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Related Experiment Videos

Peripherally inserted central venous catheters: factors affecting patient satisfaction

J F Polak1, D Anderson, K Hagspiel

  • 1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

AJR. American Journal of Roentgenology
|June 3, 1998
PubMed
Summary

Patient satisfaction with peripherally inserted central venous catheters (PICCs) is higher when placed above the elbow. This location and minimal interference with daily activities increase willingness for future PICC procedures.

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Area of Science:

  • Interventional Radiology
  • Vascular Access Devices
  • Patient Outcomes

Background:

  • Peripherally inserted central venous catheters (PICCs) are crucial for long-term venous access.
  • Patient satisfaction and willingness for future procedures are key indicators of care quality.
  • Understanding factors influencing patient experience with PICCs is essential for improving clinical practice.

Purpose of the Study:

  • To investigate patient satisfaction with PICC placement performed by interventional radiologists.
  • To identify factors affecting patients' willingness to undergo future PICC procedures.
  • To evaluate the impact of catheter location and functional interference on patient acceptance.

Main Methods:

  • A longitudinal prospective cohort study of 85 patients undergoing PICC placement.

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  • Data collected included catheter type, placement time, age, and complications.
  • Telephone interviews assessed satisfaction with location, catheter dwell time, complications, and interference with daily activities.

    • Main Results:

    • PICC placement above the elbow led to higher patient satisfaction (55/61) compared to elbow placement (3/17).
    • Willingness for future PICC placement was significantly associated with catheter location (p < .0001) and perceived interference with daily living (p < .0001).
    • Catheter type, dwell time, procedure duration, patient age, and complications did not influence willingness for future procedures.

    Conclusions:

    • PICC placement above the elbow is preferred by patients over elbow placement.
    • Higher patient acceptance of PICCs is linked to placement above the elbow and reduced interference with daily activities.
    • Optimizing PICC insertion sites and minimizing functional impact can enhance patient willingness for future procedures.