The study focuses on patients who require outpatient infusion of therapy ("Infusions, Intravenous"\[Mesh\]) "Administration, Intravenous"\[Mesh\] ("Home Infusion Therapy"\[Mesh\]) "Parenteral Nutrition, Home"\[Mesh\] via a peripherally inserted central catheter (PICC) ("Central Venous Catheters"\[MeSH\] "Catheterization, Central Venous"\[MeSH\] "Catheterization, Peripheral" \[MeSH\] "Vascular Access Devices"\[Mesh\] )
The patients, who receive training ("Patient Education as Topic"\[Mesh\] "patient participation"\[MeSH Terms\] ) via an app on their personal mobile phone ("User-Computer Interface"\[Mesh\] "Smartphone"\[MeSH\] "Mobile Applications"\[MeSH\] "Computers, Handheld"\[Mesh\] "Digital Health"\[Mesh\] are able to perform specialized care ("Nursing"\[Mesh\]) Care"\[MeSH\] "Delivery of Health Care"\[Mesh:NoExp\] "Home Nursing"\[MeSH\] "Self Administration"\[Mesh\] to reduce complications ("adverse effects"\[MeSH Subheading\] "Catheter-Related Infections"\[Mesh\] ) so that they are monitored in real time by those responsible for the catheter. ("Telemedicine"\[Mesh\]
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
201
The application is offered to all patients at the time of PICC placement. If they accept, they go to the intervention group. If they do not accept, they go to the control group.
Hospital Universitario de Navarra
Pamplona, Navarre, Spain
RECRUITING1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC
Number of phlebitis episodes
Time frame: At the end of intervention: Time from PICC placement to removal.
1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC.
Number of episodes of catheter removal by reason for removal: pain
Time frame: At the end of intervention: Time from PICC placement to removal.
1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC.
Number of infection episodes
Time frame: At the end of intervention: Time from PICC placement to removal.
1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC.
Number of episodes of withdrawal reason due to accidental exit
Time frame: At the end of the intervention: Time from PICC placement to removal.
1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC.
Number of episodes of skin lesions
Time frame: At the end of intervention: Time from PICC placement to removal.
1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC.
Number of thrombosis episodes
Time frame: At the end of intervention: Time from PICC placement to removal.
1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC.
Number of episodes of catheter breakage as a reason for removal
Time frame: At the end of intervention: Time from PICC placement to removal.
Patient experience
Patient satisfaction with the use of the app, through the questionnaire CSUQ: Computer System Usability Questionnaire. The CSUQ scale, or System Usability Satisfaction Questionnaire, is a tool used to assess user satisfaction with a specific system. It is a Likert-type measurement scale, where participants evaluate their level of satisfaction with various aspects of a system, generally on a scale ranging from 1 (totally disagree) to 7 (totally agree).
Time frame: At the end of using the application: Time from PICC placement to removal.
Patient experience
Patient satisfaction with the use of the app, through the questionnaire eHEALS. The eHealth Literacy Scale (eHEALS) is a tool that measures eHealth literacy by assessing individuals' subjective perception of their skills and knowledge in using online health resources. The questionnaire consists of eight questions that are answered on a Likert scale, where scores range from 1 (Strongly disagree) to 5 (Strongly agree).
Time frame: At the end of using the application: Time from PICC placement to removal.
Patient Satisfaction
Overall satisfaction questionnaire with SpadCare, generated by the research team. SpadCare Questionnaire: 1 the worst value to 10 the best value How would you rate the SpadCare application you have just tested? From 1 to 10, where 1 means 'very dissatisfied' and 10 means 'very satisfied' How likely are you to recommend it to other patients?
Time frame: At the end of using the application: Time from PICC placement to removal.
María Inés Corcuera Martínez MI Corcuera Martínez, RN-PhD(c)
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