Asian Oncol Nurs.  2017 Dec;17(4):229-236. 10.5388/aon.2017.17.4.229.

Discomfort related to Peripherally Inserted Central Catheters in Cancer Patient

• Yi M
• Kim IR
• Choi EK
• Lee S
• Kwak M
• Cho J
• Ahn JS
• Kwon IG

• KMID: 2401638
• DOI: http://doi.org/10.5388/aon.2017.17.4.229

Abstract

PURPOSE
This study aimed to assess the discomfort and factors influencing the discomfort of cancer patients with peripherally inserted central catheters (PICC).
METHODS
A cross-sectional survey was conducted at a tertiary university-based hospital in Seoul in 2013. Subjects were eligible if patients were diagnosed with cancer and four weeks had passed since the PICC was inserted. Anxiety was assessed using the Hospital Anxiety and Depression Scale (HADS) and discomfort was assessed with 8 questions developed through qualitative interviews and a literature review. Questions were about pain, interruption of daily activity or leisure, satisfaction, usefulness and feelings towards the PICC.
RESULTS
Total 111 patients participated in the study. Over 75% of patients reported annoyance with PICC line. There was low positive correlation between discomfort due to PICC and anxiety. In anxious patients, patients discomfort was significantly higher than that of non-anxious patients. Significant factors influencing discomfort were gender, age, education level, PICC complications and anxiety.
CONCLUSION
Patient engagement in selecting the type of catheter and individualized care considering the level of anxiety and patient demographics might help to reduce discomfort in cancer patients.

Keyword

Anxiety; Neoplasms; Patient Comfort; Vascular Access Devices

MeSH Terms

Anxiety
Catheters*
Cross-Sectional Studies
Demography
Depression
Education
Humans
Leisure Activities
Patient Participation
Seoul
Vascular Access Devices

Reference

1. Statistics Korea. Statistics of death cause 2015 [Internet]. Available from. http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1012. [Accessed October 8, 2015].

2. Beaty RS, Bernhardt MB, Berger AH, Hesselgrave JE, Russell HV, Okcu MF. Inpatient versus outpatient vincristine, dactinomycin, and cyclo-phosphamide for pediatric cancers: quality and cost implications. Pediatr Blood Cancer. 2015; 62:1925–8.

3. Baek Y, Yi M. Factors influencing quality of life during chemotherapy for colorectal cancer patients in South Korea. J Korean Acad Nurs. 2015; 45:604–12.

4. Choi JY, Kim JH. What factors are linked to profitability among hospitals?: a review on the research trends. Health Policy Manag. 2013; 23:397–414.

5. Bowe-Geddes LA, Nichols HA. An overview of peripherally inserted central catheters. Top Adv Pract Nurs. 2005; 5:1–8.

6. Sharp R, Grech C, Fielder A, Mikocka-Walus A, Cummings M, Ester-man A. The patient experience of a Peripherally Inserted Central Catheter (PICC): a qualitative descriptive study. Contemp Nurse. 2014; 48:26–35.

7. Gallieni M, Pittiruti M, Biffi R. Vascular access in oncology patients. CA Cancer J Clin. 2008; 58:323–46.

8. Freytes CO. Indications and complications of intravenous devices for chemotherapy. Curr Opin Oncol. 2000; 12:303–7.

9. Oakley C, Wright E, Ream E. The experiences of patients and nurses with a nurse-led peripherally inserted central venous catheter line ser-vice. Eur J Oncol Nurs. 2000; 4:207–18.

10. Dougherty L. Patient's perspective. Phillips S, Collins M, Dougherty L, editors. Venepuncture and cannulation. Chichester: Wiley-Black-well;2011. p. 281–96.

11. Nicholson J, Davies L. Patients’ experiences of the PICC insertion procedure. Br J Nurs. 2013; 22:S16–8. S20-3.

12. Nagel SN, Teichgräber UK, Kausche S, Lehmann A. Satisfaction and quality of life: a survey-based assessment in patients with a totally implantable venous port system. Eur J Cancer Care (Engl). 2012; 21:197–204.

13. Yamada R, Morita T, Yashiro E, Otani H, Amano K, Tei Y, et al. Patient-reported usefulness of peripherally inserted central venous catheters in terminally ill cancer patients. J Pain Symptom Manage. 2010; 40:60–6.

14. Kreis H, Loehberg CR, Lux MP, Ackermann S, Lang W, Beckmann MW, et al. Patients’ attitudes to totally implantable venous access port systems for gynecological or breast malignancies. Eur J Surg Oncol. 2007; 33:39–43.

15. Harrold K, Martin A, Scarlett C. Proactive PICC placement: evaluating the patient experience. Br J Nurs. 2016; 25:S4–14.

16. Lim JH, Kim NC. Effects of maximal sterile barrier precaution on the central venous catheter-related infection and cost. J Korean Acad Adult Nurs. 2010; 22:229–38.

17. Park JY, Park YH. Factors associated with central venous catheteriza-tion in cancer patients. J Korean Oncol Nurs. 2011; 11:1–8.

18. Kim EJ, Kim HJ, Kim HJ, Kim KH, Kim SH, Lee SC, et al. Retrospec-tive analysis for complications of the central venous catheter in patients with cancer at a single center in Korea. Korean J Hosp Palliat Care. 2010; 13:24–31.

19. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67:361–70.

20. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups. J Korean Neuropsychiatr Assoc. 1999; 38:289–96.

21. Ok ON, Nam MS, Yi MS, Cho SM, Kim EJ, Ham YH, et al. Effects of telephone counseling support on distress, anxiety, depression, and adverse events in cancer patients receiving chemotherapy. Asian Oncol Nurs. 2017; 17:37–44.

22. Oh PJ. Correlation between mental adjustment to cancer and anxiety. J Korean Oncol Nurs. 2009; 9:23–30.

23. Kim MY. Transition of symptoms and quality of life in cancer patients on chemotherapy. J Korean Acad Nurs. 2009; 39:433–45.

24. Ro YJ, Kim NC, Hong YS, Yong JS. Factors influencing pain with terminally ill cancer patients in hospice units. J Korean Acad Nurs. 2001; 31:206–20.

25. Stark DP, House A. Anxiety in cancer patients. Br J Cancer. 2000; 83:1261–7.

26. Luoma ML, Hakamies-Blomqvist L. The meaning of quality of life in patients being treated for advanced breast cancer: a qualitative study. Psychooncology. 2004; 13:729–39.

27. Cho OH, Park RH, Yang NY, Hwang KH. Mood state, interaction anxiety and quality of life of cancer patients with chemotherapy-induced alopecia. Asian Oncol Nurs. 2013; 13:193–200.