Evaluation of oncopediatric customer behavior by setting the central venous catheter dressing with the use of colored bandage

Problem
The ambulatory of catheters, aimed to meet the demand of pediatric patients with central venous catheters of a university hospital. It was noted there was resistance in children's adherence to the procedures due to be both uncomfortable with regards to the need for disruption of their daily routine and the analogy they used to do with prior admissions.
Another topic highlighted comes from the report of patient's families regarding social and psychological aspects. According to their testimonials, patients use to feel embarrassed when questioned by other children with regards to the catheter dressing, what leads them to social isolation and suffering.
In an attempt to find a workaround for this problem, the nursing staff adopted the use of colorful bandages with children's drawings to replace the crepe bandage.

Objectives
Evaluate changes in social behavior and nurse-patient relationship from the use of colored bandages for central catheter fixation in oncopediatric customers.
Establish a practical alternative for fixation of central venous catheters in oncopediatry with the use of colored bandages.

Methodology
Descriptive exploratory study with qualitative approach.

Study Subject
The subjects were eight children, aged between three and eleven years old, treated in catheter ambulatory between June, 2009 and October, 2010.

Results
Through the reports of oncopediatric clients and their companions, it was identified there was a significant reduction in the constraint arising from the use of the dressings fixed with colored bandages. Additionally, there was an improvement in nurse-patient relationship, with significant enhancement regarding patient willing of coming to the ambulatory for having the dressings.

Conclusion
The current study demonstrated the new strategy of changing the dressing of central venous catheter by the colorful bandages in this clientele, there was a reduction in the customers’ constraints in their social life and an improvement in the nurse-patient relationship.