الفهرس 
Review of literature……Only 14 pages are availabe for public view
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Abstract
Central venous access devices (VADs) are routinely used in
oncology practice to provide long-term venous access. An implantable
port device provides an easily accessible central route for long-term
chemotherapy. The use of implanted port catheter represents a major
advance for oncology patients, enabling the effective delivery of
chemotherapy and blood products particularly for prolonged infusions or
in the situation of difficult venous access ( Patel et al, 2014).
Aim of the study:
The current study aimed to:
Assess the effect of educational nursing intervention on
knowledge and practice of patients with implantable port catheter
undergoing chemotherapy. This aim was achieved through the following:
1. Assessing the patients’ knowledge and practices regarding
chemotherapeutic agents’ administration through implantable
port catheter.
2. Developing and implementing educational nursing
intervention based on patients actual need assessment.
3. Evaluating the effect of educational nursing intervention on
knowledge and practice of patients with implantable port
catheter and undergoing chemotherapy.
4. Evaluating the effect of educational nursing intervention on
patients’ with implantable port catheter and undergoing
chemotherapy health condition and its complications. Research hypothesis:
The current study hypothesized that:
The educational nursing intervention will improve and
affect positively on the knowledge and practices of patients
undergoing chemotherapy via implantable port catheter and it will
prevent its complications.
Research Design:
A quasi –experimental design with pre and post assessment was
utilized to conduct this study.
Research Setting:
The study was conducted at the radiotherapy oncology and nuclear
medicine center (out patients’ clinic) affiliated to Ain Shams University
Hospital.
Subjects:
-A purposive sample of 50 patients was recruited from the
radiotherapy oncology and nuclear medicine center (out patients’
clinic) affiliated to Ain Shams University Hospital.
- patients who meet the following criteria were recruited: Adult,
males and females, alert connected with implantable port catheter,
educated or has first degree relative educated, not given any
instructions about implantable port catheter care, and free from
any psychiatric or mental disorder. Tools for Data Collection:
Four tools were used in the current study:
1- Knowledge assessment form to assess patients’ knowledge
regarding the port catheter. This questionnaire was adopted from
(Serpil & Ayfer, 2009) and modified by the researcher. Face and
content validity were done. It was written in simple Arabic language. It
included the following two parts:
Socio- demographic data including age, gender, education level,
occupation, …………………………..etc.
Patient knowledge regarding to implantable port catheter as
definition, indications, complications, …………etc.
2- Observational checklists: to assess patient’s care for port
catheter (dressing, flushing and recapping). These checklists
were developed by the researcher after reviewing the related
literature.
3- Patient condition assessment sheet: it was used to determine
the patient health condition and associated complications. It
included the following:-
Extravasation and infiltration scale: This scale was adopted
from Infusion Nurses Society (2006). It was used to assess signs
of extravasation of chemotherapeutic agents. It was graded from
zero (if there are no symptoms) to 4 (if there is extravasation
occurs).
Complications signs sheet: It was used to assess the signs
and symptoms of embolus formation and will be developed by the
researcher after reviewing the related literature.
4- Hamilton anxiety rating scale: this tool was adopted from
Max Hamilton (1959) and modified by the researcher to The educational nursing intervention carried out through three
phases: Planning phase, Implementation phase and evaluation
phase.
The educational nursing intervention was developed after needs
assessment obtained from the result of data collection and after
reviewing related literature. Data collection of this study was
accomplished over 6 months, from the beginning of September 2013
to the end of February 2014. Purpose of the study was simply
explained to patients who agree to participate in the study prior to any
data collection. The researcher was available at radiotherapy
oncology and nuclear medicine center (out patients’ clinic) 3 days /
week at morning and afternoon shifts to collect data from the studied
patients and conduct the educational nursing intervention. After the
final session, the same tools were distributed again for each patient to
be answered and the patients re-observed for complications to
evaluate the effect of educational nursing intervention
implementation.
Results:
The results of the study showed that:
The mean age for patients included in the study were 48.6 +
10.5, while more than two thirds of the patients were
females(70%).
All of the patients included in the study had unsatisfactory level
of knowledge pre educational nursing intervention, which
improves to become more than half of the patients (54%), had
satisfactory level of knowledge post educational nursing
intervention. All of the patients had inadequate level of practice pre nursing
intervention, and more than three quarters of them (78%) had
adequate level of practice post nursing intervention.
There was a decrease in number of patients who had
extravasation. Also, there was a decrease in complications signs
and anxiety level post educational nursing intervention but with
no significant difference.
Conclusion:
Based on the finding of the present study, it can be concluded that:
Patients’ knowledge and practice regarding implantable port- acatheter
has been improved significantly.
The educational nursing intervention had no effect in decreasing
complications and level of anxiety.
Recommendations:
Based on the results of the present study, the following
recommendations were suggested:
An illustrated Arabic guided booklet about implanted port catheter
should be distributed for each patient newly connected with
implantable port catheter.
Continuous educational sessions for patients with implantable port
catheter in hospitals in addition to media such as: educational DVD
to help in preventing complications of implanted port catheter.
Further researches about implanted port catheter, its complications
and their prevention are highly recommended to maintain optimal
health of the patients.