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Nasogastric Tube Feeding Experiences in Pediatric Oncology Patients and Their Mothers: A Qualitative Study

Derya Hopanci Bicakli1, Hatice Yildirim Sari, Medine Yilmaz

  • 1Derya Hopanci Bıcakli, RD, PhD, Pediatric Oncology Department, Ege University Medical Faculty Hospital, Bornova, Izmir, Turkey. Hatice Yildirim Sari, PhD, RN, is Professor, Nursing Department, Faculty of Health Sciences, Izmir Katip Celebi University, Cigli, Izmir, Turkey. Medine Yilmaz, RN, is Associate Professor, Nursing Department, Faculty of Health Sciences, Izmir Katip Celebi University, Cigli, Izmir, Turkey. Nazan Cetingul, MD, is Professor, Pediatric Oncology Department, Ege University Medical Faculty Hospital, Bornova, Izmir, Turkey. Mehmet Kantar, MD, is Professor, Pediatric Oncology Department, Ege University Medical Faculty Hospital, Bornova, Izmir, Turkey.

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
|May 31, 2019
PubMed

Insights

Children and mothers experience physical, psychospiritual, sociocultural, and environmental factors during nasogastric tube feeding in pediatric oncology. Understanding these views is crucial for improving comfort and care during enteral nutrition.

Area of Science:

  • Pediatric Oncology
  • Clinical Nutrition
  • Qualitative Research

Background:

  • Nasogastric tube feeding is a primary nutrition delivery method in pediatric oncology.
  • Understanding patient and caregiver experiences is vital for optimizing care.
  • Kolcaba's Comfort Theory provides a framework for analyzing experiences.

Purpose of the Study:

  • To explore children's and mothers' views and experiences with nasogastric tube feeding.
  • To identify key factors influencing comfort during this feeding method in pediatric oncology.

Main Methods:

  • Qualitative research design.
  • Study conducted at a university pediatric oncology inpatient service.
  • Data collected from three children and 14 mothers, analyzed using content analysis based on Kolcaba's Comfort Theory.

Main Results:

  • Physical themes: oral feeding inability, tube intervention, feeding comfort, medication, and satisfaction.
  • Psychospiritual themes: anxiety, fear, body image distortion, and compliance.
  • Sociocultural themes: feeding conflicts and advice; Environmental themes: feeding freedom.

Conclusions:

  • Nasogastric tube feeding involves multifaceted physical, psychospiritual, sociocultural, and environmental aspects for children and mothers.
  • Gastroenterology professionals should offer counseling on weight management and enteral nutrition importance.
  • Addressing these themes can enhance patient comfort and care quality in pediatric oncology.

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