教育干预后护理人员在家处理胃造口术的掌握情况:定性描述研究。

IF 2.4 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Healthcare Pub Date : 2024-10-29 DOI:10.3390/healthcare12212147
Jeferson Moreira Dos Santos, Larissa Chaves Pedreira, Roberta Pereira Góes, Maria Antônia Alves de Souza, Cristina Rosa Soares Lavareda Baixinho, Johis Ortega, Rosseirys Noelia De La Rosa, Anderson Reis Sousa, Valdenir Almeida da Silva, Ivana Santos Pinto, Jéssica Lane Pereira Santos, Letícia Chicharo Vivas, Lélia Mendes Sobrinho de Oliveira
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引用次数: 0

摘要

背景:有效的出院计划至关重要,尤其是在教育护理人员如何处理医疗设备方面。这种教育有助于管理病人的体征和症状,预防出院后并发症,减少早期再入院。本研究旨在了解家庭护理人员在住院期间接受教育干预和回家后接受远程监控后,掌握如何护理刚做完胃造瘘术的病人的相关知识:定性描述研究。研究对 15 名经皮内镜胃造口术患者的护理人员进行了跟踪调查。干预于 2022 年 11 月至 2023 年 7 月期间在巴西一所大学医院的神经肌肉骨骼科进行:教育干预分为四个阶段。在第一阶段,护理人员对胃肠造口术的管理感到困惑和不确定。到了第二阶段,他们表示希望能够胜任护理工作,尤其是在出现潜在并发症时,并表现出更高的认识和参与度。第 3 阶段强调了实践培训的有效性以及专业人员的反馈意见。在第四阶段,在监测过程中发现了一些并发症,包括造口肉芽肿形成、管道阻塞和管道意外脱落。但是,护理人员表现出了处理这些情况的能力,这表明培训和远程监控干预措施是有效的:护理专业人员在医院环境中培训护理人员时应考虑各种因素,包括提供足够的空间、为教育干预分配充足的时间、提供理论和实践示范、确保有效的沟通以及考虑护理人员的背景,因为他们在掌握一套安全有效的技能方面发挥着直接作用。
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Caregivers' Mastery in Handling Gastrostomy at Home after Educational Intervention: Qualitative Descriptive Study.

Background: Effective 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.

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来源期刊
Healthcare
Healthcare Medicine-Health Policy
CiteScore
3.50
自引率
7.10%
发文量
0
审稿时长
47 days
期刊介绍: Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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