title: [Efficacy of educational intervention for patients wearing peripherall inserted central catheter. A pilot study].
abstract: BACKGROUND
  Peripherally Inserted Central Catheter (PICC) is a central venous catheter suitable for patients who receive chemotherapy in Day Hospital regimen. The patient must be educated to a proper home management of the PICC through targeted education.
  
  
  OBJECTIVE
  To evaluate the effectiveness of a targeted educational intervention through the comparison of: indi- vidual interview, brochure paper, informative video.
  
  
  METHODS
  Single-centre randomized controlled clinical trial with a simple three-arm comparative scheme. The study population is represented by all patients undergoing the insertion of PICC at the Oncological Day Hospital and Breast Unit in the observation period between October 2013 and February 2014. The Standard educational session is performed by the nurse positioning the PICC. PICC team consists of two nurses in possession of the first level master in venous access management. Following randomization eligible patients were divided in three groups: group A received Standard educational session; group B received the standard information and the brochure; group C received the stan- dard information and the informative video. The level of the achieved knowledge was investigated by administering targeted questionnaires.
  
  
  RESULTS
  A total of 40 patients joined the study: a convenience sample represented by people between the ages of 18 and 75 years, in outpatient care. Statistically significant difference in key areas necessary for the proper management of PICC: when to change the dressing (p=0.001), when to wash the catheter (p=0), how to recognize signs and symptoms of infection (p=0.001), identify at-risk behaviors (p=0.005), when carrying out the inspection of the catheter's insertion site (p=0).
  
  
  CONCLUSIONS
  The administration of a multimedial educational tool was found to be superior in efficacy compared to the only Standard educational session to increase patient's knowledges. The video appears to be more effective than the brochure. The obtained results are influenced by the small sample size and by the shortness of the follow up timing; this leads to a low generalizability of the conclusions.
authors.affiliation: Casa S. Giuseppe delle Figlie di Maria Ausiliatrice, Torino. Corrispondenza: e-mail: f.fusco1991@libero.it.
authors.forename: Federica
authors.initials: F
authors.lastname: Fusco
authors.affiliation: Collaboratore professionale sanitario esperto/ infermiere, Day Hospital Oncologico presso Centro Onco-Ematolo- gico Subalpino, Presidio Ospe- daliero Molinette, Città della Salute e della Scienza, Torino.
authors.forename: Tiziana
authors.initials: T
authors.lastname: Armando
authors.affiliation: Collaboratore professionale sanitario/ coordinatore infer- mieristico, Day Hospital Onco- logico e Breast Unit presso Centro Onco-Ematologico Subalpino, Presidio Ospeda- liero Molinette, Città della Salute e della Scienza, Torino.
authors.forename: Silvana
authors.initials: S
authors.lastname: Storto
authors.affiliation: Docente e tutor clinico super- visore, Corso di Laurea in Infer- mieristica, Dipartimento di Scienze della Salute Pubblica e Pediatriche, Università degli Studi di Torino, Torino.
authors.forename: Maria Valentina
authors.initials: MV
authors.lastname: Mussa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D002405:Catheterization, Central Venous / Q000451:nursing; D002406:Catheterization, Peripheral / Q000451:nursing*; D004358:Drug Therapy / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000193:education; D008875:Middle Aged; D010865:Pilot Projects; D015203:Reproducibility of Results; D012107:Research Design