BACKGROUND: Vascular accesses offer significant advantages both for patients receiving home infusion treatments and for healthcare professionals responsible for managing these treatments. However, home management often risks being ineffective, leading to various issues such as infections, occlusions, thrombosis, and compromised performance. OBJECTIVE: Our aim is to observe which and how many devices are currently being used in the territory and how they are currently managed by healthcare professionals in the local health service, quantifying the most frequent problems that occur. MATERIALS AND METHODS: Starting from the available literature and analyzing the main guidelines (INS 2021, EPIC 2016, CDC 2011...) adopted at the local and international level, a quantitative study was conducted through descriptive observational methodology. Twenty patients were randomly selected for each competent ADI (AP and SBT), for a total of 40 patients who regularly perform home EV infusions. On this sample, using a locally validated vascular access assessment form, any complications were recorded over a period of 60 days. Additionally, a questionnaire was administered to nurses to understand their level of training and the issues encountered by healthcare providers in managing vascular access at home. PURPOSE AND OBJECTIVE: The objective of this study is to observe the management of stable vascular accesses at home, detecting any complications (reduced performance during infusion/aspiration, dislocation, occlusion, grade 3 and 4 on the VES scale) during the monitoring period. CONCLUSIONS: Proper management of vascular accesses at home is a fundamental piece in improving the quality of home care and providing treatments based on the most up-to-date scientific evidence. The implementation of a dedicated team, along with continuous training for nurses, could be a crucial step in this direction.
BACKGROUND: Gli accessi vascolari <stabili= offrono vantaggi significativi sia al paziente per la prosecuzione dei trattamenti infusivi a domicilio; oltre a essere vantaggiosi per gli operatori sanitari incaricati di gestire questi trattamenti. Ad ogni modo spesso la gestione domiciliare rischia di essere inefficace portando a diverse problematiche quali: infezioni, occlusioni, trombosi e rischio di performance compromesse. OGGETTO: sarà quello di osservare quali e quanti dispositivi sono attualmente utilizzati sul territorio e come vengono attualmente gestiti dagli operatori del servizio sanitario territoriale, quantificando quante e quali problematiche si verificano con maggior frequenza. MATERIALI E METODI: Partendo dalla letteratura disponibile e analizzando le principali linee guida (INS 2021, EPIC 2016, CDC 2011…) adottate a livello locale ed internazionale, è stato effettuato uno studio quantitativo attraverso la metodologia osservazionale descrittiva. Sono stati selezionati in modo casuale 20 pazienti per ogni ADI di competenza (AP e SBT) per un totale di 40 pazienti che eseguono regolarmente infusioni EV a domicilio. Su questo campione, attraverso una scheda di valutazione per gli accessi vascolari validata dall’AST locale, sono state rilevate le eventuali complicanze per un periodo di 60 giorni. In aggiunta è stato somministrato un questionario agli Infermieri per comprendere il grado di formazione e le problematiche riscontrate dagli operatori nella gestione dell’accesso vascolare a domicilio. SCOPO E OBIETTIVO: L’obiettivo che si pone lo studio in oggetto è quello di osservare la gestione degli accessi vascolari stabili a domicilio rilevando le eventuali complicanze (performance ridotte in infusione/aspirazione, dislocazione, occlusione, grado 3 e 4 della scala VES) durante il periodo di rilevazione. CONCLUSIONI: La corretta gestione degli accessi vascolari a domicilio rappresenta un tassello fondamentale per implementare al meglio un’assistenza domiciliare di qualità e per offrire trattamenti basati sulle evidenze scientifiche più aggiornate. L'implementazione di un team dedicato, unitamente a una formazione continua degli infermieri, potrebbe rappresentare un passo fondamentale in questa direzione.
La gestione del catetere Venoso stabile a domicilio. Studio osservazionale AST 5
SPINA, NICCOLÒ
2023/2024
Abstract
BACKGROUND: Vascular accesses offer significant advantages both for patients receiving home infusion treatments and for healthcare professionals responsible for managing these treatments. However, home management often risks being ineffective, leading to various issues such as infections, occlusions, thrombosis, and compromised performance. OBJECTIVE: Our aim is to observe which and how many devices are currently being used in the territory and how they are currently managed by healthcare professionals in the local health service, quantifying the most frequent problems that occur. MATERIALS AND METHODS: Starting from the available literature and analyzing the main guidelines (INS 2021, EPIC 2016, CDC 2011...) adopted at the local and international level, a quantitative study was conducted through descriptive observational methodology. Twenty patients were randomly selected for each competent ADI (AP and SBT), for a total of 40 patients who regularly perform home EV infusions. On this sample, using a locally validated vascular access assessment form, any complications were recorded over a period of 60 days. Additionally, a questionnaire was administered to nurses to understand their level of training and the issues encountered by healthcare providers in managing vascular access at home. PURPOSE AND OBJECTIVE: The objective of this study is to observe the management of stable vascular accesses at home, detecting any complications (reduced performance during infusion/aspiration, dislocation, occlusion, grade 3 and 4 on the VES scale) during the monitoring period. CONCLUSIONS: Proper management of vascular accesses at home is a fundamental piece in improving the quality of home care and providing treatments based on the most up-to-date scientific evidence. The implementation of a dedicated team, along with continuous training for nurses, could be a crucial step in this direction.| File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12075/20077