Prevention, Therapeutic Education Program
Conditions
Keywords
central venous line
Brief summary
The aim of this project is to evaluate, in a prospective cohort of PICC line patients, adherence to the project and understanding of the messages. The transmission of knowledge and the acquisition of skills by patients with this type of invasive device will enable them to play an active role in their own care, and could help to reduce the frequency of risks. This project is part of a collaborative approach that includes the creation of a mobile application for therapeutic education and monitoring (application under development). The evaluation of the device will be the subject of a national PHRC with national structures (SPIADI and PRIMO). The aim is to create a city-hospital collaboration to improve risk management.
Detailed description
The ever-increasing use of central venous lines, including PICC lines, and the shift in medical practice towards ambulatory care, are making it increasingly complex to prevent the infectious and non-infectious risks associated with their use. The involvement of numerous healthcare professionals within and outside the hospital, with varying levels of training, exposes patients to numerous complications, the incidence of which, depending on the device, ranges from 6 to 16%, and occur at the time of insertion (hematoma, pneumothorax, necrosis) or during use (infection, thrombosis, extravasation). The transmission of knowledge and the acquisition of skills by patients wearing this type of invasive device helps to make the patient a player in his or her own care, and could help to reduce the frequency of risks. As part of a therapeutic education program, we aim to validate the communication tools and messages identified by a panel of French experts. These messages, together with the article published by Petit et al, have enabled us to draw up a skills reference framework for patients with a PICC line. The aim of this project is to evaluate adherence to the project and understanding of the messages on a prospective cohort of patients. This project is part of a collaborative approach that includes the creation of a mobile application for therapeutic education and monitoring (application under development). The evaluation of the device will be the subject of a national PHRC with national structures (SPIADI and PRIMO). The aim is to create a city-hospital collaboration to improve risk management.
Interventions
OTHERQUESTIONNAIRES
QUESTINNAIRES / WEBINARS
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Adult patients over 18 years of age 2. Patients requiring a PICC line 3. Patients with a means of communication with an Internet connection (computer or cell phone) or an alternative solution (landline telephone) 4. Patients with a predicted life expectancy of more than 6 weeks
Exclusion criteria
1. Patient opposed to participating in the study 2. Patient does not understand French 3. Patient not affiliated to a French social security scheme 4. Patient under guardianship or curatorship 5. Patient under court protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assess patients' level of understanding of communication tools. | WEEK 6 POST INCLUSION | The level of comprehension will be assessed on the acquisition of the main messages and will be expressed as a percentage of correct answers. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Estimating patient adherence to communication tools | WEEK 6 POST INCLUSION | Adherence to communication tools will be assessed by the frequency of participation in the various webinars proposed. |
| Identify individual factors : a- Demographic b- Related to underlying pathology c- Management-related | week 6 post inclusion | age, gender, ethnic origin, mother language, lifestyle, place of residence... |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORCAMILLE REINPRECHT
Hopital AVICENNE
Outcome results
None listed