Qualitative exploration of psychological reactions and coping strategies of breastfeeding mothers living with HIV in the Greater Accra Region of Ghana
Identifieur interne : 000030 ( Main/Exploration ); précédent : 000029; suivant : 000031Qualitative exploration of psychological reactions and coping strategies of breastfeeding mothers living with HIV in the Greater Accra Region of Ghana
Auteurs : Angela Kwartemaa Acheampong [Ghana] ; Florence Naab [Ghana] ; Adzo Kwashie [Ghana]Source :
- International Breastfeeding Journal [ 1746-4358 ] ; 2017.
Abstract
Exploring the psychological reactions of breastfeeding mothers living with Human Immunodeficiency Virus (HIV) is an important step which may improve guidelines for counselling. The purpose of this study was to explore the psychological reactions and coping strategies of breastfeeding mothers living with HIV in the Greater Accra Region of Ghana.
Qualitative descriptive exploratory design was used to explore the psychological experiences and coping strategies of 13 breastfeeding mothers living with HIV in a main referral public hospital, at the greater Accra Region of Ghana. An interview guide was designed and piloted before it was used to collect data between November, 2014 and February, 2015. Data was content analyzed for themes and subthemes to emerge.
The two major themes that emerged included psychological reactions and coping strategies. Some of the subthemes were fear, anxiety, blame, hope, denial, prayer and trust in positive situations of life.
The women used denial, prayer and hope in ART, among others to cope with their emotions. This highlights the need for HIV counsellors to detect signs of denial since it can lead to non-adherence to ART as well as relapse. Health workers should therefore put the coping strategies in context during counselling of mothers in this category.
Url:
DOI: 10.1186/s13006-017-0119-8
PubMed: 28652860
PubMed Central: 5483253
Affiliations:
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O. Box TB 105, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Taifa-Burkina, P. O. Box TB 105, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Naab, Florence" sort="Naab, Florence" uniqKey="Naab F" first="Florence" last="Naab">Florence Naab</name><affiliation wicri:level="3"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 1485</institution-id><institution-id institution-id-type="GRID">grid.8652.9</institution-id><institution>Department of Maternal and Child Health,</institution><institution>School of Nursing, College of Health Science, University of Ghana,</institution></institution-wrap>Legon, P. O. Box LG 43, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Legon, P. O. Box LG 43, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Kwashie, Adzo" sort="Kwashie, Adzo" uniqKey="Kwashie A" first="Adzo" last="Kwashie">Adzo Kwashie</name><affiliation wicri:level="3"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 1485</institution-id><institution-id institution-id-type="GRID">grid.8652.9</institution-id><institution>Department of Education, Research & Administration,</institution><institution>School of Nursing, College of Health Science, University of Ghana,</institution></institution-wrap>Legon, P. O. Box LG 43, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Legon, P. O. Box LG 43, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j">International Breastfeeding Journal</title><idno type="eISSN">1746-4358</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Exploring the psychological reactions of breastfeeding mothers living with Human Immunodeficiency Virus (HIV) is an important step which may improve guidelines for counselling. The purpose of this study was to explore the psychological reactions and coping strategies of breastfeeding mothers living with HIV in the Greater Accra Region of Ghana.</p></sec><sec><title>Methods</title><p id="Par2">Qualitative descriptive exploratory design was used to explore the psychological experiences and coping strategies of 13 breastfeeding mothers living with HIV in a main referral public hospital, at the greater Accra Region of Ghana. An interview guide was designed and piloted before it was used to collect data between November, 2014 and February, 2015. Data was content analyzed for themes and subthemes to emerge.</p></sec><sec><title>Results</title><p id="Par3">The two major themes that emerged included psychological reactions and coping strategies. Some of the subthemes were fear, anxiety, blame, hope, denial, prayer and trust in positive situations of life.</p></sec><sec><title>Conclusion</title><p id="Par4">The women used denial, prayer and hope in ART, among others to cope with their emotions. This highlights the need for HIV counsellors to detect signs of denial since it can lead to non-adherence to ART as well as relapse. Health workers should therefore put the coping strategies in context during counselling of mothers in this category.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tariq, S" uniqKey="Tariq S">S Tariq</name></author><author><name sortKey="Elford, J" uniqKey="Elford J">J Elford</name></author><author><name sortKey="Tookey, P" uniqKey="Tookey P">P Tookey</name></author><author><name sortKey="Anderson, J" uniqKey="Anderson J">J Anderson</name></author><author><name sortKey="De Ruiter, A" uniqKey="De Ruiter A">A de Ruiter</name></author><author><name sortKey="O Connell, R" uniqKey="O Connell R">R O Connell</name></author><author><name sortKey="Pillen, A" uniqKey="Pillen A">A Pillen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moland, Km" uniqKey="Moland K">KM Moland</name></author><author><name sortKey="De Paoli, Mm" uniqKey="De Paoli M">MM de 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uniqKey="Loke A">AY Loke</name></author><author><name sortKey="Chan, Lk" uniqKey="Chan L">LK Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tokat, Ma" uniqKey="Tokat M">MA Tokat</name></author><author><name sortKey="Okumu, H" uniqKey="Okumu H">H Okumuş</name></author><author><name sortKey="Dennis, C L" uniqKey="Dennis C">C-L Dennis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wheeler, Bj" uniqKey="Wheeler B">BJ Wheeler</name></author><author><name sortKey="Dennis, Cl" uniqKey="Dennis C">CL Dennis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Ds" uniqKey="Wu D">DS Wu</name></author><author><name sortKey="Hu, J" uniqKey="Hu J">J Hu</name></author><author><name sortKey="Mccoy, Tp" uniqKey="Mccoy T">TP McCoy</name></author><author><name sortKey="Efird, Jt" uniqKey="Efird J">JT Efird</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhu, J" uniqKey="Zhu J">J Zhu</name></author><author><name sortKey="Chan, Wcs" uniqKey="Chan W">WCS Chan</name></author><author><name sortKey="Zhou, X" uniqKey="Zhou X">X Zhou</name></author><author><name sortKey="Ye, B" uniqKey="Ye B">B Ye</name></author><author><name sortKey="He, H G" uniqKey="He H">H-G He</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kastner, J" uniqKey="Kastner J">J Kastner</name></author><author><name sortKey="Matthews, Lt" uniqKey="Matthews L">LT Matthews</name></author><author><name sortKey="Flavia, N" uniqKey="Flavia N">N Flavia</name></author><author><name sortKey="Bajunirwe, F" uniqKey="Bajunirwe F">F Bajunirwe</name></author><author><name sortKey="Erikson, S" uniqKey="Erikson S">S Erikson</name></author><author><name sortKey="Berry, Ns" uniqKey="Berry N">NS Berry</name></author><author><name sortKey="Kaida, A" uniqKey="Kaida A">A Kaida</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Acheampong, Angela Kwartemaa" sort="Acheampong, Angela Kwartemaa" uniqKey="Acheampong A" first="Angela Kwartemaa" last="Acheampong">Angela Kwartemaa Acheampong</name></region><name sortKey="Kwashie, Adzo" sort="Kwashie, Adzo" uniqKey="Kwashie A" first="Adzo" last="Kwashie">Adzo Kwashie</name><name sortKey="Naab, Florence" sort="Naab, Florence" uniqKey="Naab F" first="Florence" last="Naab">Florence Naab</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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