self-employed, with basic primary education, low socioeconomic level and low caregiving skill level; a significant number of caregivers perceived some degree of overload. The themes identified in the analysis of the interviews were: feeling fear before the disease; the experience of caregiver fatigue; losing one's job: another cost of the disease; fear of delegating care; love: a support for the caregiver; needing support to care. CONCLUSIONS. The caregiver experiences a complex situation associated with the high demand for care, and conditions under which mental health impairment progresses.

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