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    Determining the Difficulties of Parents with Children in Home Care Who Were Discharged from Intensive Care
    (Galenos Publ House, 2024) Bozkurt, Gulcin; Duzkaya, Duygu Sonmez; Uysal, Gulzade; Yakut, Tulay; Karakul, Atiye
    Introduction: This study was performed to determine the difficulties experienced by parents with children in home care who were discharged from intensive care. Methods: A phenomenological qualitative method was used to determine the difficulties experienced by the parents. The sample of the study consisted of parents (n=22) whose children met the inclusion criteria and needed home care. The data were analyzed in the MAXQDA qualitative data analysis program in accordance with Colaizzi's seven-stage method. Results: The average age of the children in the study group was 85.63 +/- 58.40 months. 56.7% of them were male. 40% of the children were followed up with a diagnosis of neurological disease. All children discharged from the intensive care unit had tracheostomy. 95.4% of them used home-type mechanical ventilators, and 95.3% were fed enterally. In line with the data obtained from the interviews of the parents, it was determined that there were difficulties in terms of feelings about discharge, physical conditions for home care, family relationship, social relationship, difficulty in physical care, inadequacy in support systems and financial status. Conclusion: The home care of children, who are dependent on medical technology and discharged from intensive care, is mostly performed by their families. Children dependent on medical technology should be supported by home care personnel to avoid potential risks.
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    Evaluation of Enteral Nutrition Applications in Pediatric Intensive Care Units in Türkiye
    (Galenos Publ House, 2025) Yakut, Tulay; Duzkaya, Duygu Sonmez; Uysal, Gulzade
    Objective: Enteral nutrition practices in pediatric intensive care units (PICUs) in T & uuml;rkiye and all around the world are mostly performed in accordance with an expert opinion due to the inadequacy of evidence- based practices. Therefore, different approaches are observed in enteral nutrition applications. This research aimed to evaluate the enteral nutrition practices in PICUs in T & uuml;rkiye. Materials and Methods: The research was carried out through the online survey database between February 2021 and June 2021 by reaching 73 out of 93 PICUs according to the 2019 data of the Ministry of Health of the Republic of T & uuml;rkiye. The clinical identification form and the clinic's evaluation form for enteral nutrition practices were prepared by the researcher and expert opinion was taken. The data were analyzed with the SPSS 21.0 program. Results: As a standard, the first preferred method was the gastrointestinal tract (98.6%) followed by the intermittent feeding method (93.2%). The commonly used criteria to evaluate enteral feeding tolerance included gastric residual volume (GRV), vomiting, increased abdominal pressure, and diarrhea. 61.6% of PICUs routinely measured GRV in patients who were on enteral feeding, whereas 31.5% did not routinely measure it but measured GRV only in patients with signs of intolerance. The frequency of GRV measurement was 50.7% in patients who were on intermittent feeding, and it was performed before each feeding. Conclusion: It was determined that the routine GRV control was frequently performed in enterally fed patients in PICUs, and the first preferred enteral feeding method was the intermittent gastric route. However, it is noteworthy that the use of written enteral nutrition protocols in PICU was insufficient. In accordance with these findings, we recommend implementing practices to encourage the use of the enteral nutrition protocol in the PICU.