BACKGROUND: Peripherally inserted central catheters (PICCs) have been used for years in Taiwan, but their broad usage has been restricted by their short durability and complications. OBJECTIVE: The aim of this study was to evaluate the most important factors causing failure of PICCs by comparing 2 periods of retrospectively studied cases before and after we implemented nursing care improvements. METHODS: We analyzed possible factors affecting the length of the insertion period, according to the reasons for catheter withdrawal after insertion, self-care ability, coagulation status, and other factors. We reviewed 2 different periods of PICC insertions at our hospital (133 and 143 cases, respectively) before and after an announcement of nursing educational comprehensive guidelines for post-PICC care. RESULTS: In the first period, the most common complication due to PICC placement was wound oozing (24.7%), followed by infection/phlebitis (9.7%), occlusion (6.7%), and leaking (3.8%). In the second period, comprehensive educational guidelines for post-PICC manipulation were provided. The outcomes of PICC insertions significantly improved from 33.8% in the first period to 64.3% in the second period (odds ratio, 3.53), and the complication rates of persistent oozing (7%), infection (4.2%), and occlusion (2.8%) significantly decreased. CONCLUSIONS: Changes in nursing care provided in the period 2 contributed to improvements in the success rate of PICC. IMPLICATIONS FOR PRACTICE: This is the first study suggesting that cancer nursing practice for PICC could benefit from professional guidelines that reinforce in-service education, strict control of PICC candidates without risk of coagulopathies, and a special nursing care system for patients with poor self-care ability.
BACKGROUND: Peripherally inserted central catheters (PICCs) have been used for years in Taiwan, but their broad usage has been restricted by their short durability and complications. OBJECTIVE: The aim of this study was to evaluate the most important factors causing failure of PICCs by comparing 2 periods of retrospectively studied cases before and after we implemented nursing care improvements. METHODS: We analyzed possible factors affecting the length of the insertion period, according to the reasons for catheter withdrawal after insertion, self-care ability, coagulation status, and other factors. We reviewed 2 different periods of PICC insertions at our hospital (133 and 143 cases, respectively) before and after an announcement of nursing educational comprehensive guidelines for post-PICC care. RESULTS: In the first period, the most common complication due to PICC placement was wound oozing (24.7%), followed by infection/phlebitis (9.7%), occlusion (6.7%), and leaking (3.8%). In the second period, comprehensive educational guidelines for post-PICC manipulation were provided. The outcomes of PICC insertions significantly improved from 33.8% in the first period to 64.3% in the second period (odds ratio, 3.53), and the complication rates of persistent oozing (7%), infection (4.2%), and occlusion (2.8%) significantly decreased. CONCLUSIONS: Changes in nursing care provided in the period 2 contributed to improvements in the success rate of PICC. IMPLICATIONS FOR PRACTICE: This is the first study suggesting that cancer nursing practice for PICC could benefit from professional guidelines that reinforce in-service education, strict control of PICC candidates without risk of coagulopathies, and a special nursing care system for patients with poor self-care ability.
Authors: Salvatore Giacomo Morano; Roberto Latagliata; Corrado Girmenia; Fulvio Massaro; Paola Berneschi; Alfonso Guerriero; Massimo Giampaoletti; Arianna Sammarco; Giorgia Annechini; Angelo Fama; Alice Di Rocco; Antonio Chistolini; Alessandra Micozzi; Matteo Molica; Walter Barberi; Clara Minotti; Gregorio Antonio Brunetti; Massimo Breccia; Claudio Cartoni; Saveria Capria; Giovanni Rosa; Giuliana Alimena; Robin Foà Journal: Support Care Cancer Date: 2015-04-26 Impact factor: 3.603
Authors: Paula Parás-Bravo; María Paz-Zulueta; Raquel Sarabia-Lavin; Francisco Jose Amo-Setién; Manuel Herrero-Montes; Encarnación Olavarría-Beivíde; Mercedes Rodríguez-Rodríguez; Blanca Torres-Manrique; Carlos Rodríguez-de la Vega; Vanesa Caso-Álvarez; Laura González-Parralo; Francisco Manuel Antolín-Juárez Journal: PLoS One Date: 2016-09-02 Impact factor: 3.240
Authors: Kija Malale; Jili Fu; William Nelson; Helena Marco Gemuhay; Xiuni Gan; Zhechuan Mei Journal: J Med Internet Res Date: 2020-12-10 Impact factor: 5.428