Uslusoy Esin, Mete Samiye
Health Science Institute, Dokuz Eylul University, Balçova, Izmir, Turkey.
J Am Acad Nurse Pract. 2008 Apr;20(4):172-80. doi: 10.1111/j.1745-7599.2008.00305.x.
The purpose of this study was to investigate the predisposing factors in the development of phlebitis in peripheral intravenous (IV) catheterization sites in patients treated with a variety of IV infusion solutions and drugs.
Systematic observation of 568 IV sites inserted for fluid infusion and drug administration in 355 patients in the Department of General Surgery of a University Hospital in Turkey. A data collection tool was based on standards established by the Infusion Nurses Society. Patients' infusion sites were monitored every 24 h during treatment and for 48 h after discontinuation of the IV.
In contrast to the usual findings in the literature, the authors found that infusion through an infusion pump and insertion of catheters in the veins around the elbow increased the risk of phlebitis. Also, the number of times infusions were started led to an increased rate of phlebitis. However, conflicting results were obtained about the relation between phlebitis, gender, and catheter size.
Phlebitis causes sepsis, pain, additional diagnostic investigations, and treatments, and may lead to increased duration of hospitalization, patient's stress level, and financial burden, as well as increasing staff workload. Advanced practice nurses need to be aware of the factors that increase the likelihood of phlebitis and take appropriate measures to prevent it.
本研究旨在调查接受各种静脉输液溶液和药物治疗的患者外周静脉置管部位发生静脉炎的诱发因素。
对土耳其一所大学医院普通外科355例患者的568个用于输液和给药的静脉置管部位进行系统观察。数据收集工具基于输液护理学会制定的标准。在治疗期间每24小时对患者的输液部位进行监测，并在停止静脉输液后监测48小时。
与文献中的常见发现相反，作者发现通过输液泵输液以及在肘部周围静脉置管会增加静脉炎的风险。此外，开始输液的次数导致静脉炎发生率增加。然而，关于静脉炎、性别和导管尺寸之间的关系，得到了相互矛盾的结果。
静脉炎会导致败血症、疼痛、额外的诊断检查和治疗，并可能导致住院时间延长、患者压力水平增加和经济负担加重，以及增加医护人员的工作量。高级执业护士需要了解增加静脉炎可能性的因素，并采取适当措施预防静脉炎。
