EDUCATION FOR THE RESPIRATORY CARE OF CHILDREN WITH TRACHEOSTOMY: A SCOPING REVIEW

Abstract

TYPE: Late Breaking Abstract TOPIC: Education, Research, and Quality Improvement PURPOSE: To examine the available evidence on educational strategies for the respiratory management of children with tracheostomy aimed at caregivers. METHODS: The design is a Scoping Review using the Arksey and O'Malley methodological framework. Documents were reviewed on educational strategies for the care of children with tracheostomy that reported on the modality, frequency or duration of the intervention, effects on the caregiver's skills, and on the health of the caregiver or the child, published in English, Spanish or Portuguese, between 2010–2020. Of the 631 reviewed, 22 documents were included. RESULTS: Most of the studies carried out individual theoretical-practical education, with simulators or real practice assisted by health personnel, the duration ranged between 2 and 13 weeks. Half of the studies reported positive effects on caregiver skills and mental health benefits, especially improvements in stress, anxiety and quality of life. 55% of the studies reported a decrease in tracheostomy-associated complications and 20% a decrease in hospital stay. CONCLUSIONS: The implementation of educational strategies aimed at caregivers of children with tracheostomy reduces complications associated with their care and improves the mental health of caregivers. There is a wide variety in the methodologies used for education, however a consensus is still lacking. CLINICAL IMPLICATIONS: Health education is a prevention strategy that can reduce the risks of complications in patients with tracheostomy, in addition to promoting the mental well-being of the caregiver. This research becomes an input to propose protocols for educational programs aimed at caregivers of children with tracheostomy. DISCLOSURE: No significant relationships. KEYWORD: Education