Effects of the Discharge Education Program on Family Caregivers Caring for Patients on Mechanical Home Ventilation in Korea: A Pilot Test

Hyang Sook Kim, Gwang Suk Kim, Hyangkyu Lee, Ji Yeon Choi, Young Sam Kim, Eui Geum Oh

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
JournalHome Health Care Management and Practice
DOIs
Publication statusAccepted/In press - 2022

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Mo-Im Kim Nursing Research Institute of the Yonsei University College of Nursing (Grant Number Y-2020-0058).

Publisher Copyright:
© The Author(s) 2022.

All Science Journal Classification (ASJC) codes

  • Leadership and Management
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

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