Living with a peripherally inserted central catheter: the perspective of cancer outpatients-a qualitative study

被引:34
作者
Paras-Bravo, Paula [1 ]
Paz-Zulueta, Maria [1 ]
Santibanez, Miguel [1 ]
Fernandez-de-las-Penas, Cesar [2 ]
Herrero-Montes, Manuel [3 ]
Caso-Alvarez, Vanesa [3 ]
Palacios-Cena, Domingo [2 ]
机构
[1] Univ Cantabria, Dept Nursing, Santander, Spain
[2] Rey Juan Carlos Univ Madrid, Dept Phys Therapy Occupat Therapy Rehabil & Phys, Madrid, Spain
[3] Cantabria Hlth Serv, Cantabria, Spain
关键词
Catheters; Central venous catheters; Medical oncology; Patients; Qualitative research; CENTRAL VENOUS CATHETER; ACCESS PORTS; PICC; CHEMOTHERAPY; EXPERIENCES; INTERVIEWS; MANAGEMENT; SURVIVAL; CRITERIA; PATIENT;
D O I
10.1007/s00520-017-3815-4
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of this study was to describe the experience of using a peripherally inserted central catheter (PICC) in cancer sufferers receiving outpatient treatment. A qualitative, phenomenological study was performed. Purposeful sampling methods were used. Data collection methods included semi-structured interviews and researcher field notes. Thematic analysis was used to analyze data. The study was conducted following the Consolidated Criteria for Reporting Qualitative Research guidelines. Eighteen patients (61% women, mean age 58 years) participated. They spent a mean duration of 155 days with the line in place. Two themes were identified with different subgroups. The theme "Living with a PICC line," including the subthemes "Benefits" and "Disadvantages," displays how the implantation is experienced by patients in a dichotomous manner. This highlighted both the beneficial and negative aspects of the implantation. The second theme was "Adapting to life with the catheter" and comprised three subthemes: "Advantages," "Lifestyle modifications," and "Overall assessment of the peripherally inserted central catheter," which shows how patients gradually accept the catheter by adapting their lifestyle. Over time, most patients considered having a PICC line to be a positive experience that they would recommend to other patients, as they found that it did not alter their quality of life. These results can be applied in Oncology Units for developing specific protocols for patients.
引用
收藏
页码:441 / 449
页数:9
相关论文
共 47 条
  • [2] American Cancer Society, 2015, CENTR VEN CATH
  • [3] World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 310 (20): : 2191 - 2194
  • [4] Braun V., 2006, QUAL RES PSYCHOL, V3, P77, DOI [10.1191/1478088706qp063oa, DOI 10.1191/1478088706QP063OA]
  • [5] Cancer Pain (PDQ r), 2016, PDQ SUPP PALL CAR ED
  • [6] Carpenter C., 2008, Qualitative research for occupational and physical therapists. A practical guide
  • [7] Translation and back-translation in qualitative nursing research: methodological review
    Chen, Hsiao-Yu
    Boore, Jennifer R. P.
    [J]. JOURNAL OF CLINICAL NURSING, 2010, 19 (1-2) : 234 - 239
  • [8] Evaluative Criteria for Qualitative Research in Health Care: Controversies and Recommendations
    Cohen, Deborah J.
    Crabtree, Benjamin. F.
    [J]. ANNALS OF FAMILY MEDICINE, 2008, 6 (04) : 331 - 339
  • [9] Qualitative and Mixed Methods Provide Unique Contributions to Outcomes Research
    Curry, Leslie A.
    Nembhard, Ingrid M.
    Bradley, Elizabeth H.
    [J]. CIRCULATION, 2009, 119 (10) : 1442 - 1452
  • [10] Development and initial evaluation of a training program for peripherally inserted central catheter (PICC) placement for radiology residents and technicians
    Dabadie, A.
    Soussan, J.
    Mancini, J.
    Vidal, V.
    Bartoli, J. M.
    Gorincour, G.
    Petit, P.
    [J]. DIAGNOSTIC AND INTERVENTIONAL IMAGING, 2016, 97 (09) : 877 - 882