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Western Journal of Nursing Research
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A Comparative Longitudinal Study of Gastrostomy Devices in Children

Sally E. Thorne

University of British Columbia School of Nursing

M. Janice Radford

Sunny Hill Centre for Children, Vancouver, British Columbia

Judee E. Onyskiw, R.N., M.N.

Faculty of Nursing University of Alberta

Rene A. Day, R.N., Ph.D.

Faculty of Nursing University of Alberta

Long-term gastrostomy is a predictable intervention to ameliorate the effects offeeding and swallowing difficulties among children with severe spastic cerebral palsy. The evidence evaluating the efficacy and implications of the available gastrostomy devices in common use has focused primarily on the operative phase, ignoring the long-term effects that may be critical from a nurse's orfamily caregiver's point of view. In this study, the authors describe a sample of children with gastrostomy, comparing skin-level and tube devices on measures of nutritional outcome, complications, and caregiver satisfaction. In contrast to manufacturer's claims about the superiority of skin-level devices, the results presented here reveal few differences between the devices. The authors conclude, therefore, that device selection should be determined by individualized comprehensive assessment of the child andfamily circumstances.

Western Journal of Nursing Research, Vol. 20, No. 2, 145-165 (1998)
DOI: 10.1177/019394599802000202
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