Witkowski MC, Silveira RDS, Durant DM, Carvalho ACD, Nunes DLA, Anton MC, Marques MF, Zarth SM, Issi HB, Goldani HAS. TRAINING OF CHILDREN'S AND ADOLESCENTS' FAMILY MEMBERS IN HOME PARENTERAL NUTRITION CARE.
ACTA ACUST UNITED AC 2019;
37:305-311. [PMID:
31090846 PMCID:
PMC6868549 DOI:
10.1590/1984-0462/;2019;37;3;00002]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Accepted: 02/11/2018] [Indexed: 05/30/2023]
Abstract
Objective:
To report the experience of the training in home parenteral nutrition (PN)
directed to family members of children and adolescents participating in a
multidisciplinary intestinal rehabilitation program of a tertiary public
hospital.
Methods:
Cross-sectional descriptive study with family caregivers of patients from
the Intestinal Rehabilitation Program of Hospital de Clínicas de Porto
Alegre, RS, Brazil, from July/2014 to January/2017. Inclusion criteria:
family members of children aged 30 days to 17 years and estimated PN use ≥8
weeks; and family members motivated to care for the child. The training
covered: hand washing and disinfection; infusion pump handling; and central
venous catheter (CVC) and PN care. Outcomes assessed: catheter-related
bloodstream infection (CRBSI) rate, accidental CVC exit, end of PN infusion
with more than 60minutes of delay or advance compared to the time predicted,
mechanical obstruction, bleeding in the CVC insertion site, and death.
Results:
Twenty-seven family members of 17 children were trained. Their median age
was 28 (18-60) years, and 63% were mothers. The mean CRBSI rate was
1.7/1,000 days of CVC use, and 29.4% of patients had at least one episode of
accidental CVC exit. There were no complications related to PN infusion,
bleeding, or death.
Conclusions:
The training of family caregivers allowed the safe implementation of home
PN, with the active participation of families, making the procedure feasible
in the public health system in Brazil.
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