Piredda Michela, Biagioli Valentina, Giannarelli Diana, Incletoli Daniele, Grieco Francesca, Carassiti Massimiliano, De Marinis Maria Grazia
Research Unit Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo, 21-00128, Rome, Italy.
School of Nursing, Faculty of Medicine, Department of Biomedicine and Prevention, Tor Vergata University, Via Montpellier, 1-00133, Rome, Italy.
Support Care Cancer. 2016 Feb;24(2):833-841. doi: 10.1007/s00520-015-2851-1. Epub 2015 Jul 24.
Providing patients with written information about totally implantable access ports (TIAPs) is recommended during the pre-implantation period to reduce anxiety and to help recalling information. No study tested the effectiveness of information about TIAP neither with oral communication nor with booklets. This study aimed at evaluating the effectiveness of an information booklet, alone or together with answers to clarification questions, both in improving patients' short- and long-time knowledge about TIAP and in decreasing patients' physiological indicators of anxiety immediately after TIAP implantation.
This is a randomized controlled trial with three parallel groups: group A (n = 34) receiving only the booklet, group B (n = 34) receiving the booklet with answers to clarification questions, and group C (n = 37) receiving routine care.
After 3 months, pair comparisons revealed a significant improvement in knowledge of TIAP in each group (p < 0.001), together with a significant difference in group C compared with groups A (p < 0.001) and B (p < 0.001), similar to each other. Physiological indicators of anxiety decreased in the intervention groups compared to control group immediately after TIAP implantation.
The interventions provided resulted effective in decreasing patients' physiological indicators of anxiety immediately after TIAP implantation and improving patients' knowledge about TIAP immediately and at 3 months. Adding answers to clarification questions to the booklet was not more effective than the booklet alone. A well-designed booklet with attention both to scientific content and to communication techniques is useful in improving patients' knowledge about TIAP and reducing anxiety.
建议在植入前阶段为患者提供有关全植入式接入端口（TIAP）的书面信息，以减轻焦虑并帮助回忆信息。尚无研究测试关于TIAP的信息通过口头交流或手册的有效性。本研究旨在评估一本信息手册单独使用或与澄清问题的答案一起使用，在提高患者对TIAP的短期和长期知识以及在TIAP植入后立即降低患者焦虑的生理指标方面的有效性。
这是一项随机对照试验，有三个平行组：A组（n = 34）仅接收手册，B组（n = 34）接收带有澄清问题答案的手册，C组（n = 37）接受常规护理。
3个月后，配对比较显示每组TIAP知识均有显著改善（p < 0.001），C组与A组（p < 0.001）和B组（p < 0.001）相比有显著差异，A组和B组彼此相似。与对照组相比，TIAP植入后干预组的焦虑生理指标立即下降。
所提供的干预措施在TIAP植入后立即降低患者焦虑的生理指标以及在即刻和3个月时提高患者对TIAP的知识方面有效。在手册中添加澄清问题的答案并不比单独的手册更有效。一本精心设计的手册，兼顾科学内容和沟通技巧，有助于提高患者对TIAP的知识并减轻焦虑。
