Park Jeong Yun, Lee Da In
Department of Clinical Nursing, University of Ulsan, Seoul, Korea.
Jeong Yun Park, PhD, RN, APN, is an assistant professor of clinical nursing at the University of Ulsan in Seoul, Korea. She implemented Korea's first peripherally inserted central catheter program as a clinical nurse specialist. She has 10 years of experience conducting clinical research studies for nursing practice and 9 years of experience teaching graduate students.
J Infus Nurs. 2020 Mar/Apr;43(2):97-102. doi: 10.1097/NAN.0000000000000360.
As cancer chemotherapy transitions from inpatient care to outpatient care, the number of patients who receive a central venous catheter (CVC) and the interest in CVCs as a safe intravenous administration route have increased recently in South Korea. The purpose of this study was to investigate the discomforts and satisfaction that cancer patients with a CVC may experience in daily activities as an outpatient and to provide rationale for nursing interventions. Data collection was conducted between April 11, 2011, and August 31, 2011. Forty-three questionnaires were collected, and a total of 41 questionnaires were used for the final analysis. The mean age of patients was 45.1 years (SD = 11.1 years; range, 18-64 years). The average score of experience of the CVC insertion procedure, daily life experiences of patients with a CVC, the satisfaction and fear of using a CVC, and the acceptance of CVCs were 2.48 ± 0.56, 2.18 ± 0.50, 2.56 ± 0.49, and 2.35 ± 0.39, respectively. The results showed that more detailed information on CVCs, as well as sufficient emotional support, should be provided to the patient to minimize discomfort during CVC insertion. Patient-centered education helps empower patients to master CVC self-management, as well as an understanding of the cultural aspect of South Korean patients who practice the traditional Confucian ethics of "unaltering one's body" and are therefore reluctant to have CVCs inserted into their bodies.
随着癌症化疗从住院治疗向门诊治疗转变，韩国接受中心静脉导管（CVC）的患者数量以及对CVC作为一种安全静脉给药途径的关注度最近有所增加。本研究的目的是调查携带CVC的癌症患者作为门诊患者在日常活动中可能经历的不适和满意度，并为护理干预提供依据。数据收集于2011年4月11日至2011年8月31日进行。共收集了43份问卷，最终分析使用了41份问卷。患者的平均年龄为45.1岁（标准差=11.1岁；范围18 - 64岁）。CVC插入操作的体验得分、携带CVC患者的日常生活体验得分、使用CVC的满意度和恐惧得分以及对CVC的接受度得分分别为2.48±0.56、2.18±0.50、2.56±0.49和2.35±0.39。结果表明，应向患者提供关于CVC更详细的信息以及足够的情感支持，以尽量减少CVC插入过程中的不适。以患者为中心的教育有助于使患者掌握CVC自我管理，以及理解践行传统儒家“身体发肤，受之父母，不敢毁伤”伦理观念、因此不愿在体内插入CVC的韩国患者的文化层面问题。
