Investigation of Caregivers' Self-nursing Ability for Children with Peripherally Inserted Central Catheter_West China Medical Journal

Authors：

 FengLiwei , XinWenqiong , JinJianli

Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Children; Peripherally inserted central catheter; Caregivers; Self-nursing ability

DOI：

10.7507/1002-0179.201600514

Video：

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Objective To investigate the knowledge and need of caregivers who perform self-nursing for children with peripherally inserted central catheter (PICC), in order to provide evidence for health education for children in-patients and children discharged from hospital with central venous catheter. Methods Self-designed questionnaire was used to investigate 364 caregivers who performed nursing for 162 PICC pediatric in-patients bwtween December 2013 and July 2015. The investigation was carried out on the general information, nursing knowledge, and the acquisition approach of caregivers' existing nursing knowledge. Results The majority of indwelling PICC pediatric caregivers were elderly people, and the common care model was alternate caring carried out by core family members. The children were cared by the elderly in 59 families (36.42%). Twenty-one families had the parents of the children as the major caregivers (12.96%), and alternate caring by parents and the elderly happened in 82 families (50.62%). The total score of the investigation was ranged from 5 to 29 with an average of 11.37±5.68. Nineteen children were discharged with catheter, whose caregivers got a score from 6 to 11, averaging 8.41±4.33. Conclusion The ratio of self-nursing knowledge in caregivers for pediatric PICC patients is generally low, especially in those caregivers for patients discharged with central venous catheter. Nursing administrators should pay attention to training of the nurses, trying to improve the knowledge of nurses on PICC health education. Different forms of health education should be carried out for different caregivers. Finally, health education model should also be continuously improved to raise the quality of PICC pediatric nursing.

Citation： FengLiwei, XinWenqiong, JinJianli. Investigation of Caregivers' Self-nursing Ability for Children with Peripherally Inserted Central Catheter. West China Medical Journal, 2016, 31(11): 1873-1877. doi: 10.7507/1002-0179.201600514 Copy

1.	王若梅, 杨雪红, 陈妙贤. 外周中心静脉导管相关性血流感染的危险因素及干预对策[J].中华医院感染学杂志, 2013, 23(20):4891-4893.
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11.	梁艳梅, 雷永红, 韦慧. 护理干预对小儿急性淋巴细胞白血病初次化疗的效果研究[J].内科, 2014(2):181-183.
12.	王婧婷, 王园园, 沈闵, 等. 白血病移动健康智能手机应用程序的可用性评价[J].中华护理杂志, 2015, 50(4):485-490.
13.	郭瑛, 易巧云. 护理心理学[J].护士进修杂志, 2012, 27(21):1923-1924.
14.	杜美翠, 张晓红. 开展PICC、CVC专科护士认证, 提高静脉置入导管的维护质量[J].护理研究, 2016, 30(25):3199-3200.
15.	叶磊, 李虹, 李明凤. 急诊PICC需求及护士认知度调查分析[J].华西医学, 2009(10):2772-2774.

1. 王若梅, 杨雪红, 陈妙贤. 外周中心静脉导管相关性血流感染的危险因素及干预对策[J].中华医院感染学杂志, 2013, 23(20):4891-4893.
2. 罗艳丽, 李俊英, 刁永书. 静脉输液治疗手册[M].北京:科学出版社, 2012.
3. 刘之超, 勾明, 雷雨, 等. 自我护理教育在PICC置管治疗间歇期患者中的应用[J].现代临床护理, 2012, 11(12):51-53.
4. 潘爱君, 李菲. 问卷评价在PICC带管出院患者健康教育中的应用[J].护理学报, 2012(18):71-72.
5. Peng J, Zhang XM, Yang L, et al. A novel two-step technique for retrieving fractured peripherally inserted central catheter segments migrating into the heart or the pulmonary artery[J].Biomed Res Int, 2016:7814529.
6. Kim-Saechao SJ, Almario E, Rubin ZA. A novel infection prevention approach:leveraging a mandatory electronic communication tool to decrease peripherally inserted central catheter infections, complications, and cost[J].Am J Infect Control, 2016, 44(11):1335-1345.
7. Harrod M, Montoya A, Mody L, et al. Challenges for Nurses Caring for Individuals with Peripherally Inserted Central Catheters in Skilled Nursing Facilities[J/OL].J Am Geriatr Soc, 2016, 7. https://www.ncbi.nlm.nih.gov/pubmed/?term=Challenges+for+nurses+caring+for+individuals+with+peripherally+inserted+central.
8. 于晓莉, 徐萍. 老年痛风患者的危险因素与健康教育[J].中国老年学杂志, 2008, 28(5):1012-1013.
9. 倪志红, 薛小玲, 邱艳芬, 等. 授权教育在儿童先天性心脏病术后照顾者中的应用[J].护士进修杂志, 2012, 27(12):1087-1090.
10. 吴丽芬, 刘恋, 何娇, 等. 建立白血病患儿家长支持系统的效果评价[J].护理研究, 2014, 28(8):964-965.
11. 梁艳梅, 雷永红, 韦慧. 护理干预对小儿急性淋巴细胞白血病初次化疗的效果研究[J].内科, 2014(2):181-183.
12. 王婧婷, 王园园, 沈闵, 等. 白血病移动健康智能手机应用程序的可用性评价[J].中华护理杂志, 2015, 50(4):485-490.
13. 郭瑛, 易巧云. 护理心理学[J].护士进修杂志, 2012, 27(21):1923-1924.
14. 杜美翠, 张晓红. 开展PICC、CVC专科护士认证, 提高静脉置入导管的维护质量[J].护理研究, 2016, 30(25):3199-3200.
15. 叶磊, 李虹, 李明凤. 急诊PICC需求及护士认知度调查分析[J].华西医学, 2009(10):2772-2774.

West China Medical Journal

Investigation of Caregivers' Self-nursing Ability for Children with Peripherally Inserted Central Catheter

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