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The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC

Received: 8 October 2018     Accepted: 14 November 2018     Published: 20 December 2018
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Abstract

Objective: To explore the effects of simulated teaching on avoidance of catheter extrusion in patients with PICC. Background Catheter extrusion is one of the most common complications after PICC catheterization. The incidence is 5% to 3l% in literature which have reported. Catheter prolapse not only directly affects the treatment of patients, but also increases the pain and financial burden of patients. The main causes of catheter prolapse are improper external fixation, traction of external force, excessive activity of patients and lack of self-protection catheter knowledge. Health education can promote patients who are the co-administrator of the catheter to form correct behaviors and concepts. Health education has become an important part of clinical nursing work. Methods: A total of 915 patients with PICC were recruited in the present study. Simulated teaching regarding prevention of catheter extrusion to get her with previous health education was carried out in the laboratory center. Participants were required to do re-demonstration after the critical skills were taught. The tests core was compared before and after the simulated teaching . Besides , the rate of catheter extrusion was also recorded and compared with those patient s who did not receive the simulated teaching before. Results: Compared with the test score before the simulated teaching, test score after the teaching was higher. Rate of catheter extrusion among those who received simulated teaching was lower than those who did not get the teaching (χ2= 23.701, P< 0.001). Conclusion: Health education with simulated teaching can help patients with PICC know the key points that they should pay attention to. Such teaching method can significantly decrease the rate of catheter extrusion.

Published in American Journal of Nursing Science (Volume 7, Issue 6)
DOI 10.11648/j.ajns.20180706.18
Page(s) 250-253
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Health Education, Peripherally Inserted Central Catheter, Catheter Extrusion, Analogue Simulation

References
[1] Wu Xiaojie, Guo Weijun, Luquan, et al. Nursing progress of breast cancer patients with common complications after PICC catheterization [J]. Chinese Journal of Modern Nursing, 2014, 20 (14): 1641-1645.
[2] Hang Yingting, Xu Jin, Gu Weng. Effects of self-efficiency intervention for patients with PICC at chemotherapy intermission [J]. Chinese Journal of Modern Nursing, 2015, 21 (35): 4263-4265.
[3] Zhong Liuyi, Jing Yahong, Zhang Lili. Application of health education in PICC of breast cancer patients [J]. Chinese Journal of practical nursing, 2011, 27 (28): 53.
[4] Beragan L. Simulation: an efective pedagogical approach for nursing [J]. Nurse Educ Today, 2011, 31 (7): 660— 663.
[5] Howard VM, Englert N, Kameg K, et al. Integration of simulation across the undergraduate curriculum: student and faculty per-spectives [J]. Clin Simulat Nurs, 2011, 7 (1): e1-10.
[6] Zhang Jinhui, He Lianxiang, Tang Siyuan, et al. Application of quality control circle on reducing the incidence of complications related to PICC among lung cancer patients [J]. Chinese Journal of Modern Nursing, 2015, 21 (14): 1616-1620.
[7] Zhao Hongjun, Zhang Lihua, Kong Yehong. Three quality management in the implementation of PICC health education pathway [J]. Nursing Practice and Research, 2015, 12 (10): 98-99.
[8] Wangrong, Liu Xueyin, Sun Juyin. Impact of PPT health education on the anxiety status of patients with PICC [J]. Chinese Journal of Practical Nursing, 2012, 18 (27): 3266-3268.
[9] ZhangChun, Wang Chunlin. Analysis and Nursing Strategy for catheter extrusion of Power PICC line [J]. Chinese practical magazine, 2016, 32 (26): 2053-2055.
[10] Zhang Suli, Pan Lianjun, Dong Li. Effects of ADOPT pattern on hope and adaptation levels of patients with PICC catheter [J]. Chinese Journal of Modern Nursing, 2017, 23 (13): 1745-1748.
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  • APA Style

    Zhu Wei, Qiao Xiaoying, Xiang Xiaoyan, Chen Lijiao, Chen Xiaomin, et al. (2018). The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC. American Journal of Nursing Science, 7(6), 250-253. https://doi.org/10.11648/j.ajns.20180706.18

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    ACS Style

    Zhu Wei; Qiao Xiaoying; Xiang Xiaoyan; Chen Lijiao; Chen Xiaomin, et al. The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC. Am. J. Nurs. Sci. 2018, 7(6), 250-253. doi: 10.11648/j.ajns.20180706.18

