Li Chengyang, Wang Chunfeng, Zhuang Xueting, Wang Ying, Wu Yong, Hu Rong
The School of Nursing, Fujian Medical University, Fuzhou, China.
College of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Asia Pac J Oncol Nurs. 2025 Jan 9;12:100654. doi: 10.1016/j.apjon.2025.100654. eCollection 2025 Dec.
This study aimed to explore the experiences of children with cancer undergoing peripherally inserted central catheter (PICC) insertion.
This study employed a descriptive qualitative approach. A total of 20 children undergoing PICC insertion were enrolled through purposive sampling. Semi-structured interviews, supplemented by draw-and-tell techniques, were conducted to collect data. Thematic analysis method was employed to analyze the interview data.
Four themes and 11 subthemes were identified regarding the experience of peripherally inserted central catheter insertion in pediatric cancer patients, including (1) uncertainty (unknown procedure and lack of confidence); (2) high sensitivity (vulnerable to environmental influences and care what others think); (3) psychophysical changes (stress response, physical discomfort, disruption of daily routines, and accepted with pleasure); and (4) multidimensional needs (information, comfort, and self-actualization needs).
The findings underscore the importance of gaining a deeper understanding of the symptoms and needs of pediatric cancer patients undergoing PICC insertion. By appreciating and honoring children's voices, we can effectively cater to their distinct worries and guarantee they get the care and consideration they merit.
本研究旨在探讨癌症患儿接受经外周静脉穿刺中心静脉置管(PICC)的经历。
本研究采用描述性定性研究方法。通过目的抽样法招募了20名接受PICC置管的儿童。采用半结构化访谈,并辅以绘画讲述技术来收集数据。采用主题分析法对访谈数据进行分析。
确定了关于儿科癌症患者经外周静脉穿刺中心静脉置管经历的四个主题和11个子主题,包括(1)不确定性(对操作不了解和缺乏信心);(2)高敏感性(易受环境影响且在意他人看法);(3)身心变化(应激反应、身体不适、日常生活被打乱且愉快接受);以及(4)多维度需求(信息、舒适和自我实现需求)。
研究结果强调了深入了解接受PICC置管的儿科癌症患者的症状和需求的重要性。通过倾听和尊重儿童的声音,我们可以有效满足他们独特的担忧,并确保他们得到应有的护理和关怀。