Joos Elke, Van Tongelen Inge, Wijnants Karen, Mehuys Els, Van Bocxlaer Jan, Remon Jean Paul, Grypdonck Maria, Van Winckel Myriam, Boussery Koen
Ghent University, Belgium
Ghent University, Belgium.
J Intellect Disabil. 2016 Dec;20(4):329-340. doi: 10.1177/1744629515605943. Epub 2015 Oct 7.
People with profound intellectual disabilities often receive medication through enteral feeding tube (EFT). In a previous study, we found that current guidelines concerning medication preparation and administration through EFT are often not followed in residential care facilities (RCFs) for individuals with intellectual disabilities. The present qualitative study aimed to identify barriers and facilitators experienced by RCF staff members to following guidelines on medication administration via EFT, by conducting focus group interviews. Time constraints, lack of knowledge, lack of clear administration instructions, lack of necessary materials, and limited gastric fluid tolerance in certain residents were identified as barriers to following guidelines. Other influencing factors were the number of staff members, residents, and medications; habits; and the residents' comfort and well-being. To optimize care for this vulnerable patient population with EFT, an intervention can be set up focusing on improving staff members' medication-related knowledge and providing clear administration instructions and the necessary materials.
重度智力残疾患者通常通过肠内喂养管（EFT）接受药物治疗。在之前的一项研究中，我们发现，针对智力残疾人士的住宿护理机构（RCF）往往未遵循当前有关通过EFT进行药物配制和给药的指南。本定性研究旨在通过开展焦点小组访谈，确定RCF工作人员在遵循通过EFT给药指南方面遇到的障碍和促进因素。时间限制、知识缺乏、给药说明不明确、必要材料短缺以及某些居民的胃液耐受性有限被确定为遵循指南的障碍。其他影响因素包括工作人员、居民和药物的数量；习惯；以及居民的舒适度和幸福感。为了优化对这一使用EFT的弱势患者群体的护理，可以开展一项干预措施，重点是提高工作人员与药物相关的知识，并提供明确的给药说明和必要材料。