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    AMA Style

    Zhu Wei, Qiao Xiaoying, Xiang Xiaoyan, Chen Lijiao, Chen Xiaomin, et al. The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC. Am J Nurs Sci. 2018;7(6):250-253. doi: 10.11648/j.ajns.20180706.18

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  • @article{10.11648/j.ajns.20180706.18,
      author = {Zhu Wei and Qiao Xiaoying and Xiang Xiaoyan and Chen Lijiao and Chen Xiaomin and Zhang Ye},
      title = {The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC},
      journal = {American Journal of Nursing Science},
      volume = {7},
      number = {6},
      pages = {250-253},
      doi = {10.11648/j.ajns.20180706.18},
      url = {https://doi.org/10.11648/j.ajns.20180706.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20180706.18},
      abstract = {Objective: To explore the effects of simulated teaching on avoidance of catheter extrusion in patients with PICC. Background Catheter extrusion is one of the most common complications after PICC catheterization. The incidence is 5% to 3l% in literature which have reported. Catheter prolapse not only directly affects the treatment of patients, but also increases the pain and financial burden of patients. The main causes of catheter prolapse are improper external fixation, traction of external force, excessive activity of patients and lack of self-protection catheter knowledge. Health education can promote patients who are the co-administrator of the catheter to form correct behaviors and concepts. Health education has become an important part of clinical nursing work. Methods: A total of 915 patients with PICC were recruited in the present study. Simulated teaching regarding prevention of catheter extrusion to get her with previous health education was carried out in the laboratory center. Participants were required to do re-demonstration after the critical skills were taught. The tests core was compared before and after the simulated teaching . Besides , the rate of catheter extrusion was also recorded and compared with those patient s who did not receive the simulated teaching before. Results: Compared with the test score before the simulated teaching, test score after the teaching was higher. Rate of catheter extrusion among those who received simulated teaching was lower than those who did not get the teaching (χ2= 23.701, PConclusion: Health education with simulated teaching can help patients with PICC know the key points that they should pay attention to. Such teaching method can significantly decrease the rate of catheter extrusion.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC
    AU  - Zhu Wei
    AU  - Qiao Xiaoying
    AU  - Xiang Xiaoyan
    AU  - Chen Lijiao
    AU  - Chen Xiaomin
    AU  - Zhang Ye
    Y1  - 2018/12/20
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ajns.20180706.18
    DO  - 10.11648/j.ajns.20180706.18
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 250
    EP  - 253
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20180706.18
    AB  - Objective: To explore the effects of simulated teaching on avoidance of catheter extrusion in patients with PICC. Background Catheter extrusion is one of the most common complications after PICC catheterization. The incidence is 5% to 3l% in literature which have reported. Catheter prolapse not only directly affects the treatment of patients, but also increases the pain and financial burden of patients. The main causes of catheter prolapse are improper external fixation, traction of external force, excessive activity of patients and lack of self-protection catheter knowledge. Health education can promote patients who are the co-administrator of the catheter to form correct behaviors and concepts. Health education has become an important part of clinical nursing work. Methods: A total of 915 patients with PICC were recruited in the present study. Simulated teaching regarding prevention of catheter extrusion to get her with previous health education was carried out in the laboratory center. Participants were required to do re-demonstration after the critical skills were taught. The tests core was compared before and after the simulated teaching . Besides , the rate of catheter extrusion was also recorded and compared with those patient s who did not receive the simulated teaching before. Results: Compared with the test score before the simulated teaching, test score after the teaching was higher. Rate of catheter extrusion among those who received simulated teaching was lower than those who did not get the teaching (χ2= 23.701, PConclusion: Health education with simulated teaching can help patients with PICC know the key points that they should pay attention to. Such teaching method can significantly decrease the rate of catheter extrusion.
    VL  - 7
    IS  - 6
    ER  - 

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Author Information
  • Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical Colloge, Hangzhou, China

  • Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical Colloge, Hangzhou, China

  • Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical Colloge, Hangzhou, China

  • Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical Colloge, Hangzhou, China

  • Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical Colloge, Hangzhou, China

  • Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical Colloge, Hangzhou, China

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