Archives of Health Science and Research
Original Articles

Evaluation of Home Care Services Given to Medical Technology-Dependent Children That Were Discharged From Intensive Care Unit

1.

İstanbul Tıp Fakültesi Hemşirelik Hizmetleri Müdürlüğü İstanbul Üniversitesi İstanbul Tıp Fakültesi, Hemşirelik Hizmetleri Müdürlüğü Dekanlık Binası Kat:2 Fatih, İstanbul, Türkiye

2.

İstanbul Üniversitesi Sağlık Bilimleri Fakültesi Ebelik Bölümü

3.

İstanbul Üniversitesi İstanbul Tıp Fakültesi Çocuk Yoğun Bakım Bilim Dalı

Arch Health Sci Res 2017; 4: 204-211
DOI: 10.17681/hsp.317005
Read: 2956 Downloads: 1001 Published: 15 December 2019

Aim: To evaluate home care services given to medical technology-dependent children that were discharged from Pediatrics Intensive Care Unit of a university hospital. Material-Method: The research design was a descriptive study. The target population was 42 patients who were discharged from Pediatric Intensive Care Unit in Istanbul University, Istanbul Faculty of Medicine for home care, and the sample was 30 patients who gave consent for the study. Researchers obtained tha data using the “Data Collection Form”, that was prepared in accordance with the literature. Data collection form; were filled in by the investigators at the time of bringing in the intensive care unit of the patients due to the needs of tracheostomy cannula exchange, nasoduodenal probe replacement etc, or by telephone interview with the families. Results: The mean age in the study group was 85.63±58.40 months, and 56.7% were male, and 40% were followed-up due to neurologic diseases. All children that were discharged from intensive care unit had tracheostomy, 96.7% of patients used home mechanical ventilator, and 93.3% received enteral feeding. Researchers found that 56.7% were rehospitalised in intensive care after discharge from hospital. Although, 86.7% of families applied to home care health services coordination center, only 36.7% received suppport services, and the most services with 23.3% was medical treatment or followup. Researchers found that home care service team did not perform practises such as tracheostomy tube change, tracheostomy tube care, suction, nasogastric/orogastric catheter insertion, urinary catheter insertion, exercises, body care. Researchers found that 93.3% of families reported that irreversible problems would be experienced at home in case of emergencies. Conclusion: Medical technology-dependent children who are discharged from intensive care unit can not benefit enough from home care services teams. The families provide the home care of these patients. The development of home care services for intensive care patients dependent on medical technology may be recommended.

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