Patients' experience of portacaths in cystic fibrosis: questionnaire-based study.

Autor: McIntosh LA; Department of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow, UK., Walker GM; Department of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow, UK.
Jazyk: angličtina
Zdroj: Archives of disease in childhood [Arch Dis Child] 2015 Jul; Vol. 100 (7), pp. 659-61. Date of Electronic Publication: 2015 Jun 01.
DOI: 10.1136/archdischild-2014-308045
Abstrakt: Backgrounds and Aims: Portacaths are regularly used in children with cystic fibrosis (CF). We aimed to assess patient satisfaction with lateral chest wall portacaths in children with CF.
Methods: All children in a geographical region with CF and portacath in situ were identified. Site of chest wall placement was identified on X-ray; only children with lateral chest wall portacaths were sent questionnaires. Data collected included preoperative information, cosmesis and interference with activities.
Results: Of the 46 patients identified, 42 had lateral chest wall ports. 25 of this 42(60%) submitted their questionnaires. 22(88%) were happy with preoperative information although only 8(32%) recall being offered choice of position. 23(92%) were satisfied with cosmesis. 2 patients reported problems with physiotherapy only with indwelling needles. 6(24%) patients had problems with clothing, 7(32%) with sports and 3(12%) with seatbelts.
Conclusions: Lateral chest wall portacaths are cosmetically acceptable. Impact on daily activities is less common than that reported with anterior chest wall placement.
(Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.)
Databáze: MEDLINE