Evaluation of Tracheostomy Care Self-Care Knowledge Among Adult Patients with Permanent Tracheostomy

Knowledge among Patients with Permanent Tracheostomy

Authors

  • Ghulam Rasool Lahore School of Nursing, The University of Lahore, Lahore, Pakistan
  • Muhammad Adnan yaqoob Lahore School of Nursing, The University of Lahore, Lahore, Pakistan
  • Hajra Sarwar Lahore School of Nursing, The University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i01.527

Keywords:

Tracheostomy, Intervention, Self-Care, Home Care, Level of Anxiety

Abstract

Tracheostomy is a major surgery, to create an opening to provide airway patency at the 3rd or 4th cartilage ring in the anterior wall of the trachea. Tracheostomy has been considered the best life-saving procedure. Objective: To determine the impact of tracheostomy care intervention on self-care and assess level of anxiety. Methods: A crass sectional study was conducted on 34 patient’s takins from ENT and Patients age limit between 18 to 50 years, educational status was primary, metric and above, OPD patients, inpatients were included. Data were gathered using a standardized questionnaire on the evaluation of tracheostomy self-care. The SPSS version used to enter and evaluate the data. 21.0. The Chi-square test was used to determine whether there was a significant relationship between the patients; a p-value of 0.05 was deemed significant. Results: Total 34 participants enrolled in current study. 37.1% were 41 -50 years old. 60% of participant’s were male. Majority (76.4%) of the patients have poor self-care knowledge regarding tracheostomy care. Only 14.7% patients gave good self-care knowledge. majority of participant’s responses haven poor self-care. The older patients 41 to 50 years, female and primary education patients have poor self-care knowledge.  Conclusions: After tracheostomy procedure it is very important to maintain self-care and avoid to infection. It is concluded from this study that self-care not good on their evaluation, education intervention to enhance on self-care and reduced the level of anxiety for patients with tracheostomy at home.

References

Yu M. Tracheostomy patients on the ward: multiple benefits from a multidisciplinary team?. Critical Care. 2010 Feb; 14: 1-2. doi: 10.1186/cc8218

Xu L, El-Jawahri AR, Rubin EB. Tracheostomy Decision-making Communication among Patients Receiving Prolonged Mechanical Ventilation. Annals of the American Thoracic Society. 2021 May; 18(5): 848-56. doi: 10.1513/AnnalsATS.202009-1217OC

Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer SC, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2016 Jun; 47(6): e98-169. doi: 10.1161/STR.0000000000000098

Dawson D. Essential principles: tracheostomy care in the adult patient. Nursing in Critical Care. 2014 Mar; 19(2): 63-72. doi: 10.1111/nicc.12076

Zenk J, Fyrmpas G, Zimmermann T, Koch M, Constantinidis J, Iro H. Tracheostomy in young patients: indications and long-term outcome. European Archives of Oto-rhino-Laryngology. 2009 May; 266: 705-11. doi: 10.1007/s00405-008-0796-4

de Trey L, Niedermann E, Ghelfi D, Gerber A, Gysin C. Pediatric tracheotomy: a 30-year experience. Journal of Pediatric Surgery. 2013 Jul; 48(7): 1470-5. doi: 10.1016/j.jpedsurg.2012.09.066

Sakai M, Kou YF, Shah GB, Johnson RF. Tracheostomy demographics and outcomes among pediatric patients ages 18 years or younger—United States 2012. The Laryngoscope. 2019 Jul; 129(7): 1706-11. doi: 10.1002/lary.27463

Brenner MJ, Pandian V, Milliren CE, Graham DA, Zaga C, Morris LL, et al. Global Tracheostomy Collaborative: data-driven improvements in patient safety through multidisciplinary teamwork, standardisation, education, and patient partnership. British Journal of Anaesthesia. 2020 Jul; 125(1): e104-18. doi: 10.1016/j.bja.2020.04.054

Sherlock ZV, Wilson JA, Exley C. Tracheostomy in the acute setting: patient experience and information needs. Journal of Critical care. 2009 Dec; 24(4): 501-7. doi: 10.1016/j.jcrc.2008.10.007

Hashmi NK, Ransom E, Nardone H, Redding N, Mirza N. Quality of life and self-image in patients undergoing tracheostomy. Laryngoscope. 2010 Jan; 120(4): 196. doi: 10.1002/lary.21663

Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. The Patient-Patient-Centered Outcomes Research. 2018 Apr; 11: 175-91. doi: 10.1007/s40271-017-0277-1

Newman H, Clunie G, Wallace S, Smith C, Martin D, Pattison N. What matters most to adults with a tracheostomy in ICU and the implications for clinical practice: a qualitative systematic review and metasynthesis. Journal of Critical Care. 2022 Dec; 72: 154145. doi: 10.1016/j.jcrc.2022.154145

Jeon YT, Hwang JW, Lim YJ, Lee SY, Woo KI, Park HP. Effect of tracheostomy timing on clinical outcome in neurosurgical patients: early versus late tracheostomy. Journal of Neurosurgical Anesthesiology. 2014 Jan; 26(1): 22-6. doi: 10.1097/ANA.0b013e31829770a0

Casserly P, Lang E, Fenton JE, Walsh M. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. British Journal of Anaesthesia. 2007 Sep; 99(3): 380-3. doi: 10.1093/bja/aem167

Jotic AD, Milovanovic JP, Trivic AS, Folic MM, Krejovic-Trivic SB, Radin ZZ, et al. Predictors of Complications Occurrence Associated with Emergency Surgical Tracheotomy. Otolaryngology–Head and Neck Surgery. 2020 Aug; 164(2): 346–52. doi: 10.1177/0194599820947001

Qadir MB. A study to assess the impact of structured teaching programme on knowledge regarding tracheostomy care among staff nurses working in selected hospital of Kashmir. International Journal Nursing Research. 2018; 4: 29-35.

Dhaliwal MK, Choudhary R, Sharma P. A Descriptive Study to assess the knowledge and skills on tracheostomy care among staff nurses working in selected hospitals of district Mohali, Punjab. Asian Journal of Nursing Education and Research. 2018 Jul; 8(2): 242-6. doi: 10.5958/2349-2996.2018.00049.6

McDonough K, Crimlisk J, Nicholas P, Cabral H, Quinn EK, Jalisi S. Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care. Applied Nursing Research. 2016 Nov; 32: 212-6. doi: 10.1016/j.apnr.2016.08.003

McCormick ME, Ward E, Roberson DW, Shah RK, Stachler RJ, Brenner MJ. Life after tracheostomy: patient and family perspectives on teaching, transitions, and multidisciplinary teams. Otolaryngology–Head and Neck Surgery. 2015 Dec; 153(6): 914-20. doi: 10.1177/0194599815599525

Meister KD, Pandian V, Hillel AT, Walsh BK, Brodsky MB, Balakrishnan K, et al. Multidisciplinary safety recommendations after tracheostomy during COVID-19 pandemic: state of the art review. Otolaryngology–Head and Neck Surgery. 2021 May; 164(5): 984-1000. doi: 10.1177/0194599820961990

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Published

2023-01-31
CITATION
DOI: 10.54393/pjhs.v4i01.527
Published: 2023-01-31

How to Cite

Rasool, G. ., Adnan yaqoob, M. ., & Sarwar, H. . (2023). Evaluation of Tracheostomy Care Self-Care Knowledge Among Adult Patients with Permanent Tracheostomy: Knowledge among Patients with Permanent Tracheostomy. Pakistan Journal of Health Sciences, 4(01), 202–205. https://doi.org/10.54393/pjhs.v4i01.527

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