Ya-Ting Ai1, Hui Hu2, Chong-Ming Yang3, Xuan Zhou4, Xiao-Ying Yang4, Hai-Rong Ren4, Yi-Yan Huang5. 1. School of Nursing, Hubei University of Chinese Medicine, Wuhan, China. 2. School of Nursing, Hubei University of Chinese Medicine, Wuhan, China. zhongyi90@163.com. 3. Research Support Center, Brigham Young University, Provo, USA. 4. Department of Hematology, Wuhan University Renmin Hospital, Wuhan, China. 5. School of Health Sciences, Wuhan University, Wuhan, China.
Abstract
OBJECTIVE: A peripherally inserted central catheter (PICC) needs regular care. However, clinical observations found that some discharged leukemia patients in mainland China had not complied with the requirement of regular care. Our study aims to explore the facilitators and hindrances of regular cares of PICC in leukemia patients with the Colaizzi phenomenon analysis. METHODS: This qualitative report used the descriptive phenomenological method to collect information and was conducted in accordance with the COREQ checklist. By purposive sampling, 11 leukemia patients with PICC were selected and interviewed in the Department of Hematology of a first-class hospital in Wuhan (central China). The interviews were conducted from March 2016 to May 2017. RESULTS: Two facilitators for PICC care were extracted through interviews, including fear of nosocomial infection and convenience for treatment. Eleven hindrances were summarized, including high costs, unavailability of local services, worries about affecting family members, a lack of health awareness, inconvenient transportations, fluke minds, physical discomfort, fears of leukemia and chemotherapy, short chemotherapy intervals, damage to appearance, and no insurance coverage of costs. CONCLUSION: Leukemia patients' compliance with PICC care was hindered by several factors. The improvement of PICC care may need joint efforts of patients, nursing professionals, hospitals' managerial staff, and governments.
OBJECTIVE: A peripherally inserted central catheter (PICC) needs regular care. However, clinical observations found that some discharged leukemiapatients in mainland China had not complied with the requirement of regular care. Our study aims to explore the facilitators and hindrances of regular cares of PICC in leukemiapatients with the Colaizzi phenomenon analysis. METHODS: This qualitative report used the descriptive phenomenological method to collect information and was conducted in accordance with the COREQ checklist. By purposive sampling, 11 leukemiapatients with PICC were selected and interviewed in the Department of Hematology of a first-class hospital in Wuhan (central China). The interviews were conducted from March 2016 to May 2017. RESULTS: Two facilitators for PICC care were extracted through interviews, including fear of nosocomial infection and convenience for treatment. Eleven hindrances were summarized, including high costs, unavailability of local services, worries about affecting family members, a lack of health awareness, inconvenient transportations, fluke minds, physical discomfort, fears of leukemia and chemotherapy, short chemotherapy intervals, damage to appearance, and no insurance coverage of costs. CONCLUSION:Leukemiapatients' compliance with PICC care was hindered by several factors. The improvement of PICC care may need joint efforts of patients, nursing professionals, hospitals' managerial staff, and governments.
Entities:
Keywords:
Adult nursing; Chemotherapy; Health education; Health risks; Qualitative study