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Remote Assisted Home Dressing vs. Outpatient Medication of Central Venous Catheter (Peripherally Inserted Central Venous Catheter): Clinical Trial A.R.C.O. (Remote Assistance Oncology Caregiver).
Basili, Paolo; Farina, Ilaria; Terrenato, Irene; Centini, Jacopo; Volpe, Nina; Rizzo, Vanessa; Agoglia, Laura; Paterniani, Albina; Aprea, Pasquale; Calignano, Prisco; Petrone, Fabrizio; Ciliberto, Gennaro.
Afiliación
  • Basili P; Technical, Rehabilitation, Assistance and Research Direction, Vascular Access Specialist IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
  • Farina I; Department of Radiation Oncology, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
  • Terrenato I; Clinical Trial Center-Biostatistics & Bioinformatics, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
  • Centini J; Nursing, Technical, Rehabilitation, Assistance and Research Direction IFO, IRCCS Regina Elena, National Cancer Institute, 00144 Rome, Italy.
  • Volpe N; Nursing, Technical, Rehabilitation, Assistance and Research Direction IFO, IRCCS Regina Elena, National Cancer Institute, 00144 Rome, Italy.
  • Rizzo V; Technical, Rehabilitation, Assistance and Research Direction, Vascular Access Specialist IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
  • Agoglia L; Nuova Sair, 00131 Rome, Italy.
  • Paterniani A; School of Nursing, IRCCS Regina Elena National Cancer, 00144 Rome, Italy.
  • Aprea P; Vascular Access Unit, IRCCS-Fondazione G. Pascale National Cancer Institute, 80131 Napoli, Italy.
  • Calignano P; Department of Hematology, IRCCS-Fondazione G. Pascale National Cancer Institute, 80131 Napoli, Italy.
  • Petrone F; Nursing, Technical, Rehabilitation, Assistance and Research Direction IFO, IRCCS Regina Elena, National Cancer Institute, 00144 Rome, Italy.
  • Ciliberto G; Scientific Directorate, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Nurs Rep ; 14(2): 1468-1476, 2024 Jun 11.
Article en En | MEDLINE | ID: mdl-38921720
ABSTRACT

BACKGROUND:

Management of PICC dressing can be performed at home by the patient through adequate training and telenursing. This trial verifies that the incidence of catheter-related complications in home patients, assisted by telenursing, is not greater than that observed in outpatients.

METHODS:

This clinical trial is composed of 72 patients with malignant tumors who underwent long-term chemotherapy with PICC insertion. They were randomly divided into an experimental group (33 cases) and a calibration group (39 cases). The control group received outpatient dressing for the PICC at the hospital, while the experimental group received a telenursing intervention about the management of the PICC. The incidence of catheter-related infections, the ability of self-management, and a rough cost/benefit estimation were compared between the two groups. This trial was performed according to the CONSORT 2010 checklist.

RESULTS:

The two groups do not significantly differ in relation to age, sex, and PICCs in terms of the body side insertion, the type of dressing, and the agents used for cleaning. The analysis of the results showed that in the home-managed group, the clinical events reported during the connection were higher when compared with the outpatient group (p < 0.001). The patients in the homecare group developed frequent complications resulting from skin redness (p < 0.001).

CONCLUSION:

The use of telenursing for patient education in cancer centers can reduce nurses' working time, improving the self-management capacity of patients with a long-term PICC. This trial was retrospectively registered with the Clinical Trial Gov on the 18 May 2023 with registration number NCT05880420.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Nurs Rep Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Nurs Rep Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza