KMID : 1004620110170030329
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Clinical Nursing Research 2011 Volume.17 No. 3 p.329 ~ p.339
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Development and Evaluation of a Self-Management Program for Tracheostomy Tube Management for Homecare Client: Focus on Caregivers
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Ma Cho-Won
Lee Joo-Youn
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Abstract
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Purpose: The purpose of this research was to develop and train caregivers in tracheostomy tube care using a self-management program to assist patients with an ¡®at home¡¯ tracheostomy procedure. Caregivers¡¯ self-efficacy and knowledge of tracheostomy management before and after the training was also identified.
Methods: Research participants were the main caregivers for patients with tracheostomies who were affiliated with a ¡®Home Healthcare Center¡¯. Training and observation were done at ¡®A Hospital¡¯ and ¡®G Hospital¡¯ both affiliated with ¡®K University¡¯ in Seoul. Data were collected from May 3, 2010 to January 25, 2011 and analyzed using Wilcoxon signed rank test with SPSS program version 12.0.
Results: Significant differences were found for the pre and post evaluation of the ¡®self-management program¡¯ for the implementation of tracheostomy care. The development and implementation of the ¡®self-management program¡¯ improved the main caregivers¡¯ knowledge of tracheostomy tube management (Z=-3.599, p<.001).
Conclusion: Results show that this program has identified an effective nursing intervention for promoting the caregivers¡¯ knowledge of tracheostomy care and self-efficacy. We recommend that further research should be done to test primary caregivers¡¯ maintenance of knowledge and self-efficacy in tracheostomy tube management and identify factors affecting knowledge and self-efficacy in the care of these patients.
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KEYWORD
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Tracheostomy tube, Homecare client, Self-management program, Knowledge, Self-efficacy
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