International Journal of Recent Innovations in Medicine and Clinical Research
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN:-
Online ISSN:-2582-1075
Original Article
Author Details :
Volume : 3, Issue : 1, Year : 2021
Article Page : 7-20
https://doi.org/10.18231/j.ijrimcr.2021.002
Abstract
Background: Disability is a worldwide concern which can be caused by clubfoot. If effectively managed, it can prevent disability though it has its challenges. The parents or caretakers of the children should take care of the children with clubfoot and ensure they attend the clinic as they have been booked to ensure timely and effective services and adhere to given instructions for best outcomes. Despite the clubfoot Ponseti management being sponsored by CURE international at no cost, the parents are expected to travel from their homes and get to the clinic at their own cost; they are also expected to fit into the society which has different view on the clubfoot and its causes. There are also other coping mechanisms they need to adapt to in order to deal with the clubfoot and ensure they support their families and affected children. The objectives of the study were to determine the social, financial and coping factors of parents who have children with club foot. Methodology: Quantitative non explorative research design was applied to give a description so as to answer the research questions. Hence it was descriptive cross sectional study design. The study population was parents and caretakers who are attending the clubfoot clinic and have undergone Ponseti management. Convenience sampling was applied to carry out the study in the institution that the researcher has identified the gap. The sample size was 95 participants: 52 females and 43 males. This applied the Impact on Family Scale (IOFS) research tool, Multidimensional Scale of Perceived Social Support (MSPSS) tool, and Brief COPE tool. Result: Half of the patients (50.6%) had bilateral clubfoot while the other half only one foot was affected. In this study it was noted that the boys (54.7%; n=52) were more affected than the females (45.3%; n=43) to a ratio of 1.2: 1. Financial burden was most sited impact of childhood illness on family with a mean score of 77.5%. Conclusion: In this study majority of parent/guardian of children with clubfoot perceived the social support to be from significant other followed by family. The most used coping strategy is that of religion followed by acceptance and positive reframing which are categorized as being in the approach coping. It showed that the parents were facing financial challenges and also clubfoot condition impacted on their family and social activities in the society. Recommendations: Further strategies should be developed to provide services near the resident places of the children. Community devolvement of the CURE services will ensure that the parents do not spend a lot of money on transport and meeting other needs of the children while on the way. Keywords: Ponsenti management, clubfoot, financial, social and coping mechanism.
How to cite : Doris K, Lorna O, Njeri K, Ndulu K, The Burden of Ponseti Management on Financial, Social and Coping Mechanism of Parents and Caregivers of Children at Moi Teaching and Referral Hospital. Int J Recent Innov Med Clin Res 2021;3(1):7-20
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