Construction of a home-based self-management program for patients with indwelling peripherally inserted central catheter based on the IMB model.

BACKGROUND

PICC is an essential route of drug delivery for cyclic oncology treatment, significantly improving the convenience of continuous therapy for oncology patients. However, the management of PICC catheters by oncology patients while they are at home is not yet at a satisfactory level, which increases the risk of PICC indwelling complications to a certain extent and affects the cancer treatment and patients' quality of life.

OBJECTIVE

Construct a home-based self-management program for patients with indwelling PICC based on the information-motivation-behavioral skills (IMB) model to improve patient self-management.

METHODS

Based on the literature review and qualitative interviews, the first draft of the home-based self-management program for patients with indwelling PICC was constructed, and two rounds of Delphi expert consultation determined the final items of the program, and the weights of the items were determined by adopting Saaty's Analytic Hierarchy Process (AHP).

RESULTS

The Delphi panel consisted of 18 experts, and the positive coefficients of the two rounds of expert consultation were 100%, with authority coefficients (Cr) of 0.958 and 0.964, Kendall's coordination coefficients (Kendall's W) of 0.212 and 0.301 (P < 0. 01), and coefficient of variation (CV) of 0.048 to 0.231 and 0. 000 to 0. 176, respectively. The finally constructed home-based self-management program for patients with indwelling PICC was established by experts' consensus, including 3 primary items, 8 secondary items, and 34 tertiary items. Among the primary items, behavioral skills have the highest weight coefficient of 0.393.

CONCLUSION

The program constructed in this study has high scientific validity and practicality, which can provide strong support for home self-management of patients with indwelling PICC and provide a valuable reference for nurse-led health education.