Construction and Application of Precise Health Education Model for Patients With PICC Tube

Junyan Zhao

Status: Completed

Conditions: Tumor Chemotherapy Patients

Treatments: Behavioral: Routine health education + precise health education; Behavioral: Routine health education

Study type: Interventional

Funder types: Other

Identifiers

NCT05643937

YXLL-KY-2022(067)

Details and patient eligibility

About

1. In this study, the risk factors leading to catheter-related complications in the daily life behavior habits of patients with PICC catheter were identified, refined and initially established, and the Delphi method (expert consultation method) was used to further identify the existing and potential risk factors leading to PICC catheter-related complications in the daily life behavior habits of patients. To develop individualized and precise health education programs for risk factors, in order to build an accurate health education model centered on improving patients' daily life and behavior habits.
2. To conduct clinical empirical study to evaluate the feasibility and effectiveness of precise health education program for PICC patients with catheter, and to observe the impact of this health education model on the knowledge, attitude and practice level of daily management, self-management efficacy and the incidence of related complications after catheter insertion in PICC patients, so as to provide a reference for health education of PICC patients.

Enrollment: 140 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Cancer patients undergoing chemotherapy in our hospital with ≥6 cycles of chemotherapy;
• Patients with PICC implanted for the first time and maintained at our hospital;
• Aged 18-60 years;
• The material and performance of PICC catheter are silicone three-way valve catheter;
• Catheter placement under the guidance of portable color Doppler ultrasound diagnostic instrument;
• Clear consciousness, good language communication skills and normal comprehension ability;
• Informed consent and voluntary participation in the study.

Exclusion criteria

• Persons with self-care ability defects;
• Puncture times more than 1 time.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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140 participants in 2 patient groups

The control group

Active Comparator group

Description:

The control group received routine health education after catheterization, including introducing the purpose, method, advantages and complications of PICC insertion to patients before catheterization and signing informed consent. During catheterization, PICC assistant explained relevant matters needing attention and cooperative actions to the patient. After catheterization, patients were instructed to carry out grip training and limb activities.

Treatment:

Behavioral: Routine health education

Experimental group

Experimental group

Description:

On the basis of routine health education in the control group, the experimental group screened the high-risk behaviors of patients through the questionnaire of daily life behavior habits, and formulated the precise and concrete health education program for their high-risk behaviors

Treatment:

Behavioral: Routine health education + precise health education