Effects of individualized comprehensive intervention on complications among patients with implantable venous access port

Abstract

Objective To explore the effects of individualized comprehensive intervention on complications during indwelling implantable venous access port (IVAP) , so as to provide reasonable suggestion and theory evidence for reducing the incidence of IVAP complications. Methods We selected 400 breast cancer patients with IVAP. All of the patients were completely randomized divided into control group and experimental group. Patients of control group (n=200) received routine intervention including education before implanting IVAP and discharge instruction. On this basis of routine intervention, patients of experimental group (n=200) were treated with the individualized comprehensive intervention and enhancing continuous intervention out hospital aiming at common complications of IVAP. We compared patients'incidences of complications during IVAP between two groups. Results Patients'incidences of complications during IVAP in control group and experimental group were 27.0% and 7.5% respectively with a significant difference (P<0.01) . There were 12 patients with unplanned port drawing due to complications in control group and 3 in the experimental group with a significant difference (P<0.05) . Conclusions Individualized comprehensive intervention can effectively reduce the incidences of complications during IVAP, improve the utilization time and ratio of IVAP. Enhancing continuous intervention out hospital is also the important measure to decrease the incidence of severe complications. Key words: Nursing care; Individualized comprehensive intervention; Implantable venous access port; Complications