Preventive of deep vein thrombosis in cancer patients after peripherally inserted central catheter catheterization using a diversified comprehensive teaching model

doi:10.4240/wjgs.v17.i11.110884

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Nov 27, 2025 (publication date) through Nov 25, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Nov 27, 2025; 17(11): 110884
Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.110884

Preventive of deep vein thrombosis in cancer patients after peripherally inserted central catheter catheterization using a diversified comprehensive teaching model

Xiao-Ying Zhao, Yan-Yu Lu, Xian Hong, Xiao-Yan Wu, Mei-Fang Ruan

Xiao-Ying Zhao, Yan-Yu Lu, Xian Hong, Xiao-Yan Wu, Mei-Fang Ruan, Center for General Practice Medicine, Division of Gastroenterology, Department of Nursing, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou 310014, Zhejiang Province, China

Co-corresponding authors: Xiao-Yan Wu and Mei-Fang Ruan.

Author contributions: Zhao XY, Wu XY, and Ruan MF conducted a number of collations and statistical analyses; Lu YY and Hong X designed the experiment and conducted the clinical data collection, performed the postoperative follow-up and recorded the data; Wu XY and Ruan MF contributed equally to this work and are co-corresponding authors, including those involved in the design of the study, the acquisition and analysis of the data from the experiments, and the writing of the manuscript. All the authors read and approved the final manuscript.

Institutional review board statement: This study was approved by the Ethics Committee of Zhejiang Provincial People’s Hospital.

Informed consent statement: The Medical Ethics Committee has agreed to waive informed consent.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: All the data generated or analyzed during this study are included in this published article.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Mei-Fang Ruan, Center for General Practice Medicine, Division of Gastroenterology, Department of Nursing, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, No. 158 Shangtang Road, Hangzhou 310014, Zhejiang Province, China. ruanmeifang@hmc.edu.cn

Received: July 22, 2025
Revised: August 20, 2025
Accepted: October 11, 2025
Published online: November 27, 2025
Processing time: 125 Days and 19.9 Hours

Abstract

BACKGROUND

Peripherally inserted central catheter (PICC) is the preferred intravenous route for chemotherapy in patients with cancer, but its complications, especially deep vein thrombosis (DVT), are becoming increasingly prevalent. Medical staff proficient in intubation and maintenance techniques can reduce complications. The multivariate integration teaching model applies the integration of “teaching learning application” to medical training, which helps shift the prevention of complications from “passive management of complications” to “active construction of risk immunity”, thereby ensuring foundational competency for PICC in patients with cancer.

AIM

To investigate the efficacy of the multivariate integration teaching model in patients with gastric cancer and concurrent DVT after PICC intubation and analyze its effect on patients’ quality of life index (QLI) and satisfaction.

METHODS

A retrospective analysis of medical records of 100 patients with gastric cancer and PICC treated at Zhejiang Provincial People’s Hospital from May 2019 to November 2020 was conducted. According to the different treatment methods and teaching modes received by medical staff, they were divided into a control group and an experimental group, with 50 cases in each group. The routine clinical teaching model and the multivariate integration teaching model were administered to the medical staff for the control group and the experimental group, respectively, to compare the incidence rates of DVT and other adverse reactions, QLI scores, Karnofsky Performance Scale scores, Mental Status Scale in Non-Psychiatric Settings scores, patient satisfaction, medical staff’s test marks, and satisfaction evaluation of the teaching model.

RESULTS

Compared with the control group, the experimental group exhibited significantly lower incidence rates of DVT and other adverse reactions and MSSNS scores but significantly higher QLI scores, KPS scores, patient satisfaction, medical staff’s test marks, and their satisfaction evaluations of the teaching model (P < 0.05).

CONCLUSION

In a single-center practice, performing the multivariate integration teaching model for medical staff may effectively improve the patients’ QLI and satisfaction and may have certain application value in preventing DVT in patients with gastric cancer and PICC.

Keywords: Multivariate integration teaching model; Gastric cancer peripherally inserted central catheter intubation; Deep vein thrombosis; Quality of life; Satisfaction

Core Tip: The aim of this study is to explore the preventive effect of using a multiple integral teaching model on deep vein thrombosis in cancer patients after peripherally inserted central catheter catheterization, and analyze its impact on patients’ quality of life and satisfaction. Compared with the control group using conventional clinical teaching mode, the experimental group using multivariate integration teaching model training for medical staff can effectively improve patients’ quality of life index and satisfaction, and has certain application value in preventing deep vein thrombosis in cancer peripherally inserted central catheter patients.