Korean J Adult Nurs.  2014 Oct;26(5):592-602. 10.7475/kjan.2014.26.5.592.

The Phenomenological Study on the Experiences of Nasogastric Tube Feeding among Cerebral Stoke Patients with Dysphagia

• Kim JY
• Lee YW
• Cho EY
• Kang HW

• KMID: 2298171
• DOI: http://doi.org/10.7475/kjan.2014.26.5.592

Abstract

PURPOSE
This study was to provide understanding about the meaning of nasogastric tube feeding experiences by the cerebral stoke patients with dysphagia.
METHODS
Data were collected through a face to face interview from five cerebral stroke patients who had dysphagia along with a nasogastric tube insertion. The contents of the interviews were analyzed using the hermeneutics phenomenological method developed by van Manen.
RESULTS
The experience of having a nasogastric tube was not only limited to physical problems but also was linked to other psychological problems. Many patients reported that they tolerated the nasogastric tube in order to overcome the stroke along with the desire to eventually take food orally. The essential themes associated with the experience of nasogastric tube insertion were: "The loss of pleasure from food", "The loss of human relationship from surrounding table", "Cower and shrink from the different appearance to others" and "Acceptance for life in painful experiences".
CONCLUSION
This study would highlights the importance of not only physical focused care but also psychological and social aspects. Therefore, nurses should consider all factors when providing nursing care to stroke patient with nasogastric tube feeding.

MeSH Terms

Deglutition Disorders*
Enteral Nutrition*
Humans
Intubation, Gastrointestinal
Nursing Care
Pleasure
Qualitative Research
Stroke

Reference

Brillat-Savarin J. A.2004. Physiologie du gout. Hong S. H., editorSeoul: Renaissance;(Original work published 1825).

Brotherton A.., Abbott J.., Aggett P.2006. The impact of percutaneous endoscopic gastrostomy feeding upon daily life in adults. The British Dietetic Association. 19:355––367. http://dx.doi.org/10.1111/j.1365-277X.2006.00712.x/full.

Choi J. Y.., Jang K. S.., Hwang S. Y.2002. A comparison on nursing effects after the improvement of nasogastric tube feeding method. Journal of Korean Academy of Nursing Administration. 8(4):645––654.

Choi K. B.., Mo H. S.., Kim J. S.2009. Survey of oral health care practices for intubated patients by intensive care unit nurses. Nursing Science. 21(1):1––12.

Coelho P.2014. Adultery. Min E. Y., editorSeoul: Munhak-dongne;(Original work published 2014).

Daniels S. K.., Ballo L. A.., Mahoney M. C.., Foundas A. L.2002. Clinical predictors of dysphagia and aspiration risk: Outcome measures in acute stroke patients. Archieves of Physchological Medical Rehabilitation. 81(8):1030––1033. http://dx.doi.org/10.1053/apmr.2000.6301.

Dennis M. S.., Lewis S. C.., Warlow C.2005. Effect of timing and method of enteral tube feeding for dysphagic stroke patients. Lancet. 365:764––772.

Fortinash K. M.., Worret H.2000. Psychiatric mental health nursing. Philadelphia: Mosby, Inc.

Jung M. K.., Choi H. S.., Park K. Y.2012. Effects of postoperative oral care using cold therapy on nausea, vomiting and oral discomfort in patients with laparascopic myomectomy. Journal of Korean Academy of Fundamental Nursing. 19(3):292––301.

Kenneth B.2007. Food in painting: From the renaissance to the present. Nam K. T., editorSeoul: Wisdom House;(Original work published 2004).

Kim N. H.., Kwon Y. S.., Kim M. A.., Lee K. H.., Kwak H. W.2011. Study on the nutritional status, symptoms, and information needs in stroke patients with dysphasia. Journal of Korean Biological Nursing Science. 13(1):72––80.

Kim S. S.2012. Food ethics approach to Korean food proverbs. Journal of the Korean society of food culture. 27(2):157––172.

Laccetti M.2007. Expressive writing in women with advanced breast cancer. Oncology Nursing Forum. 34:1019––1024. http://dx.doi.org/10.1188/07.ONF.1019-1024.

Liley A. J.., Manthorpe J.2003. The impact of home enteral tube feeding in everyday life: A qualitative study. Health and Social Care in the Community. 11(5):415––422. http://dx.doi.org/10.1046/j.1365-2524.2003.00444.x.

Lincoln Y. S.., Guba E. G.1985. Effective evaluation. 4th edition. San Francisco: Jossey & Bass Publication.

Low C. A.., Stanton A. L.., Bower J. E.., Gyllenhammer L.2010. A randomized controlled trial of emotionally expressive writing for women with metastatic breast cancer. Health Psychology. 29(4):460––466. http://dx.doi.org/10.1037/a0020153.

Merkle H.2005. Body pleasure on the table. Shin H. W., editorSeoul: Yoldaerim;(Original work published 2001).

Merriam S. B.2009. Qualitative research: A guide to designed implementation. California: Jossey-Boss.

Mintz S. W.1998. Sweetness and power. Kim M. H., editorSeoul: Jiho;(Original work published 1886).

Naver Korean Dictionary. 2012. Retrieved June 10, 2014. from. http://dic.naver.com/.

Noles S. W.., Cash T. F.., Winstead B. A.1985. Body image, physical attractiveness, and depression. Journal of Consulting and Clinical Psychology. 53(1):88––94.

Park J. H.2009. Everyday life and food. Paju: Hanulbooks.

Park M. S.., Kim J. H.., Kwak C. Y.2008. A study on the incidence of diarrhea according to the density of nutrients formulations in nasogastric tube-feeding patients. Journal of Korean Biological Nursing Science. 10(2):105––112.

Penner J. L.., McClement S.., Lobchuk M.., Daeninck P.2012. Family members' experiences caring for patients with advanced head and neck cancer receiving tube feeding. Journal of Pain and Symptom Management. 44(4):563––571.

Perry L.., Love C. P.2001. Screening for dysphagia and aspiration in acute stroke: A systemic review. Dysphagia. 16(7):7––18. http://dx.doi.org/10.1007/PL00021290.

Rickman J.1998. Percutaneous endoscopic gastrostomy: Psychological effects. British Journal of Nursing. 7(12):723––729.

Robinson R. G.2006. The clinical neuropsychiatry of stroke. 2nd ed.Cambridge: Cambridge University Press.

Spalding K.., McKeever P.1998. Mother's experience caring for children with disabilities who require a gastrostomy tube. Journal of Pediatric Nursing. 13(4):234––243. http://dx.doi.org/10.1016/S0882-5963(98)80050-X.

Spalletta G.., Guida G.., De Angelis D.., Caltagirone C.2002. Predictors of cognitive level and depression severity are different in patients with left and right hemispheric stroke within the first year of illness. Journal of Neurology. 249:1541––1551. http://dx.doi.org/10.1007/s00415-002-0885-z.

Van Manen M.2000. Researching lived experience. Shin K. R., editorSeoul: Hyunmunsa;(Original work published 1990).