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Long-term outcomes of standardized training for caregivers of children with tracheostomies: The IStanbul PAediatric Tracheostomy (ISPAT) project

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dc.contributor.authorERGENEKON, ALMALA PINAR
dc.contributor.authorGÖKDEMİR, YASEMİN
dc.contributor.authorKARADAĞ, BÜLENT TANER
dc.contributor.authorsBilgin G., ÜNAL F., Yanaz M., Baskan A. K. I. L. I. C., Uzuner S., Ayhan Y., Onay Z. R., Kalyoncu M., Tortop D. M. A. V. I., Arslan H., et al.
dc.date.accessioned2023-11-27T08:48:03Z
dc.date.available2023-11-27T08:48:03Z
dc.date.issued2023-01-01
dc.description.abstractBackground and Objectives: Children with tracheostomies are at increased risk of tracheostomy-related complications and require extra care. Standardized training programs for caregivers can improve tracheostomy care and reduce complications. In this study, we compared caregiver knowledge and skill scores after a standardized theoretical and practical training program on tracheostomy care (IStanbul PAediatric Tracheostomy (ISPAT) project) immediately and 1 year post-training and evaluated how this training affected the children\"s clinical outcomes. Materials and Methods: We included 32 caregivers (31 children) who had received standardized training a year ago and administered the same theoretical and practical tests 1 year after training completion. We recorded tracheostomy-related complications and the number and reasons for admission to the healthcare centers. All data just before the training and 1 year after training completion were compared. Results: After 1 year of training completion, the median number of correct answers on the theoretical test increased to 16.5 from 12 at pretest (p < 0.001). Compared with pretest, at 1-year post-training practical skills assessment scores, including cannula exchange and aspiration, were significantly higher (both p < 0.001) and mucus plug, bleeding, and stoma infection reduced significantly (p = 0.002, 0.022, and 0.004, respectively). Hands-on-training scores were better than pretest but declined slightly at 1 year compared to testing immediately after training. Emergency admission decreased from 64.5% to 32.3% (p = 0.013). Hospitalization decreased from 61.3% to 35.5% (p = 0.039). Conclusion: Our findings indicate that caregiver training can lead to a persistent increase in knowledge and skill for as long as 1 year, as well as improvements in several measurable outcomes, although a slight decrease in scores warrants annual repetitions of the training program.
dc.identifier.citationBilgin G., ÜNAL F., Yanaz M., Baskan A. K. I. L. I. C., Uzuner S., Ayhan Y., Onay Z. R., Kalyoncu M., Tortop D. M. A. V. I., Arslan H., et al., "Long-term outcomes of standardized training for caregivers of children with tracheostomies: The IStanbul PAediatric Tracheostomy (ISPAT) project", Pediatric Pulmonology, 2023
dc.identifier.doi10.1002/ppul.26749
dc.identifier.issn8755-6863
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85177197169&origin=inward
dc.identifier.urihttps://hdl.handle.net/11424/295150
dc.language.isoeng
dc.relation.ispartofPediatric Pulmonology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectÇocuk Sağlığı ve Hastalıkları
dc.subjectGöğüs Hastalıkları ve Allerji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectChild Health and Diseases
dc.subjectChest Diseases and Allergy
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectSOLUNUM SİSTEMİ
dc.subjectPEDİATRİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectRESPIRATORY SYSTEM
dc.subjectPEDIATRICS
dc.subjectPediatri, Perinatoloji ve Çocuk Sağlığı
dc.subjectAkciğer ve Solunum Tıbbı
dc.subjectPediatrics, Perinatology and Child Health
dc.subjectPulmonary and Respiratory Medicine
dc.subjectcaregiver
dc.subjectlong-term outcome
dc.subjecttracheostomy
dc.subjecttraining
dc.titleLong-term outcomes of standardized training for caregivers of children with tracheostomies: The IStanbul PAediatric Tracheostomy (ISPAT) project
dc.typearticle
dspace.entity.typePublication
local.avesis.id741e8575-b80b-4220-b37a-0a1021979253
local.indexed.atPUBMED
local.indexed.atSCOPUS
relation.isAuthorOfPublicationbc6a7301-a423-4df5-b9e7-a564821dd281
relation.isAuthorOfPublication33d10238-6955-4a99-8e91-79975cc5200e
relation.isAuthorOfPublication218b489d-97ab-49dd-9db6-0c2a732f1999
relation.isAuthorOfPublication.latestForDiscoverybc6a7301-a423-4df5-b9e7-a564821dd281

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