Difficulty Swallowing
Conditions
Keywords
COMPLİCATİON
Brief summary
This study was conducted to investigate the impact of nursing care on complications in patients undergoing percutaneous endoscopic gastrostomy (PEG) placement. For the implementation of this randomized controlled study, approval (No: E-46418926-050.99-132774) was obtained from the Ethics Committee of a university on the Anatolian side of Istanbul. The study population comprised all patients who underwent percutaneous endoscopic gastrostomy in the endoscopy unit of the same university hospital between January 3, 2022, and December 16, 2022, while the sample included 60 patients who met the inclusion criteria between April 1, 2022, and December 16, 2022. Data were collected using the Sociodemographic Data Form, Caregiver Information Form, Pre-Procedural Preparation-Before-During Monitoring and Follow-Up Data Form, Post-Percutaneous Endoscopic Gastrostomy Vital Signs, Stoma and Tube Follow-Up Form, and Post-Discharge Home Care Evaluation Form. For statistical analysis of the data obtained from the study, IBM SPSS V22 software was used. The normality of distribution was assessed using the Shapiro-Wilk test. An Independent Samples t-test was applied for comparing normally distributed variables between groups, while the Mann-Whitney U Test was used for non-normally distributed variables. For categorical variables, Yates' Correction, Fisher's Exact Test, and Pearson's Chi-Square Test were used; multiple comparisons were performed using the Bonferroni-corrected Z-test. The analysis results were presented as mean ± standard deviation and median (minimum-maximum) for quantitative variables, and as frequency (percentage) for categorical variables. The level of significance was set at p\<0.050. Keywords: Oral care, Training, Nursing, Complications, Percutaneous endoscopic gastrostomy.
Interventions
OTHERcustomized training
Patients in the intervention group received "Specialized Training" from the researcher on the management of percutaneous endoscopic gastrostomy.
Sponsors
Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
According to the research design and sample size calculation, patients who agreed to participate in the study under the same environment and conditions and who met all the inclusion criteria were divided into two groups, intervention and control groups, to determine the effect of the dependent variable. Randomization was performed by assigning a sequence number starting with the nearest endoscopy appointment date. In randomization, each patient participating in the study was given a sequence number from 1, 2, 3, ... to 60. The sequence number assigned to the patient was compared with the numbers in the randomization group list. The patient was assigned to the group whose sequence number matched the number in the randomization list. The random.org program was used for randomization.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Agreeing to participate in the study, * Being over 18 years of age, * Having sound cognitive abilities, * Being able to communicate in Turkish, * Being literate, * The caregiver not having any communication impediments.
Exclusion criteria
• Refusing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of nursing care on complications in patients undergoing percutaneous endoscopic gastrostomy placement | Patients were monitored during the procedure: 30 minutes, post-PEG: 60 minutes, first dressing change and education: 45 minutes. Evaluation four weeks after discharge: 20 minutes. Data were evaluated after the completion of the study (9 months). | Patients in the intervention group who received special education were compared with patients in the control group who did not receive special education in terms of complication rates. |
Countries
Turkey (Türkiye)
Outcome results
None listed