ArticleWorld journal of gastrointestinal surgery2025
Preventive of deep vein thrombosis in cancer patients after peripherally inserted central catheter catheterization using a diversified comprehensive teaching model.
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPeripherally inserted central catheter (PICC) is the preferred intravenous route for chemotherapy in patients with cancer, but its complications, especially deep vein thrombosis (DVT), are becoming increasingly prevalent. Medical staff proficient in intubation and maintenance techniques can reduce complications. The multivariate integration teaching model applies the integration of "teaching learning application" to medical training, which helps shift the prevention of complications from "passive management of complications" to "active construction of risk immunity", thereby ensuring foundational competency for PICC in patients with cancer.
aimTo investigate the efficacy of the multivariate integration teaching model in patients with gastric cancer and concurrent DVT after PICC intubation and analyze its effect on patients' quality of life index (QLI) and satisfaction.
methodsA retrospective analysis of medical records of 100 patients with gastric cancer and PICC treated at Zhejiang Provincial People's Hospital from May 2019 to November 2020 was conducted. According to the different treatment methods and teaching modes received by medical staff, they were divided into a control group and an experimental group, with 50 cases in each group. The routine clinical teaching model and the multivariate integration teaching model were administered to the medical staff for the control group and the experimental group, respectively, to compare the incidence rates of DVT and other adverse reactions, QLI scores, Karnofsky Performance Scale scores, Mental Status Scale in Non-Psychiatric Settings scores, patient satisfaction, medical staff's test marks, and satisfaction evaluation of the teaching model.
resultsCompared with the control group, the experimental group exhibited significantly lower incidence rates of DVT and other adverse reactions and MSSNS scores but significantly higher QLI scores, KPS scores, patient satisfaction, medical staff's test marks, and their satisfaction evaluations of the teaching model (
conclusionIn a single-center practice, performing the multivariate integration teaching model for medical staff may effectively improve the patients' QLI and satisfaction and may have certain application value in preventing DVT in patients with gastric cancer and PICC.
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