Home enteral nutrition: profile of users and caregivers and the incidents related to feeding tubes

Naves, Larissa Kozloff; Tronchin, Daisy Maria Rizatto

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Brasil

Revista Gaúcha de Enfermagem

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Original Article • Rev. Gaúcha Enferm. 39 • 2018 • https://doi.org/10.1590/1983-1447.2018.2017-0175 copy

Home enteral nutrition: profile of users and caregivers and the incidents related to feeding tubes

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVES

To characterize the profile of users and caregivers in home enteral nutrition (NED) and to analyze incidents related to enteral probes.

METHOD

A prospective cohort study with 36 users and their caregivers. Data collection was performed for a period of six months in a home care program at a university hospital. Kaplan-Meier's descriptive analysis and survival curve were adopted.

RESULTS

66.7% of the subjects were female, 77.8% were aged ≥ 60 years and 88.9% were bedridden. 88.9% of the caregivers belonged to the female sex, had a family bond and age of 51.2 ± 13 years. The incidence of unplanned gastric extubation was 0.67 / 100 patient-days.

CONCLUSIONS

Despite the scarcity of studies on the quality and safety of home care, actions such as the monitoring of extubations and the implementation of measures that reduce or mitigate such events can contribute to safe and harmless care.

Keywords:
Home nursing. Enteral nutrition. Intubation; gastrointestinal. Patient safety. Quality of health care

Variables	N	(%)
Gender
Female	24	66.7
Male	12	33.3
Age group
< 18 years old	5	13.9
18 \|-- 60 years old	3	8.3
≥ a 60 years old	28	77.8
Main Diagnosis
Stroke sequelae	19	52.8
Neurological Syndromes	9	25
Dementias	7	19.4
Neoplasms	1	2.8
Katz Index
Totally dependent	32	88.9
Partially dependent	3	8.3
Independent	1	2.8
Mobility
Bedridden	32	88.9
Moves with aid	4	11.1
Moves by themselves	0	0
Home
Adequate	24	66.7
Inadequate	12	33.3

Variables	N	(%)
Gender
Female	32	88.9
Male	4	11.1
Age group
20 \|--\| 40 years old	7	19.4
41 \|--\| 59 years old	21	58.3
≥ a 60 years old	8	22.3
Connection
Relative	32	88.9
Not a family member	4	11.1
*Kinship^ * four caregivers did not have a family connection**
Daughter/Son	15	41.7
Spouse	6	16.6
Mother	5	13.9
Siblings	5	13.9
Grandchild	1	2.7
Schooling^ one caregiver did not report their schooling
Complete High School	16	44.4
Incomplete Elementary School	8	22.2
Complete Elementary School	5	13.9
Complete Higher Education	5	13.9
Incomplete High School	1	2.8

Reasons	Type of catheter
	GTT		SNE		TOTAL
	n	%	n	%	n	%
Balloon rupture	9	32.1	0	0	9	32.1
Removal by the patient	0	0	6	21.5	6	21.5
Selective position of the tube	0	0	6	21.5	6	21.5
Inadequate fixing	0	0	2	7.1	2	7.1
Obstruction	0	0	2	7.1	2	7.1
Access Deterioration	2	7.1	0	0	2	7.1
Removal in the procedure (bath)	1	3.6	0	0	1	3.6
Total	12	42.8	16	57.2	28	100

Month	Type		TOTAL
	Planned	Unplanned
	n=20	n=28
1	0.30	0.75	1.05
2	0.14	0.74	0.89
3	0.57	0.57	1.14
4	0.69	0.41	1.10
5	0.46	0.62	1.08
6	0.67	0.93	1.60
Total	0.48	0.67	1.15

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[1] Corresponding author:
Larissa Kozloff Naves. larinaves@usp.br