Vol. 4 Núm. 2 (2025): post-ICU pathways
Articles

Dealing with Central Vascular Access Devices: A Qualitative Study on Cancer Patients' Experiences

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  • Martina Torreggiani,
  • Deborah Maselli,
  • Stefano Botti,
  • Genny Mazza,
  • Monia Ferrarini,
  • Monica Guberti
Martina Torreggiani
Health Professions Department, Research & EBP Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
Deborah Maselli
Health Professions Department, Research & EBP Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy; International Doctorate School in Clinical and Experimental Medicine, University of Modena and Reggio Emilia, Modena, Italy
Stefano Botti
Hematology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
Genny Mazza
Oncology Day Care Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
Monia Ferrarini
General and Specialist Surgery Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
Monica Guberti
Nursing and Health Professions Directorate, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
DOI: https://doi.org/10.36253/if-3428

Publicado 2025-06-30

Palabras clave

  • Qualitative Research,
  • Oncology,
  • Vascular Access Devices,
  • PICC Line Catheterization,
  • Port-A-Cath

Derechos de autor 2025 Martina Torreggiani, Deborah Maselli, Stefano Botti, Genny Mazza, Monia Ferrarini, Monica Guberti

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

Resumen

Introduction. Central vascular access devices are widely used in oncology settings due to the significant side effects of chemotherapy on blood vessels. Despite the methodological robustness of the literature, the enhanced integration of patients’ perspectives would enrich the evidence on this topic. This study explores oncology patients' experiences with cVADs (PICC and TIVAD), from insertion to daily life management.  

Methods. We conducted a  generic qualitative interview study with thematic analysis. Adult patients with a Peripherally Inserted Central Catheter or a Totally Implantable Venous Access Device receiving oncological treatment at the Oncology Department of the Azienda USL – IRCCS of Reggio Emilia were included, as also those who completed the treatment plan. 

Results. The emerging themes were categorized into three main areas: (1) catheter implantation, (2) catheter maintenance, and (3) “daily life” with the catheter. Patients reported a high degree of satisfaction with the information and the education received by healthcare professionals: this appeared crucial in reducing anxiety and fear during the device placement and its daily management. However, patient engagement in the device selection appeared less consistent. The devices were well tolerated and had a low impact on their daily activities. All participants perceived the devices as helpful and safe during their care pathway.    

Discussion. The study confirmed the importance of central venous access devices to minimize patient discomfort during chemotherapy treatment. The competence and empathy of healthcare professionals, along with adequate information and education, contribute to reducing patient’s anxiety. Improving patients’ engagement in the device choice is necessary. Patients reported a positive experience, enabling them to cope with the device, even at home.

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Citas

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