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Basili P, Farina I, Terrenato I, Centini J, Volpe N, Rizzo V, Agoglia L, Paterniani A, Aprea P, Calignano P, Petrone F, Ciliberto G. Remote Assisted Home Dressing vs. Outpatient Medication of Central Venous Catheter (Peripherally Inserted Central Venous Catheter): Clinical Trial A.R.C.O. (Remote Assistance Oncology Caregiver). NURSING REPORTS 2024; 14:1468-1476. [PMID: 38921720 PMCID: PMC11206720 DOI: 10.3390/nursrep14020110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 06/03/2024] [Accepted: 06/03/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND Management of PICC dressing can be performed at home by the patient through adequate training and telenursing. This trial verifies that the incidence of catheter-related complications in home patients, assisted by telenursing, is not greater than that observed in outpatients. METHODS This clinical trial is composed of 72 patients with malignant tumors who underwent long-term chemotherapy with PICC insertion. They were randomly divided into an experimental group (33 cases) and a calibration group (39 cases). The control group received outpatient dressing for the PICC at the hospital, while the experimental group received a telenursing intervention about the management of the PICC. The incidence of catheter-related infections, the ability of self-management, and a rough cost/benefit estimation were compared between the two groups. This trial was performed according to the CONSORT 2010 checklist. RESULTS The two groups do not significantly differ in relation to age, sex, and PICCs in terms of the body side insertion, the type of dressing, and the agents used for cleaning. The analysis of the results showed that in the home-managed group, the clinical events reported during the connection were higher when compared with the outpatient group (p < 0.001). The patients in the homecare group developed frequent complications resulting from skin redness (p < 0.001). CONCLUSION The use of telenursing for patient education in cancer centers can reduce nurses' working time, improving the self-management capacity of patients with a long-term PICC. This trial was retrospectively registered with the Clinical Trial Gov on the 18 May 2023 with registration number NCT05880420.
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Affiliation(s)
- Paolo Basili
- Technical, Rehabilitation, Assistance and Research Direction, Vascular Access Specialist IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy; (P.B.); (V.R.)
| | - Ilaria Farina
- Department of Radiation Oncology, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy
| | - Irene Terrenato
- Clinical Trial Center-Biostatistics & Bioinformatics, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy
| | - Jacopo Centini
- Nursing, Technical, Rehabilitation, Assistance and Research Direction IFO, IRCCS Regina Elena, National Cancer Institute, 00144 Rome, Italy; (J.C.); (N.V.); (F.P.)
| | - Nina Volpe
- Nursing, Technical, Rehabilitation, Assistance and Research Direction IFO, IRCCS Regina Elena, National Cancer Institute, 00144 Rome, Italy; (J.C.); (N.V.); (F.P.)
| | - Vanessa Rizzo
- Technical, Rehabilitation, Assistance and Research Direction, Vascular Access Specialist IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy; (P.B.); (V.R.)
| | | | - Albina Paterniani
- School of Nursing, IRCCS Regina Elena National Cancer, 00144 Rome, Italy;
| | - Pasquale Aprea
- Vascular Access Unit, IRCCS-Fondazione G. Pascale National Cancer Institute, 80131 Napoli, Italy;
| | - Prisco Calignano
- Department of Hematology, IRCCS-Fondazione G. Pascale National Cancer Institute, 80131 Napoli, Italy;
| | - Fabrizio Petrone
- Nursing, Technical, Rehabilitation, Assistance and Research Direction IFO, IRCCS Regina Elena, National Cancer Institute, 00144 Rome, Italy; (J.C.); (N.V.); (F.P.)
| | - Gennaro Ciliberto
- Scientific Directorate, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy;
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