Dataset Information

Knowledge, attitude, and practice toward the daily management of PICC in critically ill cancer patients discharged from intensive care units.

ABSTRACT:

Background

Peripherally inserted central catheters (PICCs) are widely used in critically ill cancer patients. We aimed to investigate the status of knowledge, attitude, and practice (KAP) toward the daily management of PICCs in critically ill cancer patients discharged from intensive care units.

Methods

Totally, 152 critically ill cancer patients discharged from two intensive care units in China were surveyed using a self-administered KAP questionnaire. Patients' demographics and PICC-related KAP scores were collected and analyzed using independent-samples t-test and multivariate stepwise linear regression analysis.

Results

All 152 patients completed the survey. The mean KAP scores were 32.61±3.80 points, 28.11±3.18 points, and 44.31±3.98 points, respectively. KAP scores were found to have significant positive correlations with each other (P<0.05). The major factors influencing the total KAP score were the PICC indwelling time and the patient's educational degree, age, and place of residence (P<0.05).

Conclusion

We noted that KAP status toward the daily management of PICC in critically ill cancer patients discharged from intensive care units is not optimistic and needs to be further improved. Attention should be paid to the health education patterns of KAP, and individualized instruction should be pursued.

SUBMITTER: Chen J

PROVIDER: S-EPMC6014729 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Publications

Knowledge, attitude, and practice toward the daily management of PICC in critically ill cancer patients discharged from intensive care units.

Chen Jie J Zhao Hui H Xia Zhijie Z Zhang Ying Y Lv Xiang X Zhou Xuhui X Dong Xiang X Li Jingjie J Jiang Hong H Huang Yan Y Huang Huimin H

Cancer management and research 20180618

<h4>Background</h4>Peripherally inserted central catheters (PICCs) are widely used in critically ill cancer patients. We aimed to investigate the status of knowledge, attitude, and practice (KAP) toward the daily management of PICCs in critically ill cancer patients discharged from intensive care units.<h4>Methods</h4>Totally, 152 critically ill cancer patients discharged from two intensive care units in China were surveyed using a self-administered KAP questionnaire. Patients' demographics and ...[more]

PMID: 29950895

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Project description:IntroductionRecent evidence suggests that choice of fluid used for resuscitation may influence mortality in critically ill patients.MethodsWe conducted a cross-sectional study in 391 intensive care units across 25 countries to describe the types of fluids administered during resuscitation episodes. We used generalized estimating equations to examine the association between patient, prescriber and geographic factors and the type of fluid administered (classified as crystalloid, colloid or blood products).ResultsDuring the 24-hour study period, 1,955 of 5,274 (37.1%) patients received resuscitation fluid during 4,488 resuscitation episodes. The main indications for administering crystalloid or colloid were impaired perfusion (1,526/3,419 (44.6%) of episodes), or to correct abnormal vital signs (1,189/3,419 (34.8%)). Overall, colloid was administered to more patients (1,234 (23.4%) versus 782 (14.8%)) and during more episodes (2,173 (48.4%) versus 1,468 (32.7%)) than crystalloid. After adjusting for patient and prescriber characteristics, practice varied significantly between countries with country being a strong independent determinant of the type of fluid prescribed. Compared to Canada where crystalloid, colloid and blood products were administered in 35.5%, 40.6% and 28.3% of resuscitation episodes respectively, odds ratios for the prescription of crystalloid in China, Great Britain and New Zealand were 0.46 (95% confidence interval (CI) 0.30 to 0.69), 0.18 (0.10 to 0.32) and 3.43 (1.71 to 6.84) respectively; odds ratios for the prescription of colloid in China, Great Britain and New Zealand were 1.72 (1.20 to 2.47), 4.72 (2.99 to 7.44) and 0.39 (0.21 to 0.74) respectively. In contrast, choice of fluid was not influenced by measures of illness severity (for example, Acute Physiology and Chronic Health Evaluation (APACHE) II score).ConclusionsAdministration of resuscitation fluid is a common intervention in intensive care units and choice of fluid varies markedly between countries. Although colloid solutions are more expensive and may possibly be harmful in some patients, they were administered to more patients and during more resuscitation episodes than crystalloids were.

Dataset Information

Knowledge, attitude, and practice toward the daily management of PICC in critically ill cancer patients discharged from intensive care units.

Background

Methods

Results

Conclusion

Publications

Knowledge, attitude, and practice toward the daily management of PICC in critically ill cancer patients discharged from intensive care units.

Similar Datasets

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