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• W2265895339 abstract "Percutaneous endoscopic gastrostomy (PEG) is now widely used for long-term enteral feeding in long-term care and community settings. However, regional variations exist in the acceptability of PEG tube feeding with long-term nasogastric feeding still commonplace in many Asian nations.To evaluate the evidence relating to attitudes towards PEG feeding and to determine potential barriers to the acceptance of PEG tube feeding.We searched Ovid MEDLINE, EMBASE, the Cochrane Library, Web of Science and CINAHL databases using the terms “PEG”, “percutaneous endoscopic gastrostomy”, “enteral feeding”, “attitude”, “perception” and “opinion”. We included qualitative and quantitative studies which quality of studies was assessed with the Alberta checklists.From 981 articles, 17 articles were included in the final analysis. Twelve qualitative and four quantitative studies were considered of good quality except for one quantitative study which was considered of moderate quality. Seven of the 14 studies reported positive attitudes towards PEG. Factors influencing the choice of PEG feeding included financial problems, lack of information given to patients and carers, lack of competency and skills, and knowledge among healthcare professionals (HCPs). In terms of barriers, three major themes were identified: lack of choice, confronting mortality and weighing alternatives.Only half of our articles reported positive perceptions towards PEG feeding. Acceptance of PEG feeding is influenced by financial factors, knowledge of HCPs and client involvement in decision-making. The themes identified in our systematic review will guide the development of interventions to alter the current attitudes and barriers towards PEG tube feeding." @default.
• W2265895339 created "2016-06-24" @default.
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• W2265895339 date "2015-12-18" @default.
• W2265895339 modified "2023-09-26" @default.
• W2265895339 title "Systematic Review of Qualitative and Quantitative Studies on Attitudes and Barriers to Percutaneous Endoscopic Gastrostomy Feeding" @default.
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• W2265895339 doi "https://doi.org/10.1016/j.clnesp.2015.12.002" @default.
• W2265895339 hasPublicationYear "2015" @default.
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