Department of Nursing and Nutrition, University of Shimane, Shimane, Japan.
Medical Corporation Ijunkai, Sugiura Medical Clinic Division of Home Medical Care, Shimane, Japan.
Ann Nutr Metab. 2018;73(2):100-105. doi: 10.1159/000490801. Epub 2018 Jul 6.
BACKGROUND/AIMS: Home-based medical care is rapidly expanding in Japanese health care settings. We aimed to clarify the implementation status of drip injection with peripheral venous catheters (PVCs) and the incidence of related complications.
We investigated the number of patients who required intravenous drip infusion therapy at home. We also examined the incidence rate of PVC-related complications and their statistical correlation with patients' characteristics.
Of 139 patients, 30 (21.6%) received intravenous drip infusion therapy through PVCs at home. Patients' activities of daily living (bed-ridden) and the presence of underlying disease (terminal cancer) were significantly correlated with the requirement for drip infusion therapy (p < 0.0001 and p < 0.0001, respectively). A high incidence of PVC-related complications (75%: 15 out of 20 patients) was observed. More than 50% of patients experienced multiple needling due to difficulty in securing venous access.
This is the first report to reveal the relatively high incidence of PVC-related complications in home-based medical care settings. Safer vascular devises should be incorporated for more stable intervention.
背景/目的：家庭医疗在日本医疗保健领域迅速发展。我们旨在阐明外周静脉导管（PVC）滴注的实施情况以及相关并发症的发生率。
我们调查了在家中需要静脉滴注治疗的患者数量。我们还检查了 PVC 相关并发症的发生率及其与患者特征的统计学相关性。
在 139 名患者中，有 30 名（21.6%）在家中通过 PVC 进行了静脉滴注治疗。患者的日常生活活动（卧床不起）和潜在疾病（晚期癌症）与滴注治疗的需求显著相关（p<0.0001 和 p<0.0001）。观察到 PVC 相关并发症的高发生率（75%：20 名患者中有 15 名）。由于难以确保静脉通路，超过 50%的患者经历了多次针刺。
这是第一份在家中医疗保健环境中揭示 PVC 相关并发症发生率相对较高的报告。应纳入更安全的血管设备以进行更稳定的干预。
