The Effects of Theory-Based Intervention on Self-Care Ability and Complications in Female Patients with Cancer with Peripherally Inserted Central Catheters (PICCs)
Abstract Purpose To examine the effects of Orem’s self-care theory-based continuous nursing intervention on self-care ability and PICC related complications and adverse events rates of female patients with cancer in the intermission of chemotherapy.Methods A quasi-experimental study was adopted. Totally 130 female patients with cancer were recruited from October 2017 to March 2019 at a tertiary maternal hospital in Shanghai. They were randomly divided into the experimental group (n=65) and the control group (n=65). The experimental group accepted nursing intervention based on Orem’s self-care theory, which had five sessions, while the control group accepted routine intervention. The exercise of self-care agency (ESCA) and the rates of PICC related complications and adverse events were compared by Chi square test and two‐sample t test between two groups through IBM SPSS 20.0 statistics software.Results The results showed that before the intervention, the baseline of two groups did not differ significantly. After the intervention, four dimensions and total scores of ESCA in the experimental group were significantly improved compared with those in the control group (p < 0.05), and the rates of PICC related complications and adverse events were significantly decreased in the experimental group compared with those in the control group (p < 0.05).Conclusions Orem’s self-care theory-based continuous nursing intervention was effective in improving self-care ability and decreasing the rates of PICC related complications and adverse events. Consequently, using the intervention program for patients with PICC during the intermission of chemotherapy is recommended.