Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX; Department of Medicine, Baylor College of Medicine, Houston, TX.
Department of Veterans Affairs, Ann Arbor Healthcare System, Ann Arbor, MI; Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI; Department of Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, MI.
Am J Infect Control. 2019 Sep;47(9):1130-1134. doi: 10.1016/j.ajic.2019.05.031. Epub 2019 Jul 16.
Little is known about the patient experience with urinary catheters or peripherally inserted central catheters (PICCs). We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by patients about having either of these 2 devices.
As part of a larger study, we asked patients about certain catheter-related complications at the time of catheter placement and on days 14, 30, and 70 (PICCs only). In this larger project, we performed a structured assessment that included an open-ended question about other comments (initial interview) or problems (follow-up interview) associated with the device. For the current study, we conducted a descriptive analysis of these open-ended comments, classifying them as positive, negative, or neutral.
Positive comments about urinary catheters accounted for 9 of 147 comments (6%), whereas positive comments about PICCs accounted for 10 of 100 comments (10%). Positive comments for both catheter types were mostly related to convenience. More than 80% of comments about both types of devices were negative and fell into the following areas: catheter malfunction; pain, irritation, or discomfort; interference with activities of daily living; provider error; and other.
Our findings underscore the need to optimize the patient experience with placement, ongoing use, and removal of urinary catheters and PICCs.
人们对留置导尿管或经外周静脉置入中心静脉导管（PICC）患者的体验知之甚少。我们通过审查患者对留置这两种导管的体验的开放式意见，试图更好地了解患者对留置导尿管或 PICC 的看法。
作为一项更大研究的一部分，我们在置管时以及在第 14、30 和 70 天（仅 PICC）询问患者有关某些导管相关并发症的情况。在这个更大的项目中，我们进行了一项结构化评估，其中包括与设备相关的其他意见（初次访谈）或问题（随访访谈）的开放式问题。在当前的研究中，我们对这些开放式意见进行了描述性分析，将其分类为正面、负面或中性。
留置导尿管的正面意见占 147 条评论中的 9 条（6%），而 PICC 的正面意见占 100 条评论中的 10 条（10%）。两种类型导管的正面意见主要与便利性有关。超过 80%的关于两种类型设备的意见都是负面的，并归入以下几个方面：导管故障；疼痛、刺激或不适；干扰日常生活活动；提供者的错误；以及其他。
我们的研究结果强调了需要优化患者在留置导尿管和 PICC 的安置、持续使用和移除过程中的体验。
