Factors Influencing Long term Home Care for Patients with Tracheostomy from the Perspectives of their Family Members

Reyhane Babanataj, Negin Masoudi Alavi, Maryam Shoja

Abstract


Background: Family caregivers are the principal caregivers of patients with tracheostomy and can reduce the risk of re‑hospitalization through giving quality care to their patients. Caregiving to patients with tracheostomy is a complex process influenced by many different factors. However, there are inadequate data about these factors, and hence, this study aimed at exploring the factors influencing long‑term home care for patients with tracheostomy from the perspectives of their family caregivers. Materials and Methods: We conducted this descriptive qualitative study in 2023–2024. Participants were nine family caregivers, one patient with a tracheostomy history of three years, a home care nurse, and an anesthesiologist purposefully selected from Mazandaran, Iran. Data were collected through 12 in‑depth semi‑structured interviews and were analyzed through conventional content analysis. The criteria proposed by Lincoln and Guba were used to ensure trustworthiness. Results: The three main categories of the factors influencing long‑term home care for patients with tracheostomy were healthcare system dysfunction, challenges of tracheostomy care, and effective management of tracheostomy care. These three categories had 13 subcategories. Conclusions: Careful attention to the special needs of patients with tracheostomy, close collaboration among healthcare professionals and family caregivers, and development of a strong support network are essential to reduce the challenges and complications of home‑based caregiving to patients with tracheostomy.

 


Keywords


Family caregivers, home care services, qualitative research, tracheostomy

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References


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