Effects of the Discharge Education Program on Family Caregivers Caring for Patients on Mechanical Home Ventilation in Korea: A Pilot Test. Issue 4 (November 2022)

• Record Type: Journal Article
• Authors: Kim, Hyang Sook; Kim, Gwang Suk; Lee, Hyangkyu; Choi, JiYeon; Kim, Young Sam; Oh, Eui Geum
• Is Part Of: Home health care management & practice. Volume 34:Issue 4(2022)
• Page Start: 258
• Page End: 268
• Publication Date: 2022-11
• Subjects: home mechanical ventilation -- discharge education program -- family caregiver -- suction -- tracheostomy management -- emergency management -- fundamental caregiving; Home care services -- Periodicals; 649
• DOI: 10.1177/10848223221096344
• Languages: English
• ISSNs: 1084-8223

Abstract

Patients on home ventilators rely on mechanical ventilation until their death; hence, family caregivers should perform additional caregiving, including tracheostomy, equipment management, and positive pressure ventilation by ambu-bag in emergencies. Therefore, a systematic discharge education program and evaluation of actual caregiver performance are necessary for safe home management. The program consists of suction and tracheostomy management, home ventilator management, emergency management, fundamental caregiving, and video material. To test clinical validity, family caregivers of patients about to be discharged to their homes from S hospital in Seoul, Korea, were selected by convenience sampling with a non-equivalent control group design. Of 18 participants, one refused, one died, and two became unstable after their agreement; therefore, 14 participants were finally included. To compare caregiving performance scores between the groups, we ran repeated measures ANOVA. Intergroup and period interaction of suction ( F = 6.08, p = .001) and tracheostomy management ( F = 3.00, p = .038) crucial for airway management, showed significant statistical differences. In short, the intervention group showed a faster increase in suction and tracheostomy management than the control group. Home ventilator management ( F = 22.53, p < .001), emergency management ( F = 12.01, p < .001), and fundamental caregiving ( F = 7.88, p < .001) showed significant differences within the group regarding the period. According to the results of the clinical validity test, the discharge education program increased the family caregiver's suction and tracheostomy management performance scores. Further research is needed to demonstrate long-term effects of the program with a larger sample.