港口移除结果 (PREMO) 研究:患者与完全植入式静脉接入装置的经验:设备移除时的一份问卷
Godelieve Alice Goossens1,2, Thomas Douchy3, Martine Jérôme1
1Department of Surgical Oncology and Competence Centre of Nursing, University Hospitals Leuven, Leuven, Belgium.
The journal of vascular access
|May 27, 2025
概括
患者报告说,他们对完全植入式静脉接入装置 (TIVAD) 的满意度很高,尽管维护经验各不相同. 需要进一步的研究来优化TIVAD护理和患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 医疗器械 医疗器械
- 患者报告的结果
背景情况:
- 完全植入式静脉接入装置 (TIVADs) 对于化疗提供至关重要.
- 最佳的TIVAD维护间隔缺乏共识,随着不同的临床实践.
- 患者报告的结果 (PROs) 评估TIVADs的舒适性和心理影响.
研究的目的:
- 评估患者与TIVADs的完整体验,从插入到移除.
- 在港口移除结果 (PREMO) 研究中专注于TIVAD维护期.
- 评估与TIVADs相关的患者满意度和舒适度.
主要方法:
- 在2019年至2022年期间,在卢旺大学医院进行了一项横截面调查.
- 有胸部TIVAD等待选择性切除的成年患者填写了27项调查问卷 (Leuven PREP).
- 这项研究包括100名瘤学患者,TIVAD的平均持续时间为2093天.
主要成果:
- 大多数患者报告了低插入疼痛 (中位数NRS=2) 和最小的心理影响.
- 局部不适包括凸起 (24.5%) 和注射针时的疼痛 (12%).
- 维护TIVAD的坚持率为70.7%,其中61.2%的人认为延长维护是有价值的;整体满意度很高 (中位数为8/10).
结论:
- 患者表示对TIVADs的满意度很高,对舒适度和幸福感的影响很小.
- 维护TIVAD的经验是多样化的,这表明需要进一步调查.
- 需要一个经过验证的,全面的问卷,以充分评估TIVAD的经验.
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