Effects of self-management education integrated nursing on cancer patients with PICC placement: a systematic review and meta-analysis

Abstract

Background: Chemotherapy plays an important role in cancer treatment. Peripherally inserted central catheter (PICC) is an important vascular access device used in cancer patients undergoing chemotherapy. Objective: This review entailed an evaluation of the effects of self-management education on the occurrence of complications in patients with PICC placement. Methods: PubMed, Embase, the Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP database and Chinese Biomedical Literature database were searched for randomised controlled trials on the effects of self-management education on patients with PICC placement. Meta-analysis was performed on the studies meeting the inclusion criteria using RevMan5.4 software. Results: A total of 12 quantitative studies were included in the meta-analysis and the results showed that self-management education reduced the incidence of total catheter-related complications (95% CI (0.17, 0.32), p < 0.00001); catheter dislodgement (95% CI (0.07, 0.40), p < 0.0001); catheter-associated infections (95% CI (0.11,0.41), p < 0.00001); catheter obstruction (95% CI (0.14,0.53), p = 0.0002); phlebitis (95% CI (0.11,0.47), p < 0.0001) and thrombosis (95% CI (0.07,0.57), p < 0.0001) in patients with PICC placement. Conclusion: Available research evidence suggests that self-management education is effective in reducing PICC catheter-related complications in patients with PICC placement. However, more high-quality studies need to be included for analysis.