Table 3 The home-based self-management plan for patients with indwelling PICC based on the IMB model
Item | Importance score (Mean ± SD) | Coefficient of variation | Weight | Combined weight |
|---|---|---|---|---|
I-1 Information Acquisition | 4.89 ± 0.323 | 0.066 | 0.300 | 0.300 |
II-1.1 Knowledge of the PICC catheter | 4.78 ± 0.428 | 0.090 | 0.178 | 0.053 |
III-1.1.1 Understanding basic knowledge of the PICC catheter (such as basic concepts, purposes, advantages and disadvantages, catheter placement, etc.) | 4.56 ± 0.511 | 0.112 | 0.160 | 0.009 |
III-1.1.2 Mastering the PICC self-monitoring content (such as the integrity of the puncture site skin, external length of the catheter, condition of dressing fixation, etc.) | 4.89 ± 0.323 | 0.066 | 0.325 | 0.017 |
6III-1.1.3 Understanding maintenance contents of the PICC at home (such as flushing the catheter weekly, sealing, changing dressings and connectors, etc.) | 4.89 ± 0.323 | 0.066 | 0.261 | 0.014 |
III-1.1.4 Understanding available resources for catheter maintenance (such as local formal medical institutions, community hospitals, internet home services, etc.) | 4.89 ± 0.323 | 0.066 | 0.254 | 0.014 |
II-1.2 Daily management of the PICC catheter | 5 ± 0 | 0.000 | 0.245 | 0.073 |
III-1.2.1 Fixation and protection of the PICC Catheter | 4.83 ± 0.383 | 0.079 | 0.152 | 0.011 |
III-1.2.2 Cleaning treatment around the PICC catheter puncture site | 4.72 ± 0.461 | 0.098 | 0.145 | 0.011 |
III-1.2.3 Regular maintenance interval for the PICC catheter | 4.94 ± 0.236 | 0.048 | 0.149 | 0.011 |
III-1.2.4 Functional exercises for the arm with the PICC catheter placement | 4.89 ± 0.323 | 0.066 | 0.127 | 0.009 |
III-1.2.5 Daily life management during catheterization | 4.89 ± 0.323 | 0.066 | 0.131 | 0.010 |
III-1.2.6 Precautions for special examinations such as CT, MRI | 4.94 ± 0.236 | 0.048 | 0.125 | 0.009 |
III-1.2.7 Dietary adjustments to maintain nutritional balance | 4.17 ± 0.618 | 0.148 | 0.080 | 0.006 |
III-1.2.8 Timely psychological counseling to maintain emotional stability | 4.28 ± 0.752 | 0.176 | 0.091 | 0.007 |
II-1.3 Self-monitoring of the PICC catheter | 4.94 ± 0.236 | 0.048 | 0.254 | 0.076 |
III-1.3.1 Checking for bleeding or leakage at the PICC puncture site | 4.89 ± 0.323 | 0.066 | 0.127 | 0.010 |
III-1.3.2 Checking for redness or pain at the PICC puncture site | 4.94 ± 0.236 | 0.048 | 0.136 | 0.010 |
III-1.3.3 Checking for abnormal skin around the PICC puncture site | 4.89 ± 0.323 | 0.066 | 0.128 | 0.010 |
III-1.3.4 Checking for curling, loosening, damage, or moisture in the PICC dressing | 4.94 ± 0.236 | 0.048 | 0.153 | 0.012 |
III-1.3.5 Checking if the PICC catheter is displaced or dislodged | 4.5 ± 0.618 | 0.137 | 0.154 | 0.012 |
III-1.3.6 Checking for swelling or pain in the arm with PICC catheter placement | 4.5 ± 0.707 | 0.157 | 0.165 | 0.013 |
III-1.3.7 Checking for blood return in the exposed PICC catheter | 4.56 ± 0.616 | 0.135 | 0.137 | 0.010 |
II-1.4 Handling emergencies with the PICC catheter | 5 ± 0 | 0.000 | 0.324 | 0.097 |
III-1.4.1 Handling partial or complete dislodgement of the PICC catheter | 4.56 ± 0.616 | 0.135 | 0.374 | 0.036 |
III-1.4.2 Handling damage or fracture of the PICC catheter | 4.17 ± 0.618 | 0.148 | 0.626 | 0.061 |
I-2 Motivation enhancement | 4.72 ± 0.461 | 0.098 | 0.306 | 0.306 |
II-2.1 Internal motivation enhancement | 4.72 ± 0.575 | 0.122 | 0.583 | 0.179 |
III-2.1.1 Encouraging the development of a reasonable self-management plan to cultivate self-efficacy | 4.72 ± 0.461 | 0.098 | 0.329 | 0.059 |
III-2.1.2 Reinforcing self-worth through affirmation and encouragement | 5 ± 0 | 0.000 | 0.327 | 0.058 |
III-2.1.3 Enhancing positive emotional experience through positive psychological interventions | 4.89 ± 0.323 | 0.066 | 0.344 | 0.061 |
II-2.2 External motivation enhancement | 4.5 ± 0.707 | 0.157 | 0.417 | 0.128 |
III-2.2.1 Establishing a fixed emotional support system to promote self-management motivation | 4.89 ± 0.323 | 0.066 | 0.341 | 0.044 |
III-2.2.2 Establishing an appropriate reward mechanism to stimulate self-management enthusiasm | 4.94 ± 0.236 | 0.048 | 0.264 | 0.034 |
III-2.2.3 Regular follow-up and timely feedback to supervise the positive effects of self-management | 4.78 ± 0.732 | 0.153 | 0.395 | 0.050 |
I-3 Behavioral skills | 4.94 ± 0.236 | 0.048 | 0.393 | 0.393 |
II-3.1 Daily behavioral skills | 4.83 ± 0.383 | 0.079 | 0.442 | 0.174 |
III-3.1.1 Coping with daily Work and household activities during catheterization | 4.89 ± 0.471 | 0.096 | 0.540 | 0.094 |
III-3.1.2 Choosing daily exercise methods | 4.89 ± 0.471 | 0.096 | 0.460 | 0.080 |
II-3.2 Self-identification of the PICC catheter abnormalities | 4.94 ± 0.236 | 0.048 | 0.558 | 0.219 |
III-3.2.1 Identifying Abnormalities at the PICC Catheter puncture site | 4.78 ± 0.548 | 0.115 | 0.186 | 0.041 |
III-3.2.2 Identifying abnormal skin around the PICC catheter puncture site | 4.78 ± 0.732 | 0.153 | 0.176 | 0.039 |
III-3.2.3 Identifying abnormalities in the PICC catheter fixation | 4.83 ± 0.383 | 0.079 | 0.176 | 0.039 |
III-3.2.4 Identifying abnormalities in the arm with PICC catheter placement | 4.83 ± 0.383 | 0.079 | 0.230 | 0.051 |
III-3.2.5 Identifying abnormalities in the PICC catheter (including catheter dislodgement, blood return, etc.) | 4.94 ± 0.236 | 0.048 | 0.230 | 0.051 |