Wenmiao Qi, Guiju Hu, Tao Zou, Qiuling Wu, Fang Liu, Jun Zhang
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引用次数: 0
Abstract
Background: Chemotherapy plays an important role in cancer treatment. Peripherally inserted central catheter (PICC) is an important vascular access device used in cancer patients undergoing chemotherapy.
Objective: This review entailed an evaluation of the effects of self-management education on the occurrence of complications in patients with PICC placement.
Methods: PubMed, Embase, the Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP database and Chinese Biomedical Literature database were searched for randomised controlled trials on the effects of self-management education on patients with PICC placement. Meta-analysis was performed on the studies meeting the inclusion criteria using RevMan5.4 software.
Results: A total of 12 quantitative studies were included in the meta-analysis and the results showed that self-management education reduced the incidence of total catheter-related complications (95% CI (0.17, 0.32), p < 0.00001); catheter dislodgement (95% CI (0.07, 0.40), p < 0.0001); catheter-associated infections (95% CI (0.11,0.41), p < 0.00001); catheter obstruction (95% CI (0.14,0.53), p = 0.0002); phlebitis (95% CI (0.11,0.47), p < 0.0001) and thrombosis (95% CI (0.07,0.57), p < 0.0001) in patients with PICC placement.
Conclusion: Available research evidence suggests that self-management education is effective in reducing PICC catheter-related complications in patients with PICC placement. However, more high-quality studies need to be included for analysis.
背景：化疗在癌症治疗中发挥着重要作用。外周置入中心导管（PICC）是接受化疗的癌症患者使用的重要血管通路装置：本综述旨在评估自我管理教育对置入 PICC 患者并发症发生率的影响：方法：在PubMed、Embase、Cochrane图书馆、Web of Science、中国国家知识基础设施（CNKI）、万方数据库、VIP数据库和中国生物医学文献数据库中检索了有关PICC置管患者自我管理教育效果的随机对照试验。使用RevMan5.4软件对符合纳入标准的研究进行了元分析：结果：共有 12 项定量研究被纳入荟萃分析，结果显示，自我管理教育降低了导管相关并发症的总发生率（95% CI (0.17, 0.32)，p p p = 0.0002）；静脉炎（95% CI (0.11, 0.47)，p p 结论：现有研究证据表明，自我管理教育可降低导管相关并发症的总发生率（95% CI (0.17, 0.32)，p p = 0.0002）：现有研究证据表明，自我管理教育可有效减少置入 PICC 导管患者的 PICC 导管相关并发症。不过，还需要纳入更多高质量的研究进行分析。
期刊介绍：
The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research
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