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

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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, 楊雪紅, 陳妙賢. 外周中心靜脈導管相關性血流感染的危險因素及干預對策[J].中華醫院感染學雜志, 2013, 23(20):4891-4893.
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9.	倪志紅, 薛小玲, 邱艷芬, 等. 授權教育在兒童先天性心臟病術后照顧者中的應用[J].護士進修雜志, 2012, 27(12):1087-1090.
10.	吳麗芬, 劉戀, 何嬌, 等. 建立白血病患兒家長支持系統的效果評價[J].護理研究, 2014, 28(8):964-965.
11.	梁艷梅, 雷永紅, 韋慧. 護理干預對小兒急性淋巴細胞白血病初次化療的效果研究[J].內科, 2014(2):181-183.
12.	王婧婷, 王園園, 沈閔, 等. 白血病移動健康智能手機應用程序的可用性評價[J].中華護理雜志, 2015, 50(4):485-490.
13.	郭瑛, 易巧云. 護理心理學[J].護士進修雜志, 2012, 27(21):1923-1924.
14.	杜美翠, 張曉紅. 開展PICC、CVC專科護士認證, 提高靜脈置入導管的維護質量[J].護理研究, 2016, 30(25):3199-3200.
15.	葉磊, 李虹, 李明鳳. 急診PICC需求及護士認知度調查分析[J].華西醫學, 2009(10):2772-2774.

1. 王若梅, 楊雪紅, 陳妙賢. 外周中心靜脈導管相關性血流感染的危險因素及干預對策[J].中華醫院感染學雜志, 2013, 23(20):4891-4893.
2. 羅艷麗, 李俊英, 刁永書. 靜脈輸液治療手冊[M].北京:科學出版社, 2012.
3. 劉之超, 勾明, 雷雨, 等. 自我護理教育在PICC置管治療間歇期患者中的應用[J].現代臨床護理, 2012, 11(12):51-53.
4. 潘愛君, 李菲. 問卷評價在PICC帶管出院患者健康教育中的應用[J].護理學報, 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. 于曉莉, 徐萍. 老年痛風患者的危險因素與健康教育[J].中國老年學雜志, 2008, 28(5):1012-1013.
9. 倪志紅, 薛小玲, 邱艷芬, 等. 授權教育在兒童先天性心臟病術后照顧者中的應用[J].護士進修雜志, 2012, 27(12):1087-1090.
10. 吳麗芬, 劉戀, 何嬌, 等. 建立白血病患兒家長支持系統的效果評價[J].護理研究, 2014, 28(8):964-965.
11. 梁艷梅, 雷永紅, 韋慧. 護理干預對小兒急性淋巴細胞白血病初次化療的效果研究[J].內科, 2014(2):181-183.
12. 王婧婷, 王園園, 沈閔, 等. 白血病移動健康智能手機應用程序的可用性評價[J].中華護理雜志, 2015, 50(4):485-490.
13. 郭瑛, 易巧云. 護理心理學[J].護士進修雜志, 2012, 27(21):1923-1924.
14. 杜美翠, 張曉紅. 開展PICC、CVC專科護士認證, 提高靜脈置入導管的維護質量[J].護理研究, 2016, 30(25):3199-3200.
15. 葉磊, 李虹, 李明鳳. 急診PICC需求及護士認知度調查分析[J].華西醫學, 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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