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Purpose <p>This study aimed to systematically review and meta-analyze the literature to identify the components of home care-based education for cancer patients with peripherally inserted central catheters (PICCs) and evaluate its effects compared to traditional health education.</p> Methods <p>A comprehensive search was conducted in Chinese and English databases until November 2024. The searching strategy, screening, quality assessment data extraction, and meta-analysis were performed scientifically.</p> Results <p>A total of 19 studies were included. Three core components of home care-based education were identified: catheter care, self-care, and resource support. Meta-analysis revealed significant improvements in eight outcomes for intervention groups: improved self-management abilities (<i>MD</i> = 17.77, 95% <i>CI</i>, <i>Z</i> = 9.2,<i> P</i> &lt; 0.00001); reduced anxiety (<i>MD</i> = −8.53, 95% <i>CI</i>, <i>Z</i> = 4.56, <i>P</i> &lt; 0.00001) and depression (<i>MD</i> = −11, 95% <i>CI</i>, <i>Z</i> = 3.97, <i>P</i> &lt; 0.0001); lower complication incidence (<i>OR</i> = 0.17, 95% <i>CI</i>, <i>Z</i> = 11.79, <i>P</i> &lt; 0.00001); higher compliance rate (<i>OR</i> = 0.16, 95% <i>CI</i>, <i>Z</i> = 4.98, <i>P</i> &lt; 0.00001); improved self-efficacy (<i>MD</i> = 9.45, 95% <i>CI</i>, <i>Z</i> = 2.41, <i>P</i> = 0.02); increased satisfaction with nursing care (<i>OR</i> = 6.01, 95% <i>CI</i>, <i>Z</i> = 6.19, <i>P</i> &lt; 0.00001); better quality of life (<i>MD</i> = 9.38, 95% <i>CI</i>, <i>Z</i> = 4.39, <i>P</i> &lt; 0.0001).</p> Conclusions <p>Home care-based education improves self-management, psychological well-being, treatment outcomes, and satisfaction in cancer patients with PICCs. The identified components provide a practical framework for clinical implementation, though cultural adaptability and protocol standardization require further study.</p> <p>Trial registration</p> <p>CRD42024606607</p>

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Home care-based education for cancer patients with peripherally inserted central catheters: a systematic review and meta-analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月30日

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  • Xiaotian Huang,
  • Kefu Shi,
  • Norhasmah Mohd Zain,
  • Azlina Yusuf

摘要

Purpose

This study aimed to systematically review and meta-analyze the literature to identify the components of home care-based education for cancer patients with peripherally inserted central catheters (PICCs) and evaluate its effects compared to traditional health education.

Methods

A comprehensive search was conducted in Chinese and English databases until November 2024. The searching strategy, screening, quality assessment data extraction, and meta-analysis were performed scientifically.

Results

A total of 19 studies were included. Three core components of home care-based education were identified: catheter care, self-care, and resource support. Meta-analysis revealed significant improvements in eight outcomes for intervention groups: improved self-management abilities (MD = 17.77, 95% CI, Z = 9.2, P < 0.00001); reduced anxiety (MD = −8.53, 95% CI, Z = 4.56, P < 0.00001) and depression (MD = −11, 95% CI, Z = 3.97, P < 0.0001); lower complication incidence (OR = 0.17, 95% CI, Z = 11.79, P < 0.00001); higher compliance rate (OR = 0.16, 95% CI, Z = 4.98, P < 0.00001); improved self-efficacy (MD = 9.45, 95% CI, Z = 2.41, P = 0.02); increased satisfaction with nursing care (OR = 6.01, 95% CI, Z = 6.19, P < 0.00001); better quality of life (MD = 9.38, 95% CI, Z = 4.39, P < 0.0001).

Conclusions

Home care-based education improves self-management, psychological well-being, treatment outcomes, and satisfaction in cancer patients with PICCs. The identified components provide a practical framework for clinical implementation, though cultural adaptability and protocol standardization require further study.

Trial registration

CRD42024606607