Publication:

Fear experienced by patients and their caregivers while performing tracheostomy suctioning: a comprehensive review

Tracheostomy suctioning is an essential procedure to prevent airway obstruction, yet it often triggers significant fear and anxiety in both patients and their caregivers. This comprehensive review analyzes the psychological and physical challenges associated with the procedure, drawing from peer-reviewed studies, case reports, and clinical guidelines. Patients frequently report profound fear linked to sensations of choking, breathlessness, pain, and a loss of control, which can contribute to long-term anxiety and depression. Concurrently, caregivers experience intense stress, fearing they might cause harm, complications like hypoxia or infection, or manage the procedure incorrectly due to inadequate training. This shared emotional burden can lead to burnout and negatively impact adherence to care. The findings confirm that fear associated with tracheostomy suctioning has significant psychological and clinical implications. Addressing these concerns through comprehensive caregiver training, patient reassurance, integrated psychological support, and adherence to standardized, gentle techniques is critical. Healthcare providers play a pivotal role in creating a supportive environment that empowers both patients and caregivers, ultimately reducing anxiety and improving the safety and efficacy of tracheostomy care.