ABSTRACT
This study aimed to evaluate patients' perception regarding their use of a Totally Implanted Catheter (TIC). This descriptive study uses the Critical Incident Technique (CI) for data analysis. The study was performed at a Teaching Hospital in São Paulo State, Brazil. Study participants were 15 patients using TIC. Data were grouped into four categories: Activity Performance (40% of the CI showed that patients were more independent, while 60% revealed that some kind of activity was restricted due to the TIC); Altered Body Image (57% showed the patients' dissatisfaction after the TIC implant, 14% of the CI revealed pre-implant problems, 28% of the CI showed that the TIC favored body esthetics); Catheter Implantation (75% of the CI revealed catheter implantation as a traumatizing procedure, while 25% of the CI revealed patients remained calm and confident during the procedure); Chemotherapy Infusion (100% of the CI showed that the catheter made chemotherapy easier).
Subject(s)
Catheterization, Central Venous/psychology , Adult , Body Image , Female , Humans , Male , Middle Aged , Time Factors , Young AdultABSTRACT
Este trabalho buscou avaliar a percepção do paciente portador de Cateter Totalmente Implantado (CTI). Trata-se de um estudo descritivo, que utiliza a Técnica dos Incidentes Críticos (IC) para análise dos dados. Foi desenvolvido em um Hospital Escola do interior paulista do qual participaram 15 portadores de CTI. Os dados foram agrupados em quatro categorias: Desempenho de Atividades (40 por cento dos IC demonstraram maior independência do paciente e 60 por cento evidenciaram restrição de algum tipo de atividade devido ao CTI); Alteração da Imagem Corporal (57 por cento evidenciaram insatisfação do paciente pós-implante do CTI, 14 por cento dos IC mostraram problemas pré-implante do CTI e 28 por cento dos IC mostraram que o CTI favoreceu a estética corporal); Implantação do Cateter (75 por cento dos IC mostraram a implantação do cateter como um procedimento traumatizante e 25 por cento dos IC permaneceram tranqüilos e seguros durante o procedimento); Infusão de Quimioterapia (100 por cento dos IC apontaram o cateter como um facilitador do tratamento quimioterápico).
This study aimed to evaluate patients' perception regarding their use of a Totally Implanted Catheter (TIC). This descriptive study uses the Critical Incident Technique (CI) for data analysis. The study was performed at a Teaching Hospital in São Paulo State, Brazil. Study participants were 15 patients using TIC. Data were grouped into four categories: Activity Performance (40 percent of the CI showed that patients were more independent, while 60 percent revealed that some kind of activity was restricted due to the TIC); Altered Body Image (57 percent showed the patients' dissatisfaction after the TIC implant, 14 percent of the CI revealed pre-implant problems, 28 percent of the CI showed that the TIC favored body esthetics); Catheter Implantation (75 percent of the CI revealed catheter implantation as a traumatizing procedure, while 25 percent of the CI revealed patients remained calm and confident during the procedure); Chemotherapy Infusion (100 percent of the CI showed that the catheter made chemotherapy easier).
La finalidad del trabajo fue evaluar la percepción del paciente portador de un Catéter Totalmente Implantado (CTI). Se trata de un estudio descriptivo, que utiliza para el análisis de los datos la Técnica de los Incidentes Críticos (IC). Fue desarrollado en un Hospital Escuela del interior de Sao Paulo-Brasil, del cual participaron 15 portadores de CTI. Los datos fueron agrupados en 4 categorías: Desempeño de Actividades (el 40 por ciento de los IC demostraron mayor independencia del paciente, mientras que el 60 por ciento evidenció restricción de algún tipo de actividad debido al CTI); Alteración de la Imagen Corporal (el 57 por ciento evidenciaron insatisfacción post implante del CTI, el 14 por ciento mostró problemas pre-implante del CTI y el 28 por ciento de los IC mostró que el CTI favoreció la estética corporal); Implantación del Catéter (el 75 por ciento de los IC mostraron que la implantación del catéter es un procedimiento traumatizante, mientras que el 25 por ciento de los IC mostró que el paciente siguió tranquilo y seguro durante el procedimiento); Infusión de Quimioterapia (100 por ciento de los IC evidenció el catéter como un facilitador del tratamiento quimioterápico).
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Young Adult , Catheterization, Central Venous/psychology , Body Image , Time Factors , Young AdultSubject(s)
Analgesics/therapeutic use , Anxiety/drug therapy , Anxiety/etiology , Catheterization, Central Venous/adverse effects , Neoplasms/complications , Neoplasms/drug therapy , Pain/complications , Pain/drug therapy , Stress, Psychological/drug therapy , Stress, Psychological/etiology , Acute Disease , Age Factors , Analgesics/administration & dosage , Anxiety/psychology , Catheterization, Central Venous/psychology , Child , Chronic Disease , Humans , Neoplasms/psychology , Pain/psychology , Severity of Illness Index , Stress, Psychological/psychologyABSTRACT
Venous access devices are an option offered to pediatric oncology patients to make their frequent blood sampling and intravenous therapy more tolerable. To determine the advantages and disadvantages of using these devices, a study comparing Mediport and Broviac catheters was conducted from August 1985 to August 1987 at The Children's Hospital, Denver, Colorado. This report will analyze results of the patient-parent acceptance questionnaire employed in that study. Overall, both the patients and their parents were very positive about the devices. Daily care of the Broviac and pain associated with accessing the Mediport were the only uniformly negative factors we encountered. These problems became unimportant when compared to the advantage of eliminating peripheral venipuncture.