3
Metas de Enfermería

Metas de Enfermería

MAYO 2013 N° 4 Volumen 16

Self-reported perception of the Subcutaneous Venous Reservoir by oncohematological patients

Section: Health and quality of life

How to quote

Blanco Prieto E, Fernández Pérez C, Garnica Goyanes A, Hernández Hernanz M. Percepción autorreferida sobre el reservorio vascular subcutáneo en pacientes onco-hematológicos. Metas Enferm 2013; 16(4):27-32.

Authors

1Eliecer Blanco Prieto, 2Cristina Fernández Pérez, 3Ana Garnica Goyanes, 3Marta Hernández Hernanz

Position

1Enfermera de ensayos clínicos. Centro Nacional de Investigaciones Oncológicas-Hospital Universitario de Fuenlabrada, Madrid. 2Enfemera. Universidad Complutense de Madrid. 3Enfermera Hospital MD Anderson. Grupo Madrid.

Contact address

Ana Garnica Goyanes. MDAnderson Cancer Center. C/ Arturo Soria, 270. 28033 Madrid.

Contact email: agarnica@mdanderson.es

Abstract

Objective: to describe the self-reported perception (physical discomfort, body image alteration, complications derived from the Subcutaneous Venous Reservoir (SVR), anxiety caused by the intervention) by oncohematological patients with an implanted SVR.
Materials and methodology: study transversal descriptive study of a series of cases (oncohematological patients with SVR) in a opportunistic sample from the Hospital MD Anderson Cancer Center (MDACC) in Madrid. The information collecting tool was an anonymous survey with 16 items, created ad hoc for the study, which captured the self-referred perception about physical discomfort, body image altera­tion, complications derived from the RVS, anxiety caused by the intervention, and information provided by the nursing staff. For the bivariate analysis, and based on the type of variable, the following were used: contrast hypothesis testing, Chi-square test, Fisher Test, Student’s t-test and median test.
Results: a study was conducted on 156 cases out of 253 patients with a SVR. Of these, 98.6% would have a SVR implanted again, and 99.3% would recommend other patients to have a SVR implanted. An 88.5% of these patients claimed there had been no varia­tion in their daily life activities (DLAs). Out of 91 patients, 90 preferred treatment administration through their SVR, while 96.8% stated there was no esthetic damage involved. A 71.7% of patients claimed they had suffered no anxiety when faced with the surgical intervention to implant the reservoir. A 16.3% of patients were not informed by nursing professionals about SVR maintenance.
Conclusions: oncohematological patients with SVRs are satisfied with the device, and they recommend its implantation to other patients. The time elapsed after SVR implantation has an impact upon a reduced perception of the alteration and esthetic damage by SVRs. Training by the nursing team is detected as an area which should be improved.

Keywords:

descriptive study; hematology; oncology; oncology nursing; patient satisfaction; researchVein reservoirs

Versión en Español

Título:

Percepción autorreferida sobre el reservorio vascular subcutáneo en pacientes onco-hematológicos