Skip to main content
Journal cover image

Exploring the challenges and needs of home caregivers of hemodialysis patients in the Philippines: A mixed methods study.

Publication ,  Journal Article
Torres, GCS; Sumile, EFR; Rebueno, MCDR; Parial, LLB; Malong-Consolacion, CP; Estrada, MG; Macindo, JRB; Hendrix, CC
Published in: Nursing forum
October 2021

Although the importance of home caregivers of chronic kidney disease patients has been increasingly recognized, their perceived caregiving difficulties and requisites remain underexplored. This study investigated the challenges and needs of home caregivers of hemodialysis patients in the Philippines.We utilized a mixed-method (QUAN + qual), explanatory sequential design. Data were collected from July 2017 to May 2018 from 46 home caregivers of hemodialysis patients. A three-part researcher-made survey were developed from literature search, personal values and cultural context, while some items were generated from a standardized tool that measures caregiver infrastructure and needs of those caring from frail US veterans. The tool developed gathered the participants' profile, caregiving characteristics, and related needs. The tool was validated and pretested for reliability. Fifteen participants were also interviewed to explore caregiving challenges and needs. Descriptive and χ2 statistics were used for quantitative outcomes, while thematic analysis was employed for qualitative data.Participants provided moderate assistance to patients, spending an average of 10.65 h/day and 5.08 days/week in caregiving. The most difficult caregiving circumstances were having costly expenses (78.26%); missing work (50.00%); and experiencing negative feelings (47.83%), stress (43.48%), and physical difficulties (34.78%). They also had the lowest confidence in deciding when to contact health providers (x̅ = 3.31, SD = 0.94) and finding patient care services (x̅ = 2.93, SD = 1.08). Qualitative findings further revealed caregiving needs and challenges in cost management, physical and psychological health, assumption of multiple roles, lifestyle adjustment, and reinforcement of carer knowledge, skills, and attitudes.Supportive strategies are needed to address the challenges encountered by home caregivers of hemodialysis patients. Findings can be utilized in developing appropriate interventions for home caregivers in low-resource settings where home caregiving and healthcare system issues, such as lack of access to resources and social support, are prevalent.

Duke Scholars

Published In

Nursing forum

DOI

EISSN

1744-6198

ISSN

0029-6473

Publication Date

October 2021

Volume

56

Issue

4

Start / End Page

823 / 833

Related Subject Headings

  • Social Support
  • Reproducibility of Results
  • Renal Dialysis
  • Philippines
  • Humans
  • Caregivers
  • 4205 Nursing
  • 4204 Midwifery
  • 1110 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Torres, G. C. S., Sumile, E. F. R., Rebueno, M. C. D. R., Parial, L. L. B., Malong-Consolacion, C. P., Estrada, M. G., … Hendrix, C. C. (2021). Exploring the challenges and needs of home caregivers of hemodialysis patients in the Philippines: A mixed methods study. Nursing Forum, 56(4), 823–833. https://doi.org/10.1111/nuf.12618
Torres, Gian Carlo S., Earl Francis R. Sumile, Ma Carina D. R. Rebueno, Laurence Lloyd B. Parial, Charito P. Malong-Consolacion, Marica G. Estrada, John Rey B. Macindo, and Cristina C. Hendrix. “Exploring the challenges and needs of home caregivers of hemodialysis patients in the Philippines: A mixed methods study.Nursing Forum 56, no. 4 (October 2021): 823–33. https://doi.org/10.1111/nuf.12618.
Torres GCS, Sumile EFR, Rebueno MCDR, Parial LLB, Malong-Consolacion CP, Estrada MG, et al. Exploring the challenges and needs of home caregivers of hemodialysis patients in the Philippines: A mixed methods study. Nursing forum. 2021 Oct;56(4):823–33.
Torres, Gian Carlo S., et al. “Exploring the challenges and needs of home caregivers of hemodialysis patients in the Philippines: A mixed methods study.Nursing Forum, vol. 56, no. 4, Oct. 2021, pp. 823–33. Epmc, doi:10.1111/nuf.12618.
Torres GCS, Sumile EFR, Rebueno MCDR, Parial LLB, Malong-Consolacion CP, Estrada MG, Macindo JRB, Hendrix CC. Exploring the challenges and needs of home caregivers of hemodialysis patients in the Philippines: A mixed methods study. Nursing forum. 2021 Oct;56(4):823–833.
Journal cover image

Published In

Nursing forum

DOI

EISSN

1744-6198

ISSN

0029-6473

Publication Date

October 2021

Volume

56

Issue

4

Start / End Page

823 / 833

Related Subject Headings

  • Social Support
  • Reproducibility of Results
  • Renal Dialysis
  • Philippines
  • Humans
  • Caregivers
  • 4205 Nursing
  • 4204 Midwifery
  • 1110 Nursing