Project Description

Author: Hassan et al.

Summary:

Emergency healthcare system of Bangladesh leans heavily on family caregivers, particularly in tertiary healthcare. Therefore, it is essential to understand the challenges they face and evaluate the preparedness of the caregiver of patients. This study sheds light on the preparedness of caregivers in emergency situations as well as the factors associated with preparedness highlighting potential areas for intervention and support in the healthcare.

The cross-sectional observational study took place in in-patient and outpatient departments of Dhaka Medical College Hospital, Bangladesh from January 2021 to June 2021. A total of 360 main caregivers of patients attended for emergency health situation were included in this study following informed written consent. Emergency health situation was defined_____________ Family caregivers and patients sociodemographic and clinical data were collected using semi-structured questionnaires. Caregivers’ perceived preparedness levels were measured using the eight-item Preparedness for Caregiving Scale (PCS). Data were analyzed by IBM SPSS version-26.

Average age of the caregivers was 33.22±9.98 (SD) years, most had had first degree relation with patients either by blood (57.8%) or by marriage (25.3%). About 47% caregivers had upto primary level of education, and 45% had no current job. Mean age of the patients was 32.34±19.97 (SD) years with slight male predominance (54.4%). Average monthly family income was 20551±13311 (SD) taka. Maximum study patients had acute diseases (76.4%) and needed hospital admission (50.6%). Majority of the family caregivers (87.8%) had feeling of preparedness (mean PCS score 2-4). Multivariate logistic regression analysis found that caregivers not feeling prepared was independently associated with male patients (AOR=3.57, 95% CI= 1.49,8.53), patient-caregiver relation other than first degree by blood/marriage (AOR=2.66, 95% CI= 1.20,5.90), patients who needed admission (AOR=4.83, 95% CI= 2.03,11.52), and whose monthly family income ≤10000 BDT (AOR=3.03, 95% CI= 1.33,6.91) after adjusting other significant univariates (age of patients, caregivers education level and current job status).

Conclusion:

To increase caregiver preparedness in emergency health situations, it’s essential to provide comprehensive training sessions tailored to their specific needs such as helplines or counseling services, for continuous guidance and reassurance. Implementing educational interventions and financial reassurance can further empower caregivers, ensuring they are adequately equipped to manage potential healthcare challenges. ___——to their patient hobe. (care giver preparedesnss ta ki instant j rogi deal korse tader upor or overall preparedness er kotha boltesii)

Keywords: Caregivers; Emergency Health; Preparedness

Status: Ongoing

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