Percutaneous endoscopic gastrostomy: psychological effects

Area of Science:

• Psychology
• Gastroenterology
• Patient Care

Background:

• Percutaneous endoscopic gastrostomy (PEG) feeding is a medical intervention for nutritional support.
• The psychological impact of long-term medical devices on patients and their families is an area requiring further exploration.
• Understanding the patient and carer experience is vital for holistic care.

Purpose of the Study:

• To explore the psychological effects of PEG feeding on patients.
• To investigate the psychological effects of PEG feeding on carers.
• To identify needs for improved support for patients and carers undergoing PEG feeding.

Main Methods:

• A mixed-methods study combining qualitative exploration with quantitative measurement tools.
• Exploration of psychological well-being in patients receiving PEG feeding.
• Assessment of psychological distress in family members or caregivers of PEG-fed patients.

Main Results:

• Patients experienced significant depression and stress due to lifestyle changes and the underlying disease, despite appreciating nutritional benefits.
• Carers reported high stress levels, particularly when patients experienced significant functional or mental decline.
• A notable need for comprehensive initial information and continuous practical/psychological support for both patients and carers was identified.

Conclusions:

• PEG feeding presents considerable psychological challenges for both patients and their carers.
• The study highlights the necessity of integrated support systems to address the mental health needs associated with PEG feeding.
• Improved information dissemination and ongoing support are critical for enhancing the quality of life for individuals and families navigating PEG feeding.