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Nutrición Hospitalaria

versão On-line ISSN 1699-5198versão impressa ISSN 0212-1611

Resumo

BLANCO-RAMOS, Benjamín  e  GOMEZ-BELLVERT, Nuria. Caregiver burden and reported quality of life in neurological patients with gastrostomy tubes. Nutr. Hosp. [online]. 2023, vol.40, n.3, pp.485-493.  Epub 23-Out-2023. ISSN 1699-5198.  https://dx.doi.org/10.20960/nh.04546.

Objective:

the aim of the study is to determine if the use of home enteral nutrition (HEN) by percutaneous endoscopic gastrostomy (PEG) reduces the burden on the caregiver and improves the patients' quality of life reported by the caregivers.

Material and methods:

a prospective, cross-sectional, descriptive, and observational study of a single cohort of 30 patients was conducted.

Results:

the results showed an improvement in nutritional status and analytical parameters. Fewer admissions (1.50 ± 0.90 vs 0.17 ± 0.38; p < 0.001) and hospital stays were reported at 3 months after gastrostomy (10.2 ± 8.02 days vs 0.27 ± 0.69 days; p < 0.001). The minutes spent by caregivers administering NEDs decreased after PEG placement by 28.5 minutes per feeding, which amounts to almost 150 minutes over a day and 5 feedings per day. In the Zarit questionnaire, there was a reduction of 13.5 points in the perception of overload. A total of 56.6 % of caregivers reported that quality of life had improved “quite a lot”, compared to 6.7 % who reported little improvement, and 36.7 % who reported a lot of improvement. In the QoL-AD questionnaire, a higher score of 3.40 points was obtained.

Conclusion:

the use of HEN by PEG tube reduces the time spent by the caregiver administering EN, which results in a reduced burden. In addition, the quality of life of patients reported by caregivers improved.

Palavras-chave : Home enteral nutrition; Neurodegenerative disease; Percutaneous endoscopic gastrostomy; Nutritional status; Caregiver; Quality of life.

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