Khdair Ahmad Fareed, Al-Assaf Noor F, Alzoubi Mohammad, Odeh Nada, Samara Dina, Samara Zaid Arafat, AlHammouri Hashim M, Ahmad Tahani, Burayzat Salma, Alqudah Omar, Khamees Nadia, Tamimi Tarek A, Abu Sneineh Awni, Rayyan Yaser
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, School of Medicine, The University of Jordan, Amman 11942, Jordan.
Jordan University Hospital, Amman 11942, Jordan.
Children (Basel). 2025 Jun 21;12(7):813. doi: 10.3390/children12070813.
Gastrostomy tube (GT) placement plays a vital role in managing children with chronic illnesses who are unable to meet their nutritional needs orally. While its clinical benefits are well established, limited data exist on caregivers' satisfaction with GT use in Jordan. This study aimed to assess caregivers' satisfaction and identify factors that influence their experiences by using a validated satisfaction scoring system in which a score greater than 20 indicates a high level of satisfaction. A cross-sectional study was conducted at Jordan University Hospital, including children under 18 years of age who underwent endoscopic GT insertion between July 2017 and December 2024. Caregivers completed the Structured Satisfaction Questionnaire with Gastrostomy Feeding (SAGA-8), and demographic and clinical data were collected. Statistical analyses explored associations between satisfaction levels and patient-, caregiver-, and healthcare-related factors. A total of 46 caregivers participated. The median satisfaction score was 26.1, surpassing the high satisfaction threshold of 20. Overall, 63% of caregivers expressed satisfaction or high satisfaction with GT feeding, and 82.6% were satisfied with the support provided by the healthcare team. Additionally, 69.5% and 65.2% of caregivers reported improvements in their child's nutritional status and overall family well-being, respectively. Notably, 89.1% observed a reduction in feeding time, and 84.8% reported fewer respiratory infections following GT placement. Over half of the caregivers (58.7%) indicated that they would have agreed to earlier GT placement if they had been more aware of its benefits. Caregivers reported high satisfaction with GT use, with scores well above the validated threshold indicating high satisfaction. These findings highlight the positive impact of GT placement on children's health outcomes and family quality of life. Enhancing caregiver education and providing robust healthcare support are crucial to improving the management of children who require GT feeding.
胃造口管(GT)置入对于管理那些无法通过口服满足营养需求的慢性病患儿起着至关重要的作用。尽管其临床益处已得到充分证实,但在约旦,关于照顾者对使用GT的满意度的数据有限。本研究旨在通过使用经过验证的满意度评分系统来评估照顾者的满意度,并确定影响他们体验的因素,其中得分大于20表示高度满意。在约旦大学医院进行了一项横断面研究,纳入了2017年7月至2024年12月期间接受内镜下GT置入的18岁以下儿童。照顾者完成了胃造口喂养结构化满意度问卷(SAGA - 8),并收集了人口统计学和临床数据。统计分析探讨了满意度水平与患者、照顾者及医疗保健相关因素之间的关联。共有46名照顾者参与。满意度得分中位数为26.1,超过了20的高满意度阈值。总体而言,63%的照顾者对GT喂养表示满意或高度满意,82.6%的照顾者对医疗团队提供的支持感到满意。此外,分别有69.5%和65.2%的照顾者报告其孩子的营养状况和家庭整体幸福感有所改善。值得注意的是,89.1%的照顾者观察到喂养时间减少,84.8%的照顾者报告GT置入后呼吸道感染减少。超过一半的照顾者(58.7%)表示,如果他们更了解GT的益处,他们会同意更早进行GT置入。照顾者对使用GT表示高度满意,得分远高于经过验证的高满意度阈值。这些发现凸显了GT置入对儿童健康结局和家庭生活质量的积极影响。加强照顾者教育并提供有力的医疗保健支持对于改善需要GT喂养儿童的管理至关重要。