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

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dc.authoridYüksel Kalyoncu, Mine/0000-0002-4594-2822
dc.authoridOnay, Zeynep Reyhan/0000-0002-1251-6720
dc.authoridKilic Baskan, Azer/0000-0002-7600-7909
dc.authoridUzuner, Selcuk/0000-0002-7133-5452
dc.authoridBilgin, Gulay/0000-0001-6207-3748
dc.authoridmavi, deniz/0000-0002-9134-5658
dc.authorwosidYILMAZ YEĞİT, CANSU/AGT-7753-2022
dc.authorwosidYüksel Kalyoncu, Mine/JNE-9438-2023
dc.authorwosidOnay, Zeynep Reyhan/AAM-5378-2020
dc.authorwosidBilgin, Gulay/JRX-4289-2023
dc.contributor.authorBilgin, Gulay
dc.contributor.authorUnal, Fusun
dc.contributor.authorYanaz, Muruvvet
dc.contributor.authorBaskan, Azer K. I. L. I. C.
dc.contributor.authorUzuner, Selcuk
dc.contributor.authorAyhan, Yetkin
dc.contributor.authorOnay, Zeynep Reyhan
dc.date.accessioned2024-05-19T14:39:51Z
dc.date.available2024-05-19T14:39:51Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
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.en_US
dc.description.sponsorshipThe authorapos;s have nothing to report.en_US
dc.description.sponsorshipThe author & apos;s have nothing to report.en_US
dc.identifier.doi10.1002/ppul.26749
dc.identifier.endpage341en_US
dc.identifier.issn8755-6863
dc.identifier.issn1099-0496
dc.identifier.issue2en_US
dc.identifier.pmid37983721en_US
dc.identifier.scopus2-s2.0-85177197169en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage331en_US
dc.identifier.urihttps://doi.org10.1002/ppul.26749
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4859
dc.identifier.volume59en_US
dc.identifier.wosWOS:001107365900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofPediatric Pulmonologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectCaregiveren_US
dc.subjectLong-Term Outcomeen_US
dc.subjectTracheostomyen_US
dc.subjectTrainingen_US
dc.titleLong-term outcomes of standardized training for caregivers of children with tracheostomies: The IStanbul PAediatric Tracheostomy (ISPAT) projecten_US
dc.typeArticleen_US

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