Naslov
Comparison of the application of cytostatic therapy by intravenous cannula and PICC catheter

Autori
Ledinski, Sanja ; Čukljek, Snježana ; Smrekar, Martina

Vrsta, podvrsta i kategorija rada
Radovi u zbornicima skupova, cjeloviti rad (in extenso), znanstveni

Izvornik
7. mednarodna znanstvena konferenca Znanje, vrednote, prepričanja in dokazi za razvoj kakovostne zdravstvene obravnave : mesto in vloga zdravstvene nege : Zbornik predavanj z recenzijo = 7th International Scientific Conference Knowledge, Values, Beliefs and Evidence in Developing Quality Health Care: the Place and the Role of Nursing : Proceedings of lectures with peer review / Skela Savič, Brigitaa ; Hvalič Touzery, Simona - Jesenice : Fakulteta za zdravstvo, 2014, 170-174

ISBN
978-961-6888-14-1

Skup
Mednarodna znanstvena konferenca Znanje, vrednote, prepričanja in dokazi za razvoj kakovostne zdravstvene obravnave : mesto in vloga zdravstvene nege (7 ; 2014)

Mjesto i datum
Bled, Slovenija, 12.06.2014. - 13.06.2014

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
PICC catheter ; intravenous cannula ; respondents ; complications

Sažetak
Considering the ever increasing number of malignant diseases the advanced application of cytostatic therapy for such patients should be considered. Due to low use of the PICC catheter there is a need for indicating the advantages and possible disadvantages in order to advance the care for patients with malignant diseases. The aim of this research was to determine the advantages and disadvantages of applying cytostatic therapy by intravenous cannulas and PICC catheters. The research also tried to determine whether there is interference with the performance of daily activities of patients with mounted cannula and PICC catheter, and which is more suitable for longer and more aggressive therapy management. The research has been conducted using a questionnaire consisting of 34 questions. The first six questions were general questions relating to age, gender, medical diagnosis, duration of illness, treatment and the type of protocol used in treating the patient. The subsequent 14 questions related to complications during the application of therapy by intravenous cannula, and the other 14 questions related to complications during the application of therapy by PICC catheter. The research was conducted on a sample of 100 respondents treated at the Haematology Unit and Sterile Units in the Clinical hospital in Zagreb. Respondents were of different ages, different diagnoses, duration of illness and treatment. The research results for each question were processed using the MS Excel computer program and presented by means of tables. 63 % of the respondents stated that during the mounting of an intravenous cannula they felt the pain intensity of 3 (on a 1 to 10 pain scale), while during the placing of the PICC catheter, only 16 % of respondents stated they felt pain which was of lower intensity - 2 (on a 1-10 pain scale). In 6 % of the respondents extravasation occurred during the application of the therapy by intravenous cannulas, while in patients with PICC catheter there has been no occurrence of extravasation. Respondents with the PICC catheter developed thrombosis in 6 % of the cases, whereas in patients with intravenous cannula there has been no occurrence of thrombosis. Infection occurred in 10 % of the patients with the PICC catheter while in patients with intravenous cannula there has been cannula occlusion in 72% of the cases. 10 % of the respondents with a PICC catheter stated that it interfered with the the performance of their daily activities, mostly in hygiene activities, while 20 % of the respondents with a cannula complained about the same problems. In only 20% of the patients with cannula, other therapy may be applied alongside the cytostatic therapy, while in patients with PICC catheter in 100 % of the cases different treatment may be applied using the same catheter. Infection has developed in 10% of the patients with PICC catheter, while 63% of the patients with intravenous cannula developed phlebitis. In patients with PICC catheter in 6% of cases there was an appearance of thrombosis and in 10% of cases there were problems in the performance of daily activities. The research conducted in Australia in 1998 on a sample of 89 patients with PICC catheter has shown that in the later period, 23% of the patients developed infection ; there was obstruction of the catheter in 27% of respondents and 19% of respondents reported involunatry damage to the catheter while performing personal hygiene activities.

Izvorni jezik
Engleski

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