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Hematologic patients ' clinical and psychosocial experiences with implanted long-term central venous catheter : self-management versus professionally controlled care . BACKGROUND A significant decrease in catheter-related infections was demonstrated in our earlier randomized controlled trial of central venous catheter ( CVC ) care in hematologic patients . OBJECTIVE This article focuses on patients ' clinical and psychosocial experiences with CVC self-care compared with professionally controlled CVC care . METHODS Eighty-two patients with tunneled CVCs were enrolled in the randomized controlled trial . The intervention group ( n = 42 ) was trained to perform CVC self-care . The control group ( n = 40 ) followed standard CVC procedure provided by nurses . Eighteen patients were selected for semistructured interviews focusing on patients ' clinical and psychosocial experiences with CVCs . RESULTS Methods of CVC care have different influences on the patients ' clinical and psychosocial outcomes , depending on whether they were hospitalized or outpatients . Central venous catheter was viewed as important because it was the main port of treatment toward a cure , although patients constantly fear complications . Central venous catheter self-care increased patients ' independence from health professionals and supported perceived self-efficacy and control . Central venous catheters cause psychosocial problems including altered body perception , sexual activity avoidance , and feeling stigmatized . CONCLUSIONS Patients experience increased perceived self-control and independence when individually supervised and trained in CVC self-management . Assuming ownership of CVC care can encourage patients to feel less inhibited about sexual activity and socialization . IMPLICATIONS FOR PRACTICE Placement of a tunneled CVC should engage nurses to organize individualized structured and supervised patient education . Stigma originating from CVCs should be carefully considered by health professionals when maintaining CVC insertion for longer periods . Central venous catheters should be removed whenever the potential risks exceed the catheter 's functional necessity .
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Intervention_Physical
implanted long-term central venous catheter
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Intervention_Educational
CVC self-care
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Intervention_Educational
CVC self-care
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Intervention_Educational
standard CVC procedure provided by nurses
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Intervention_Physical
Central venous catheter
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Intervention_Educational
Central venous catheter self-care
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Intervention_Educational
CVC self-management
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Outcome_Physical
clinical and psychosocial outcomes
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Outcome_Mental
patients ' independence
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Outcome_Mental
self-efficacy
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Outcome_Mental
psychosocial problems
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Outcome_Mental
altered body perception , sexual activity avoidance , and feeling stigmatized .
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Outcome_Mental
perceived self-control and independence
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Outcome_Mental
sexual activity and socialization .
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Participant_Condition
Hematologic
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Participant_Condition
central venous catheter
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Participant_Condition
hematologic
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Participant_Sample-size
Eighty-two
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Participant_Condition
CVCs