Informal care in patients receiving home parenteral nutrition
Objective: To measure the time that caregivers spend on tasks related to providing care to their child with IF receiving home parenteral nutrition (PN).
Methods: An exploratory cross-sectional study of caregivers of children with IF on long-term PN followed by our intestinal rehabilitation program. Caregivers completed a daily diary of care-related tasks. Data was analyzed using descriptive statistics. Exploratory models were completed to evaluate factors that influenced the amount of time that caregivers spent providing care. SAS University Edition 2018 (Cary, NC) was used for data analysis with a p-value of <0.05 considered significant.
Results: Thirty-four caregivers of children with IF consented with response rates of 85%. The mean age of the primary caregiver was 37 years (sd=7.9) with 97% being the child’s mother. The median PN exposure was 1239 days (IQR=432-3012). Caregivers reported a median of 29.2 hours (IQR=20.8-45.7) per week of direct medical care. The majority of time was spent on providing PN and care of the central venous catheter (6.1 hours, IQR=5.2-8.8).
Conclusion: Caregivers of children with IF on long-term PN provide a significant amount of care to ensure their child remains healthy at home. The most significant amounts of time were spent on the administration of the PN and care of the CVC.
Belza C, Ungar WJ, Avitzur Y, Stremler R, Fehlings D, Wales PW. Carrying the Burden: Informal Care Requirements by Caregivers of Children with Intestinal Failure Receiving Home Parenteral Nutrition. J Pediatr. 2022 Jun 1:S0022-3476(22)00515-7. doi: 10.1016/j.jpeds.2022.05.049. Epub ahead of print. PMID: 35660493.