Meta-Synthesis of Physical and Psychological Experiences During PICC Maintenance in Cancer Patients Undergoing Chemotherapy
Abstract
Objective: To explore the real experience of the maintenance of patients with a central venous catheter (PICC) inserted by peripheral venipentesis, and to provide a reference for improving the quality of life of patients with cancer chemotherapy with catheter indentation and regular maintenance. Methods: Qualitative studies on the real experience of patients with PICC catheterization were searched from domestic and foreign databases from the establishment of the database to November 31, 2024, and the meta-integration method was used to integrate and summarize the study results. Results: A total of 10 studies were included, 63 topics were extracted, 9 categories were summarized, and 3 results were integrated. PICC-induced life behavior change, skin stress reaction and economic cost consideration (life disturbance caused by PICC, unpleasant experience caused by film, economic pressure), from patient to nursing: Chain reaction factors of PICC maintenance risk (lax patient self-management, nurses worried about overprotective family members, nursing professional deficiencies, and education gaps): The maintenance and integration results of 3 PICC catheters: the trigger of PICC maintenance risk, multi-factor psychological stress, family nurse support and education difficulties analysis (psychological stress under PICC multi-factor and role transformation during the treatment interval, PICC maintenance experience, family support. Conclusion: During the use of PICC (Peripherally Inserted Central Catheter) for tumor chemotherapy patients, they are faced with issues such as the curling of the dressing. In order to enhance the patients’ treatment effectiveness and quality of life, comprehensive considerations are required. By strengthening the training of nurses, optimizing health education, improving the awareness and compliance of patients and their families, enhancing the maintenance experience, and reducing the economic burden, we can address the numerous problems that occur during the use of PICC.
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