Background and aims: Dysphagia is common after stroke, so feeding
through a nasogastric (NG) tube may be necessary. These tubes are
frequently dislodged, causing interruption to feeding and hydration,
and potential aspiration of feed or fluids into the lungs. Interventions
to prevent this may include taping tubes to the face; the application
of hand mittens or bandaging patients’ hands; inserting the NG tube
into the nostril on the stroke-affected side; and nasal bridles. The aims
of this survey were to investigate the management of NG feeding for
stroke patients, including current tube confirmation and securing
techniques, and associated nurse education. This was part of a threephased
sequential mixed-methods study. This paper reports on the
second quantitative phase. Methods: A quantitative postal survey, based
on initial qualitative findings, was sent to registered nurses (n=528)
from the National Stroke Nurses Forum and Scottish Stroke Nurses
Forum, in addition to registered nurses working on stroke units
within the local health board. Results: The overall response rate was
59% (n=314/528). Tape was the most commonly used method for
securing tube position, followed by inserting the tube on the strokeaffected
side. Hand mittens were used more frequently than the nasal
bridle; bandaging hands was reported once. Taping was considered to
be more acceptable and safer than hand mittens or the nasal bridle,
but less effective. Training in inserting NG feeding tubes was received
by 56% (n=176/314). Methods used for confirming tube position
included aspiration and X-ray. Provision of training in confirmation
techniques varied. Conclusions: This study shows that the management
of NG feeding for dysphagic stroke patients requires standardisation,
as does the education for nurses to ensure that this intervention is
carried out safely, effectively and acceptably.
Background and aims: Dysphagia is common after stroke, so feedingthrough a nasogastric (NG) tube may be necessary. These tubes arefrequently dislodged, causing interruption to feeding and hydration,and potential aspiration of feed or fluids into the lungs. Interventionsto prevent this may include taping tubes to the face; the applicationof hand mittens or bandaging patients’ hands; inserting the NG tubeinto the nostril on the stroke-affected side; and nasal bridles. The aimsof this survey were to investigate the management of NG feeding forstroke patients, including current tube confirmation and securingtechniques, and associated nurse education. This was part of a threephasedsequential mixed-methods study. This paper reports on thesecond quantitative phase. Methods: A quantitative postal survey, basedon initial qualitative findings, was sent to registered nurses (n=528)from the National Stroke Nurses Forum and Scottish Stroke NursesForum, in addition to registered nurses working on stroke unitswithin the local health board. Results: The overall response rate was59% (n=314/528). Tape was the most commonly used method forsecuring tube position, followed by inserting the tube on the strokeaffectedside. Hand mittens were used more frequently than the nasalbridle; bandaging hands was reported once. Taping was considered tobe more acceptable and safer than hand mittens or the nasal bridle,แต่ ไม่มีผลบังคับใช้ ได้รับการฝึกอบรมในการใส่ NG ที่หลอดอาหาร56% (n = 176/314) วิธีใช้สำหรับการยืนยันตำแหน่งท่อความใฝ่ฝันรวมและเอ็กซ์เรย์ การจัดฝึกอบรมในการยืนยันเทคนิคที่แตกต่างกัน บทสรุป: การศึกษานี้แสดงให้เห็นว่าการจัดการของ NG ให้อาหารสำหรับผู้ป่วยโรคหลอดเลือดสมอง dysphagic ต้องมาตรฐานการศึกษาสำหรับพยาบาลเพื่อให้แน่ใจว่านี้แทรกแซงไม่เป็นดำเนินการอย่างปลอดภัย มีประสิทธิภาพ และ acceptably
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