Perceived Needs of Patients and Family Caregivers Regarding Home-based Enteral Nutritional Therapy in South Africa: A Qualitative Study

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2020 Feb 13

PMID 32049983

Citations 2

Authors

Nomaxabiso Mildred Mooi

Busisiwe Purity Ncama

Affiliations

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Abstract

Introduction: The need for specialized care, particularly enteral nutritional therapy in community settings is now increasing with implications for both patients and primary care providers. More research is needed to identify the needs of patients and primary caregivers. The study aimed to explore the perceived support needs regarding the provision of home-based enteral nutritional therapy among critically ill adult patients and family caregivers in the KwaZulu-Natal Province of South Africa.

Methods: A qualitative study of purposely selected adult patients on homebased enteral nutritional therapy and family caregivers was conducted in a district hospital, a community health centre, two primary health care clinics and selected households in the KwaZulu-Natal Province, South Africa. Semi-structured individual interviews were conducted between June and September 2018 and the content analysis approach was used to analyse data.

Results: Two major themes and five subthemes emerged from the results of the interviews. The major themes concerned socioeconomic and psychosocial support needs related to the provision of home-based enteral nutritional therapy. Subthemes included the need for financial assistance, need for enteral nutrition products and supplementary supplies, need for infrastructure for continuity of care, and psychological support needs.

Conclusion: Results of this study confirm the need for developing strategies adapted to a South African context and yonder to meet patients' and family caregivers' needs with regard to nutritional services. More research on the identification of needs through monitoring and evaluation of the implementation of nutritional guidelines is needed, particularly in the district hospital and primary health care (PHC) setting.

Citing Articles

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Experiences and needs of home caregivers for enteral nutrition: A systematic review of qualitative research.

Mou J, Sun J, Zhang R, Yang Y, Yang W, Zhao X Nurs Open. 2021; 9(1):11-21.

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