2023-Sustainable Industrial Processing Summit
Intl. Symp on Technological Innovations in Medicine
| Editors: | F. Kongoli, F. Murad, T. Yoshikawa, J.R. Ribas, D. Joseph, N. Tran, S. Hirano |
| Publisher: | Flogen Star OUTREACH |
| Publication Year: | 2023 |
| Pages: | 126 pages |
| ISBN: | 978-1-989820-92-6 (CD) |
| ISSN: | 2291-1227 (Metals and Materials Processing in a Clean Environment Series) |
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SPAD-CARE: SEMI-PERMANENT ACCESS DEVICE CARE
Mª Inés Corcuera Martínez1; Marta Ferraz Torres1; Jesús Daniel Trigo Vilaseca2; Ana María Díez Revilla1; Ruth Plaza Unzue1; Mikel Díaz Noain1; José Javier Astrain Escola2; Luis Javier Serrano Arriezu2;1HOSPITAL UNIVERSITARIO DE NAVARRA, Pamplona, Spain; 2UNIVERSIDAD PúBLICA DE NAVARRA, Pamplona, Spain;
Type of Paper: Regular
Id Paper: 147
Topic: 65
Abstract:
a) Introduction:In 2015, the Hospital Complex of Navarre adhered to the “Best Practices Spotlight Organizations” (BPSO®) project by implementing the guide of good practices "Care and maintenance of vascular accesses to reduce complications".[1] The goal was to implement and improve nursing care strategies for Peripherally Inserted Central Catheters (PICC) based on the latest available evidence. The implantation of a PICC is part of the treatment of choice in oncological processes, being this a long-lasting device that ensures useful venous access, both for the administration of treatment and for obtaining blood samples [2]. However, it is not without potential complications. In the case of the PICC, the main risks are thrombosis and infection [3]), the prevalence of the latter varying between 1.3% and 13.9%, according to various studies [4-6]. To do so, specific nurse training was necessary. However, due to the high mobility of patients and professionals, traditional training was not enough. Currently, there is widespread use of mobile devices and a growing interest by health professionals in leveraging smartphone applications as a means of conducting health behavioral interventions [7-9].HYPOTHESIS The use of the SPAD-CARE app as a training method and resource for validating the status of the venous access and device, both for professionals and patients and/or relatives of PICC carriers, will reduce the main complications derived from them: phlebitis and thrombosis. , as well as accidental removal.b) MethodThere was a need to design and develop an application (APP) for smartphones and tablets, referred to as SPAD-CARE (from Semi-Permanent Access Device CARE), which facilitates untrained professionals, patients and family members to carry out the necessary care of the patients’ PICC safely. technology. The patients were informed and accepted an informed consent to perform the tests. The applicability of the APP will be assessed through a quasi-experimental study with a control group (CG) with the management, monitoring and traditional care of these devices; comparing with an intervention group (IG) composed of a sample of adult patients (>18 years) with PICC whose care has been provided and recorded using the APP. The variables to be compared will be measured with the same definition and exhaustiveness for both groups. As inclusion criteria, all patients with a long-term PICC will be included; inserted by the nurses of the intravenous therapy unit (UTI) of the Hospital Universitario de Navarra and whose use is expected for at least one month; in patients of legal age (>18 years), who have given their written consent to be included in the study, agree to the use of the APP and wish to complete the study. As exclusion criteria, all those patients with limitations in the management of digital resources, APPs or the absence of a smartphone-type mobile device were ignored to form part of the study. In addition, informed consent will be requested from both groups to access their clinical history. for the collection of sociodemographic information and on aspects related to their disease process. Each patient who accepts the use of the APP will be registered in the SPAD-CARE web manager, assigning a user number and a password, which will be provided after inserting the PICC.c) ResultsSPAD-CARE leverages the user's smartphone to identify the access device and validate it in the information system. All actions performed on the specific access device are documented, accredited, and conveniently stored in the information system. Once authenticated, the APP guides the user in the care of the catheter in sterile conditions following the procedure of the health care center. By the date of the congress, it is expected to have a proof of concept of the APP and to have performed X tests with real patients.d) Discussion & ConclusionThe application of new technologies in the field of PICC could be a great advance for both professionals and patients, since it would help untrained professionals and empower patients, family members or caregivers in the proper management of them.
Keywords:
Biocomputational Sciences; Bioinformatics; BiostatisticsReferences:
[1] Registered Nurses´ Association of Ontario (RNAO). Guía de buenas Prácticas Acceso Vascular. Segunda edición. Nurs Best Pract Guidel (2021). 2021;[2] Schiffer CA, Mangu PB, Wade JC, Camp-Sorrell D, Cope DG, El-Rayes BF, et al. Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol Off J Am Soc Clin Oncol. 2013;31(10):1357-70.
[3] Toril Rubio M, Rodríguez Borrego MA. Revisión sistemática de las complicaciones de los dispositivos de administración de tratamiento al paciente oncológico . Enfer Glob. 2017; 16(46): 544-61.
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[6] Ahn DH, Illum HB, Wang DH, Sharma A, Dowell JE. Upper Extremity Venous Thrombosis in Patients With Cancer With Peripherally Inserted Central Venous Catheters: A Retrospective Analysis of Risk Factors. J Oncol Pract. 2012;9(1):e8-12.
[7] Spain Digital Future in Focus 2013. ComScore. 2013
[consultado 25 Jun 2021]. Disponible en: http://www.europacreativamedia.cat/rcs_auth/convocatories/2013-Spain-Digital-Future-in-Focus_1_.pdf
[8] Dennison L, Morrison L, Conway G, Yardley L. Opportunities and challenges for smartphone applications in supporting health behavior change: Qualitative study. J Med Internet Res. 2013;15(4).
[9] McKay FH, Cheng C, Wright A, Shill J, Stephens H, Uccellini M. Evaluating mobile phone applications for health behaviour change: A systematic review. J Telemed Telecare. 2018;24(1):22–30.