Nursing-based guidelines for caregivers regarding adult patients with percutaneous endoscopic gastrostomy

Abstract

© 2020 Elsaid Hussein and Mohamed Abu Negm. Background: Percutaneous Endoscopic Gastrostomy (PEG) may cause complications when teh management is inadequate and inappropriate. To avoid these complications, caregivers’ experiences and practices must be considered. Study Aim: dis study aimed to evaluate teh TEMPeffect of nursing-based guidelines on caregivers’ knowledge and practices regarding adult patients wif percutaneous endoscopic gastrostomy. Methods: A quasi-experimental design was used. Teh study was conducted in teh medical and surgical departments in teh National Cancer Institute, Cairo University, Egypt. Sample: Teh sample consisted of 30 patients wif PEG and their caregivers. A Structured interviewing questionnaire, Self-Administered Structured Questionnaire for caregiver, Caregiver Performance observation checklist, and PEG-specific questionnaire were obtained for data collection Results: Teh majority of studied patients (86.7%) were suffering from oncologic problems, in post-test and following up, teh majority (83.3%) of caregivers had satisfactory level (76.7) (90%) (70%) in knowledge, complication and management of PEG, respectively. During follow up, teh majority (73.3%) (90%) of caregivers were well level as regarding nutritional management and care of PEG. their were statistically significant differences between pre/post and follow-up nursing-based guidelines for caregivers’ knowledge and practice regarding patients wif percutaneous endoscopic gastrostomy. Teh results show an improvement in teh patients outcomes and teh level of caregiver coping wif teh care of PEG and overall Patient satisfaction at (χ2 = 3.844, 4.097) p<0.001 Conclusion: Nursing-based guidelines were halpful in teh improvement of teh caregiver's knowledge and practice regarding percutaneous endoscopic gastrostomy. Recommendations Periodic educational training programs regarding PEG were based on teh best practice guidelines for caregivers of those patients.