Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi‐experimental study

Abstract

IntroductionTracheostomy is defined as the surgical procedure for creating an opening at the 3rd or 4th cartilage ring in the anterior wall of the trachea to provide airway patency. It was known that tracheostomy is regarded as the oldest known life‐saving method. Tracheostomy care involves a complex care process that requires knowledge and skills for elderly patients and their caregivers. This study was conducted to investigate the effect of tracheostomy training, provided to caregivers of patients with tracheostomy, on caregivers’ burden and knowledge levels regarding the tracheostomy care.MethodsThe study population consists of caregivers who provide home care for patients with tracheostomy who were divided into two groups as the control group (n = 30) and the experimental group (n = 30) with the separation of the patients admitted to the outpatient clinic.ResultsIn the intergroup comparison of experimental and control group post‐test score averages, the difference between the Zarit Caregiver Burden Scale score averages and the mean knowledge scores was found to be statistically significant (p < 0.05).ConclusionIn line with these results, it may be advisable to perform repeated tests at regular intervals after the provision of education to the caregivers.

An Individualized Educational Package for Improving Knowledge and Practices of Caregivers of Patients with Spinal Cord Injury: A Quasiexperimental Study

“…These scores were significantly enhanced in practices such as tracheostomy care (12.86 ± 3.23 vs. 17.21 ± 3.04; p < 0.001), tracheostomy tube suction (13.0 + 3.62 vs. 17.64 + 2.34; p < 0.001), and skin care for bedsore prevention (14.71 + 3.83 vs. 18.71 + 4.45; p < 0.001) after the intervention. Similarly, Karaca et al (2019) 18 reported that in posttests, the mean score of the tracheostomy care skill was 9.13 ± 3.46 for the experimental group and 4.96 ± 2.35 for the control group with a p -value < 0.05, indicating tracheostomy care skills improvement after intervention. Likewise, Nagi (2012) 19 suggested the role of one-to-one skill demonstration of tracheostomy suction and significant improvement of caregivers' practices ( p < 0.05).…”

“…These scores were significantly enhanced in practices such as tracheostomy care (12.86 AE 3.23 vs. 17.21 AE 3.04; p < 0.001), tracheostomy tube suction (13.0 þ 3.62 vs. 17.64 þ 2.34; p < 0.001), and skin care for bedsore prevention (14.71 þ 3.83 vs. 18.71 þ 4.45; p < 0.001) after the intervention. Similarly, Karaca et al (2019) 18 reported that in posttests, the mean score of the tracheostomy care skill was 9.13 AE 3.46 for the…”

Investigation of anxiety levels in caregivers who perform clean intermittent catheterization on their children and affecting factors

“…29,30 At this stage, it is believed that reducing caregivers' anxiety levels through home visits planned by nurses and providing health training on CIC application, following international guidelines and protocols, at regular intervals can decrease the occurrence of complications, particularly UTIs, in children. [29][30][31][32] The study revealed that a significant number of children involved in the research relied on continuous antibiotic usage as a preventive measure against UTIs, which is the most significant complication associated with CIC. Previous studies have highlighted the widespread use of prophylactic antibiotics to prevent UTIs, which can cause permanent organ damage 33,34 However, recent studies have shown that prophylactic antibiotic use at low doses in children undergoing CIC does not effectively reduce the risk of UTI development and can even contribute to the rise of antibiotic-resistant bacteria.…”

“…3,4,7 After the CIC training to be given during home visits, it is thought that the knowledge/skill levels of the caregivers will increase, the level of anxiety will decrease, and thus the incidence of complications related to the use of CIC, especially UTI, in children will decrease. 29,30 At this stage, it is believed that reducing caregivers' anxiety levels through home visits planned by nurses and providing health training on CIC application, following international guidelines and protocols, at regular intervals can decrease the occurrence of complications, particularly UTIs, in children. [29][30][31][32] The study revealed that a significant number of children involved in the research relied on continuous antibiotic usage as a preventive measure against UTIs, which is the most significant complication associated with CIC.…”

Hemşireler Trakeostomili Hastaların Bakımını Ne Kadar Biliyor? Nitel Bir Çalışma

“…Trakeostomi hastalarının bakımına ilişkin çalışmalar çoğunlukla hastaların taburcu olurken/olduktan sonra yaşadığı fizyolojik sorunlara (tüpe bağlı sorunlar, mukus tıkacı, konuşamama, boğaz tahrişi ) odaklanmıştır (7,32). Sınırlı sayıdaki çalışmalarda ise hastaların korku yaşadıkları ve trakeostomi bakımı için gerekli becerileri kazanamamaktan endişeli oldukları raporlanmıştır (33)(34)(35). Trakeostomi gibi cerrahi işlemlerden önce hastaların psikolojik hazırlığının önemi bilinmesine karşın, trakeostomi açılacak hastaların kritik durumları nedeni ile psikolojik yönden hazırlanmaya zaman olmadığını belirten çalışmalar mevcuttur (36,37).…”