School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Department of Oncology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
BMJ Open. 2023 Mar 22;13(3):e069772. doi: 10.1136/bmjopen-2022-069772.
The upper arm infusion ports have been proven to be advanced and safe, but the experience from the perspective of patients is lacking. This study explored the indwelling experience and coping strategies of upper arm infusion ports in patients with cancer.
Qualitative exploratory study.
This study was conducted between May 2021 and August 2021 at a level III-A general hospital in Shanghai, China.
The participants, who are patients with cancer implanted with the upper arm infusion ports, included 10 women and 6 men, and the average age was 54.4±8.3 years old.
Data were selected from semistructured in-depth interviews and analysed by thematic analysis.
There were 10 descriptive topics and 4 analytical topics in 2 parts. The indwelling experience includes positive experience (treatment benefit, life convenience) and negative experience (physical discomfort, social anxiety, psychological distress). Coping strategies include emotional-focused strategies (self-acceptance, avoidance and self-protection) and problem-focused strategies (information seeking, functional exercise and remove as soon as possible).
The infusion port in the upper arm is beneficial to the safety and quality of life of patients with cancer. At the same time, there are challenges in physical, psychological and social adaptation. Patients respond with some measures, but obstacles may arise during implementation.
上臂输液港已被证明是先进且安全的，但从患者角度的经验尚缺乏。本研究探讨了癌症患者上臂输液港的留置体验和应对策略。
定性探索性研究。
本研究于 2021 年 5 月至 8 月在中国上海的一家三级甲等综合医院进行。
接受上臂输液港植入的癌症患者，包括 10 名女性和 6 名男性，平均年龄为 54.4±8.3 岁。
数据来自半结构化深入访谈，并通过主题分析进行分析。
有 2 部分共 10 个描述性主题和 4 个分析性主题。留置体验包括积极体验（治疗效益、生活便利）和消极体验（身体不适、社交焦虑、心理困扰）。应对策略包括情绪聚焦策略（自我接受、回避和自我保护）和问题聚焦策略（寻求信息、功能锻炼和尽快取出）。
上臂输液港有利于癌症患者的安全和生活质量。同时，在身体、心理和社会适应方面存在挑战。患者会采取一些措施来应对，但在实施过程中可能会遇到障碍。
