{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:20:43Z","timestamp":1789716043215,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"18","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Esophageal cancer is a prevalent malignancy worldwide, often accompanied by dysphagia and malnutrition that necessitate long\u2010term intravenous nutritional support. Peripherally Inserted Central Catheters (<jats:styled-content style=\"fixed-case\">PICCs<\/jats:styled-content>) have become a standard nursing practice to facilitate chemotherapy and parenteral nutrition in these patients. However, maintaining <jats:styled-content style=\"fixed-case\">PICCs<\/jats:styled-content> poses significant challenges that can affect patient adherence and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to explore the experiences and needs of esophageal cancer patients regarding PICC maintenance after hospital discharge, with the goal of providing evidence to optimize nursing care services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study was conducted involving semi\u2010structured interviews with 15 esophageal cancer patients receiving <jats:styled-content style=\"fixed-case\">PICC<\/jats:styled-content> care at a specialized oncology hospital in Beijing from October 2024 to January 2025. Descriptive phenomenological methods were used to analyze the data following Colaizzi's seven\u2010step approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patient experiences clustered into four main themes: (1) Survival under the combined pressures of nutritional needs and chemotherapy; (2) Maintenance challenges influenced by anatomical and treatment\u2010related factors; (3) Adherence difficulties due to symptoms and frequent hospital visits; (4) Emotional responses to dramatic physical changes and distressing symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Esophageal cancer patients face complex, multifaceted needs during <jats:styled-content style=\"fixed-case\">PICC<\/jats:styled-content> maintenance, encompassing practical care, informational support, and psychological assistance. To improve patient adaptation and quality of life, future nursing practices should focus on enhancing care techniques, developing accessible support tools, and strengthening health education strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.70164","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T06:09:57Z","timestamp":1758348597000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["<scp>PICC<\/scp> Maintenance Challenges Among Esophageal Cancer Patients: A Qualitative Study"],"prefix":"10.1111","volume":"16","author":[{"given":"Guo","family":"Huanfei","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Caiyun","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Xin","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1632-9516","authenticated-orcid":false,"given":"Zhang","family":"Jiwen","sequence":"additional","affiliation":[{"name":"Department of Nursing National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2628-4512","authenticated-orcid":false,"given":"Zhang","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Nursing National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21820"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.34301"},{"key":"e_1_2_13_4_1","first-page":"385","article-title":"Advances in Diagnosis and Management of Cancer of the Esophagus","volume":"385","author":"Deboever 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