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Family Caregivers of Korean Patients on Ventilators at Home: A Penomenological Study

  • Kim, Ki-Ryeon (Department of Nursing, Masan University) ;
  • Kim, Young-Soon (Department of Nursing, Busan Institude of Science and Technology)
  • Received : 2015.01.19
  • Accepted : 2015.01.30
  • Published : 2015.03.31

Abstract

Purpose. This study aimed to explore family caregivers' experiences with ventilator-dependent patients at home. Methods. The number of patients using mechanical ventilators at home is expected to increase and family caregivers must be able to care for them. However, few studies focus on the experiences of family caregivers. We conducted in-depth interviews with 11 family caregivers who cared for a ventilator-dependent patient at home in South Korea. Data were analyzed using phenomenological method of enquiry. Results. Statements generated from the interviews on the meaning of the family caregiver's experiences were organized into 27 themes, 5 theme clusters, and 2 categories. The theme clusters included endurance under the burden situation, role strain as a caregiver, separation from others, trying to find coping methods, and oriental ethnical customs. Family caregivers of patients using domestic mechanical ventilators need systematic education and emotional support to cope with the challenges of managing ventilator equipment and learning new ways of communicating with patients on the ventilators. Conclusion. These findings may contribute to family caregivers' knowledge and competence, thereby allowing them to better support their ventilator-dependent family members.

Keywords

References

  1. Ahn JJ, Lee KM, Shim TS, et al. Survey of current status of the patients with home ventilator in Seoul and Kyunggi Province. Tuberculosis and Respiratory Diseases 2000;49: 624-632. https://doi.org/10.4046/trd.2000.49.5.624
  2. Smith CE, Mayer LS, Perkins SB, Gerald K, Pingleton SK. Caregiver learning needs and reactions to managing home mechanical ventilation. Heart Lung 1994; 23: 157.
  3. Tzu-Ting H, Ji-Ming P. Role adaption of family caregivers for ventilator-dependent patients: transition from respiratory care ward to home. JCN, 2010; 19: 1686-1694.
  4. Sevick M, Bradham DD. Economic value of caregiver effort in maintaining long-term ventilator-assisted individuals at home. Heart Lung 1997; 26: 148-157. https://doi.org/10.1016/S0147-9563(97)90075-3
  5. Scott LD, Arslaman-Engoren C. Caring for survivors of prolonged mechanical ventilation. Home Health Care Management and Practice 2002; 14: 122-128. https://doi.org/10.1177/1084822302014002006
  6. Kim MH, Kim HS, Park JD. Factor influencing readmission of home ventilator - assisted children. CHNR, 2012; 18: 9-18.
  7. Song YE. Nursing needs of the patient on home ventilator. Unpublished master's thesis. Seoul. Ewha Womans University, 2003. P. 1-48.
  8. Kim BH, Kim GJ, Park IS et al. Comparison of Phenomenological Research Methodology : Focused on Giorgi, Colaizzi, Van Kaam Methods JKAN 1999; 29: 1208-1220.