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Caregivers’ Mastery in Handling Gastrostomy at Home after Educational Intervention: Qualitative Descriptive Study

2024Journal article Open access
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dc.contributor.authorSantos, Jeferson Moreira dos
dc.contributor.authorPedreira, Larissa Chaves
dc.contributor.authorGóes, Roberta Pereira
dc.contributor.authorSouza, Maria Antônia Alves de
dc.contributor.authorBaixinho, Cristina Rosa Soares Lavareda
dc.contributor.authorOrtega, Johis
dc.contributor.authorDe La Rosa, Rosseirys Noelia
dc.contributor.authorSousa, Anderson Reis
dc.contributor.authorSilva, Valdenir Almeida da
dc.contributor.authorPinto, Ivana Santos
dc.contributor.authorSantos, Jéssica Lane Pereira
dc.contributor.authorVivas, Letícia Chicharo
dc.contributor.authorOliveira, Lélia Mendes Sobrinho de
dc.date.accessioned2025-04-04T13:44:03Z
dc.date.available2025-04-04T13:44:03Z
dc.date.issued2024
dc.description.abstractEffective hospital discharge planning is crucial, particularly in educating caregivers on handling medical devices. This education helps manage the patient’s signs and symptoms, prevents post-discharge complications, and reduces early readmissions. This study aimed to understand aspects involved in the acquisition of mastery by home caregivers, in handling care of a patient who just underwent gastrostomy, after educational intervention during hospitalization and telemonitoring upon return home. Methods: Qualitative descriptive study. It followed 15 caregivers of people with percutaneous endoscopic gastrostomy. The intervention took place between November 2022 and July 2023 in the neuromusculoskeletal unit of a Brazilian university hospital. Results: The educational intervention had four stages. In stage 1, caregivers felt confused and uncertain about managing PEG. By stage 2, they expressed a desire to be capable of handling care, especially in the event of potential complications, and showed increased awareness and engagement. Stage 3 highlighted the effectiveness of hands-on training with feedback from professionals. In stage 4, during monitoring, several complications were noted, including granuloma formation in the stoma, tube obstruction, and accidental tube loss. However, caregivers demonstrated the ability to handle these situations, indicating the effectiveness of the training and telemonitoring interventions. Conclusions: Nursing professionals should consider various factors when training caregivers in a hospital setting, including providing adequate space, allocating sufficient time for educational interventions, offering both theoretical and practical demonstrations, ensuring effective communication, and taking into account the caregivers’ context, as they play a direct role in acquiring a safe and effective skill set.eng
dc.identifier.citationSantos, J. M., Pedreira, L. C., Góes, R. P., Souza, M. A. A., Baixinho, C. R. S. L., Ortega, J., De La Rosa, R. N., Sousa, A. R., Silva, V. A., Pinto, I. S., Santos, J. L. P., Vivas, L. C., & Oliveira, L. M. S. d. (2024). Caregivers’ Mastery in Handling Gastrostomy at Home after Educational Intervention: Qualitative Descriptive Study. Healthcare, 12(21), 2147. https://doi.org/10.3390/healthcare12212147
dc.identifier.doihttps://doi.org/10.3390/healthcare12212147
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.26/57560
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2227-9032/12/21/2147
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectGastrostomy
dc.subjectHospitalization
dc.subjectHome
dc.subjectTransition
dc.subjectFamily caregiver
dc.titleCaregivers’ Mastery in Handling Gastrostomy at Home after Educational Intervention: Qualitative Descriptive Studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue21
oaire.citation.startPage2147
oaire.citation.titleHealthcare
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLavareda Baixinho
person.givenNameCristina
person.identifier57203119057
person.identifier.ciencia-idBF1A-C950-8BEE
person.identifier.orcid0000-0001-7417-1732
relation.isAuthorOfPublicationc256c8d4-e1f8-4a26-93fb-d6ca13c437bc
relation.isAuthorOfPublication.latestForDiscoveryc256c8d4-e1f8-4a26-93fb-d6ca13c437bc

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