Challenges and coping strategies of caregivers caring for elderly people living with diabetes mellitus in a selected village of the Vhembe District, Limpopo Province

Abstract

Most elderly people with diabetes mellitus are community dwelling and cared for by local healthcare providers and frequently by caregivers within the elders' homes. Care for these elders is often suboptimal compared with that of elderly people without diabetes. the purpose of this study was to investigate the challenges experienced by caregivers of elderly people living with diabetes mellitus in a selected village of the Vhembe district in the Limpopo province. The study adopted a qualitative research approach using an exploratory design to provide insights into the challenges experienced by caregivers of elderly people living with diabetes mellitus. This research used purposive sampling to ensure that the empirical evidence retrieved is detailed and objective. Before data collection, the researcher applied for ethical clearance to the University of Venda Research Ethics Committee. Ethical considerations adhered to include anonymity, informed consent and voluntary participation. Data was collected using a semi-structured interview method, using an interview guide. Interviews and discussions with caregivers were audio-taped with permission from participants. Data saturation occurred after interviewing 17 participants. Data were transcribed verbatim and later translated into English by an English language expert. Data was coded into larger themes and categories by means of a thematic analytical approach. Measurements of trustworthiness such as conformability, dependability, transferability and credibility were ensured. The findings of the study revealed that caregivers of elderly people living with diabetes mellitus experience financial challenges when caring for diabetes mellitus patients. It was also revealed by the study findings that caregivers of elderly people living with diabetes mellitus suffer from physical, psychological psychosocial and psych spiritual stress. Time management and poor performance at work were also revealed by the study findings as challenges for the caregivers who are working. Keywords: Caregivers, Challenges, Diabetes Mellitus, Elderly People, Experiences