The unmet needs of family caregivers in the management of childhood community-acquired pneumonia in Indonesia: a qualitative study

Nyimas Heny Purwati; Yeni Rustina; Bambang Supriyatno

doi:10.14238/pi62.1.2022.32-6

Nyimas Heny Purwati Universitas Muhammadiyah Jakarta
Yeni Rustina
Bambang Supriyatno

DOI: https://doi.org/10.14238/pi62.1.2022.32-6

Keywords: community-acquired pneumonia; caregivers; unmet needs; qualitative study

Abstract

Background Childhood community-acquired pneumonia (CAP) is one of the leading causes of morbidity and mortality in children under five years of age.

Objective To explore the unmet needs of family caregivers of children with community-acquired pneumonia.

Methods A qualitative study using in-depth interviews was conducted at one referral hospital located in Jakarta, Indonesia. Convenience sampling was used to select participants. Data were analyzed using qualitative content analysis.

Results Ten family caregivers participated in our study. The results of this research are shown in five main themes: (1) the burden of persistent symptoms; (2) exposure to cigarette smoke at home; (3) home remedies as initial treatment; (4) fulfilling the childrenâ€™s nutritional needs; and (5) health promotion needs. The care of children with CAP involves more than antibiotic treatment and vaccines.

Conclusion This study found several unmeet needs of family caregivers in caring for children with CAP, particulary pertaining to health promotion and the fulfilment of nutritional needs.

References

1. Kementerian Kesehatan RI. Profil Kesehatan Indonesia 2017. Published online 2017. [cited 2020 May 30]. Available from: https://www.kemkes.go.id/article/view/18042300004/data-dan-informasi-profil-kesehatan-indonesia-2017.html
2. Prina E, Ranzani OT, Torres A. Community-acquired pneumonia. Lancet. 2015;386:1097-108. https://doi.org/10.1016/S0140-6736(15)60733-4.
3. le Roux DM, Zar HJ. Community-acquired pneumonia in children — a changing spectrum of disease. Pediatr Radiol. 2017;47:1392-8. https://doi.org/10.1007/s00247-017-3827-8.
4. Gray D, Turkovic L, Willemse L, Visagie A, Vanker A, Stein DJ, et al. Lung function in African infants in the Drakenstein Child Health Study. Impact of lower respiratory tract illness. Am J Respir Crit Care Med. 2016;195:212-20. https://doi.org/10.1164/rccm.201601-0188OC.
5. Tan KK, Dang DA, Kim KH, Kartasasmita C, Kim HM, Zhang XH, et al. Burden of hospitalized childhood community-acquired pneumonia: a retrospective cross-sectional study in Vietnam, Malaysia, Indonesia and the Republic of Korea. Hum Vaccin Immunother. 2018;14:95-105. https://doi.org/10.1080/21645515.2017.1375073.
6. Pahlavanzadeh S, Mousavi S, Maghsoudi J. Exploring the needs of family caregivers of children with attention deficit hyperactivity disorder: a qualitative study. Iran J Nurs Midwifery Res. 2018;23:149-154. https://doi.org/10.4103/ijnmr.IJNMR_16_17.
7. Creswell JW. Research design pendekatan kualitatif, kuantitatif dan mixed. Yogyakarta: Pustaka Pelajar; 2013. p.76.
8. McLeod-Sordjan R, Krajewski B, Jean-Baptiste P, Barone J, Worral P. Effectiveness of
patient-caregiver dyad discharge interventions on hospital readmissions of elderly patients with community acquired pneumonia: a systematic review. JBI Libr Syst Rev. 2011;9:437-63. https://doi.org/10.11124/01938924-201109140-00001.
9. Creswell JW, Poth CN. Qualitative inquiry and research design: choosing among five approaches. California: SAGE Publ; 2013. p. 11.
10. Ferdous F, Farzana FD, Ahmed S, Das SK, Malek MA, Das J, et al. Mothers’ perception and healthcare seeking behavior of pneumonia children in rural Bangladesh. ISRN Family Med. 2014;2014:690315. https://doi.org/10.1155/2014/690315.
11. Hartati S, Nurhaeni N, Gayatri D. Faktor risiko terjadinya pneumonia pada anak balita. J Keperawatan Indones. 2012;15:13-20. https://doi.org/10.7454/jki.v15i1.42.
12. Jones L, Hashim A, McKeever T, Cook D, Britton J, Leonardi-Bee J. Parental and household smoking and the increased risk of bronchitis, bronchiolitis and other lower respiratory infections in infancy: systematic review and meta-analysis. Respir Res. 2011;12:5. https://doi.org/10.1186/1465-9921-12-5.
13. Colvin C, Smith H, Swartz A, Ahs JW, de Heer J, Opiyo N, et al. Understanding careseeking for child illness in sub-Saharan Africa: a systematic review and conceptual framework based on qualitative research of household recognition and response to child diarrhoea, pneumonia and malaria. Soc Sci Med. 2013;86:66-78. https://doi.org/10.1016/j.socscimed.2013.02.031
14. Geldsetzer P, Williams T, Kirolos A, Mitchell S, Ratcliffe LA, Kohli-Lynch MK, et al. The recognition of and care seeking behaviour for childhood illness in developing countries: a systematic review. PLoS One. 2014;9:e93427. https://doi.org/10.1371/journal.pone.0093427
15. Noordam A, Carvajal-Velez L, Sharkey A, Young M, Cals J. Care seeking behaviour for children with suspected pneumonia in countries in sub-Saharan Africa with high pneumonia mortality. PLoS One. 2015;10:e0117919. https://doi.org/ 10.1371/journal.pone.0117919.
16. Bruce CS, Hoare C, Mukherjee A, Paul SB. Managing acute respiratory tract infections in children. Br J Nurs. 2017;26:602-9. https://doi.org/10.12968/bjon.2017.26.11.602
17. Edmond K, Scott S, Korczak V, Ward C, Sanderson C, Theodoratou E, et al. Long term sequelae from childhood pneumonia; systematic review and meta-analysis. PLoS One. 2012;7:e31239. https://doi.org/10.1371/journal.pone.0031239
18. Pajuelo MJ, Huaynate CA, Correa M, Malpartida HM, Asayaq CR, Seminario JR, et al. Delays in seeking and receiving health care services for pneumonia in children under five in the Peruvian Amazon: a mixed-methods study on caregivers’ perceptions. BMC Health Serv Res. 2018;18:149. https://doi.org/10.1186/s12913-018-2950-z
19. Paul SP, Wilkinson R, Routley C. Management of respiratory tract infections in children. Nurs Res Rev. 2014;4:135-48. https://doi.org/10.2147/NRR.S43033.