The Open Nursing Journal

ISSN: ― Volume ,

Nursing-Based Guidelines for Caregivers regarding Adult Patients with Percutaneous Endoscopic Gastrostomy

Eman Sobhy Elsaid Hussein1, *, Lobna Mohamed Mohamed Abu Negm1
1 Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University, Egypt



Percutaneous Endoscopic Gastrostomy (PEG) may cause complications when the management is inadequate and inappropriate. To avoid these complications, caregivers’ experiences and practices must be considered.

Study Aim:

This study aimed to evaluate the effect of nursing- based guidelines on caregivers’ knowledge and practices regarding adult patients with percutaneous endoscopic gastrostomy.


A quasi-experimental design was used. The study was conducted in the medical and surgical departments in the National Cancer Institute, Cairo University, Egypt. Sample: The sample consisted of 30 patients with PEG and their caregivers. A Structured interviewing questionnaire, Self-Administered Structured Questionnaire for caregiver, Caregiver Performance observation checklist, and PEG-specific questionnaire were obtained for data collection


The majority of studied patients (86.7%) were suffering from oncologic problems, in post-test and following up, the majority (83.3%) of caregivers had satisfactory level (76.7) (90%) (70%) in knowledge, complication and management of PEG, respectively. During follow up, the majority (73.3%) (90%) of caregivers were well level as regarding nutritional management and care of PEG. There were statistically significant differences between pre/post and follow-up nursing-based guidelines for caregivers’ knowledge and practice regarding patients with percutaneous endoscopic gastrostomy. The results show an improvement in the patients outcomes and the level of caregiver coping with the care of PEG and overall Patient satisfaction at (χ2 = 3.844, 4.097) p<0.001


Nursing-based guidelines were helpful in the improvement of the caregiver's knowledge and practice regarding percutaneous endoscopic gastrostomy.


Periodic educational training programs regarding PEG were based on the best practice guidelines for caregivers of those patients.

Keywords: Caregivers, Guidelines, Percutaneous, Endoscopic, Gastrostomy, Nutritional management.

Article Information

Identifiers and Pagination:

Year: 2020
Volume: 14
First Page: 148
Last Page: 158
Publisher Id: TONURSJ-14-148
DOI: 10.2174/1874434602014010148

Article History:

Received Date: 9/3/2020
Revision Received Date: 15/6/2020
Acceptance Date: 16/6/2020
Electronic publication date: 30/07/2020
Collection year: 2020

© 2020 Elsaid Hussein and Mohamed Abu Negm.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Faculty of Nursing, Ain Shams University, Egypt; Tel: 00966583166054; E-mail:

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