Abstract：
OBJECTIVE: To evaluate the effectiveness of teaching-learning programs for cancer patients and/or their caregivers or family in preventing and controlling infections associated with long-term central venous access devices.
METHODS: This systematic review used the CINAHL, Cochrane Library, EMBASE, LILACS, and MEDLINE via PubMed portal, Scopus, and Web of Science. Google Scholar was used for the gray literature search. The included studies were analyzed, and the obtained data were qualitatively synthesized. The risk of bias was assessed using Cochrane tools: RoB 2 and ROBINS-I. The certainty of the evidence was evaluated using the GRADE. The review protocol was registered in PROSPERO (CRD42021267530).
CONCLUSIONS: The teaching-learning programs were implemented through theoretical-practical and theoretical dimensions in five and two studies, respectively. The risk of bias in the studies was low, moderate, severe, and high in one, three, two, and one of them, respectively. The certainty was very low. Teaching-learning programs on central venous access devices care for cancer patients and/or their caregivers or families could be effective in reducing infection rates.
CONCLUSIONS: This systematic review addressed the teaching-learning programs for preventing and controlling infections associated with long-term central venous access devices. We identified that the most programs were effective in reducing the infection rates. The results may influence the clinical practice of oncology nurses, and consequently, the educational strategies and methods provided not only to these patients but for caregivers and families.
METHODS: This systematic review used the CINAHL, Cochrane Library, EMBASE, LILACS, and MEDLINE via PubMed portal, Scopus, and Web of Science. Google Scholar was used for the gray literature search. The included studies were analyzed, and the obtained data were qualitatively synthesized. The risk of bias was assessed using Cochrane tools: RoB 2 and ROBINS-I. The certainty of the evidence was evaluated using the GRADE. The review protocol was registered in PROSPERO (CRD42021267530).
CONCLUSIONS: The teaching-learning programs were implemented through theoretical-practical and theoretical dimensions in five and two studies, respectively. The risk of bias in the studies was low, moderate, severe, and high in one, three, two, and one of them, respectively. The certainty was very low. Teaching-learning programs on central venous access devices care for cancer patients and/or their caregivers or families could be effective in reducing infection rates.
CONCLUSIONS: This systematic review addressed the teaching-learning programs for preventing and controlling infections associated with long-term central venous access devices. We identified that the most programs were effective in reducing the infection rates. The results may influence the clinical practice of oncology nurses, and consequently, the educational strategies and methods provided not only to these patients but for caregivers and families.
摘要：
目的：评估癌症患者和/或其看护者或家庭的教学计划在预防和控制与长期中心静脉接入装置相关的感染方面的有效性。
方法：本系统综述使用CINAHL，科克伦图书馆,EMBASE,LILACS,和MEDLINE通过PubMed门户，Scopus,和WebofScience。谷歌学者被用于灰色文献检索。对纳入的研究进行了分析，并对所得数据进行定性合成。使用Cochrane工具评估偏倚风险：RoB2和ROBINS-I。使用等级对证据的确定性进行评估。审查方案在PROSPERO(CRD42021267530)中注册。
结论：在五个和两个研究中，通过理论-实践和理论维度实施了教学计划，分别。研究中偏倚的风险很低，中度,严重,高一，三,两个,其中一个,分别。确定性非常低。针对癌症患者和/或其护理人员或家庭的中心静脉接入设备护理的教学计划可以有效地降低感染率。
结论：本系统评价涉及预防和控制与长期中心静脉接入装置相关的感染的教学计划。我们发现，大多数计划都能有效降低感染率。结果可能会影响肿瘤科护士的临床实践，因此，教育策略和方法不仅为这些患者提供，而且为护理人员和家庭提供。
方法：本系统综述使用CINAHL，科克伦图书馆,EMBASE,LILACS,和MEDLINE通过PubMed门户，Scopus,和WebofScience。谷歌学者被用于灰色文献检索。对纳入的研究进行了分析，并对所得数据进行定性合成。使用Cochrane工具评估偏倚风险：RoB2和ROBINS-I。使用等级对证据的确定性进行评估。审查方案在PROSPERO(CRD42021267530)中注册。
结论：在五个和两个研究中，通过理论-实践和理论维度实施了教学计划，分别。研究中偏倚的风险很低，中度,严重,高一，三,两个,其中一个,分别。确定性非常低。针对癌症患者和/或其护理人员或家庭的中心静脉接入设备护理的教学计划可以有效地降低感染率。
结论：本系统评价涉及预防和控制与长期中心静脉接入装置相关的感染的教学计划。我们发现，大多数计划都能有效降低感染率。结果可能会影响肿瘤科护士的临床实践，因此，教育策略和方法不仅为这些患者提供，而且为护理人员和家庭提供。
