THE EXPERIENCES OF RELATIVES OF COVID - 19 PATIENTS DURING HOSPITALIZATION IN THE ICU IN MACHAKOS COUNTY AND REFERRAL HOSPITAL, MACHAKOS COUNTY, KENYA
Abstract
Background: COVID-19 disease had a significant influence on the wellbeing of the patients and their relatives. Diagnosis of Covid-19 during the pandemic was majorly associated with increased family stigma and increased emotional and psychological stress among patients as well as relatives. Patients who were admitted into intensive care unit left major stress and pressure on their relatives. However, there is limited focus on the needs and wellbeing of relatives of patients admitted into ICU due to Covid-19. Thus, this study sought to explore the experiences of relatives of patients diagnosed with Covid-19 admitted into intensive care unit in Machakos County and Referral Hospital.
Methods: The study’s research design was descriptive qualitative using a phenomenological approach. Purposive sampling technique was employed where Relatives of COVID - 19 Patients During Acute Hospitalization in in the intensive care unit in Machakos County and Referral Hospital were recruited. A total of 10 participants were included in the study. Data was collected from participants using an in-depth interview guide and participant observation. The interviews were audio-taped and transcribed verbatim and common themes identified iteratively. Data analysis was done thematically.
Results: There were four major themes that were identified and eight sub-themes. The themes identified include reminiscence of ICU admission process, commitment and passion for care, isolation and restricted access as well as hope and resilience. The reaction to the news of ICU admission of loved ones was characterized by a feeling of helplessness, stress and shock. The healthcare providers at the facility were highly committed and willing to assist amid restricted environment. Individual based experience was characterized by emotional confusion and unmet need to participate in care. Coping measures that were effective included support from healthcare providers, family and friends as well as accepting the situation.
Conclusion and recommendations: There were major challenges in communication and unmet needs of participating in care process. The high emotional confusion, stress and shock that most of the relatives felt define the need to improve commitment to the needs and wellbeing of patients as well as their relatives. This can be done through encouraging relatives of patients admitted in ICU to express their emotions and provide resources for professional counselling or support groups.
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