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Preparing nurses for taking care of patients with percutaneous endoscopic gastrostomy and their sense of selfefficacy

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Kawalec-Kajstura E., Bańdo K., Sraga J., Falkowska A., Wiczkowska M., Majkut M., Sajdak B., Surowiec K., Reczek A., Kuźmicz I.
Long-Term Care Nursing
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2020
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vol. 5
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issue 3
207-218
EN
Aim Percutaneous endoscopic gastrostomy provides a means of feeding patients when natural oral intake is impossible. Appropriate PEG care not only prevents complications but also improves patients’ comfort and their quality of life. Aim An analysis of the correlation between nurses’ knowledge about care provided to PEG patients and their sense of self-efficacy. Material and methods The study was conducted in a group of 85 nurses participating in various forms of postgraduate courses dedicated to nurses from Małopolska region. It was carried out with the application of Generalized Self- -Efficacy Scale (GSES) and a specially designed questionnaire consisting of two parts, first of which was focused on basic sociodemographic data, whereas the other one included questions checking the level of knowledge about taking care of patients with PEG. Results The average score obtained by the respondents in the test checking their knowledge was 17.9 (SD=6.80), and the high or average level of knowledge about taking care of PEG patients was observed in the case of 32.94% of respondents (n=28). No statistically significant correlation was found between nurses’ knowledge and their sense of self-efficacy (p>0.05). Conclusions 1. The level of nurses’ knowledge about taking care of patients with PEG is unsatisfactory. 2. The type of nurses’ professional education and their workplace had a significant impact on their level of knowledge about taking care of patients with PEG. 3. It is necessary to constantly improve the qualifications of the nursing staff in the care of patients with PEG.
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Przezskórna endoskopowa gastrostomia u dzieci – szansa na lepsze życie czy zło konieczne?

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Jabłoński J., Czajka P., Białas A. J., Lewandowska M.
Pediatria i Medycyna Rodzinna
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2010
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vol. 6
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issue 3
204-210
EN
Introduction: Percutaneous endoscopic gastrostomy (PEG) is a surgical procedure for placing a gastrostomy tube into the stomach using a gastroscope in order to administer food directly to the stomach. The main group of paediatric patients qualified for PEG procedure are those with neurological conditions associated with dysphagia. Objectives: The aim of the study was to evaluate long-term results after PEG insertion and parents satisfaction from use of PEG. Material and methods: The study group consisted patients treated in University Maria Konopnicka Hospital in Lodz who had PEG performed, in the period from 2002 to 2007. Indications of PEG performed, time from insertion to feeding start, complications, frequency and cause replace tube by another were retrospectively reviewed. Nutritional status was assessed according to BMI values referred to Polish BMI standards charts. The main source of data on parents satisfaction were original questionnaires. Results: Medical records of 27 patients were analyzed. The main indications for PEF was diseases of central nervous system. Feeding was started during of 3 day after PEG insertion in 70.4% patients. Post-procedure complication were seen in 10 patients (37%) and all were minor problems. Blockage of the tube seen in 16 patients (59.3%). The gastrostomy tube was removed after PEG placement in 11 children (40.7%). Duration of feeding was shorter after PEG insertion. Improving the nutritional status was observed in 23 patients (85%). Majority of parents highly evaluated the use of PEG and would have recommended this method of feeding to the other parents with similar problems. Only one parent negatively evaluated training about use of PEG. Conclusions: The PEG procedure is a well tolerated, effective, highly evaluated by parents way to tube feeding with relatively low complications rate.
PL
Wprowadzenie: Przezskórna endoskopowa gastrostomia (PEG) to zabieg polegający na wytworzeniu przetoki żołądkowo-skórnej za pomocą gastroskopu w celu bezpośredniego podawania pokarmu do żołądka. Główną grupą pacjentów pediatrycznych kwalifikującą się do PEG są chorzy z chorobami neurologicznymi, u których wystąpiły zaburzenia połykania. Cel pracy: Celem pracy była analiza wyników odległych u dzieci po założeniu PEG oraz ocena satysfakcji rodziców z użytkowania PEG. Materiał i metody: Badaniem objęto pacjentów Uniwersyteckiego Szpitala Klinicznego nr 4 im. Marii Konopnickiej, u których w latach 2002-2007 założono przezskórną endoskopową gastrostomię. Analizie retrospektywnej poddano: przyczyny założenia PEG, powikłania, czas od założenia PEG do rozpoczęcia żywienia, częstość i przyczynę wymiany zestawu do gastrostomii. Stan odżywienia określono na podstawie siatek centylowych dla BMI. Podstawowym źródłem danych o satysfakcji rodziców była odpowiedź pisemna udzielona na pytania zawarte w oryginalnych kwestionariuszach. Wyniki: Analizie poddano historie chorób 27 pacjentów. Głównym wskazaniem do założenia PEG były choroby centralnego układu nerwowego. Rozpoczęcie żywienia u 70,4% pacjentów nastąpiło do 3. doby po założeniu PEG. U 10 pacjentów (37%) wystąpiły niegroźne powikłania. Zatykanie rurki obserwowano u 16 pacjentów (59,3%). Wymiany rurki dokonano u 11 dzieci (40,7%). Czas karmienia po założeniu PEG uległ skróceniu. Stwierdzono poprawę stanu odżywienia u 23 dzieci (85%). Wszyscy rodzice wysoko ocenili wyniki użytkowania PEG i poleciliby ten sposób żywienia dzieci innym rodzicom w podobnej sytuacji. Tylko jeden rodzic negatywnie ocenił szkolenie na temat użytkowania PEG. Wnioski: PEG jest metodą leczenia żywieniowego dobrze tolerowaną, efektywną, obciążoną niewielkimi powikłaniami oraz wysoko ocenianą przez rodziców chorych dzieci.
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