中心静脉通路装置（CVAD）家庭护理管理：在护士为癌症患儿家长进行新中心静脉置管的指导过程中，对数字教育工具的使用情况进行调查。
CVAD Homecare Management: Investigating the Use of a Digital Education Tool During Nurse-Delivered Instruction to Parents for New Central Lines in Children With Cancer.
作者信息
Raybin Jennifer L, Tong Suhong, King Nancy, Simms Wanda, Giller Roger, Montgomery Kathleen, Hendricks-Ferguson Verna L
机构信息
Children's Hospital Colorado.
University of Colorado.
出版信息
Clin J Oncol Nurs. 2019 Jun 1;23(3):295-300. doi: 10.1188/19.CJON.295-300.
BACKGROUND
Research on parent understanding of homecare management of external central venous access devices (CVADs) for children with cancer is limited.
OBJECTIVES
The goal was to investigate whether the use of a DVD education intervention reduced adverse complications and improved parent education for homecare management of CVADs for pediatric patients with cancer.
METHODS
Participants were randomized to an experimental group (DVD and nurse teaching) or a control group (nurse teaching). Postintervention evaluation included parent satisfaction and CVAD knowledge proficiency, blood infection rates, use of alteplase, and CVAD replacement.
FINDINGS
Fifty-four enrolled caregiver-patient dyads completed the study measures, with 21 dyads assigned to the control group and 33 assigned to the experimental group. Alteplase was ordered significantly less often in the experimental group. No other findings were significant.
背景
关于癌症患儿家长对儿童体外中心静脉通路装置（CVAD）家庭护理管理的理解的研究有限。
目的
本研究旨在探讨DVD教育干预措施的使用是否能减少儿科癌症患者CVAD家庭护理管理中的不良并发症，并改善家长教育。
方法
参与者被随机分为实验组（DVD和护士教学）或对照组（护士教学）。干预后评估包括家长满意度、CVAD知识掌握程度、血液感染率、阿替普酶的使用情况以及CVAD更换情况。
结果
54对参与研究的照顾者-患者二元组完成了研究测量，其中21对二元组被分配到对照组，33对被分配到实验组。实验组中阿替普酶的使用医嘱明显较少。没有其他结果具有统计学意义。
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