Atay S, Sen S, Cukurlu D
Department of Nursing, School of Health Sciences, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
Niger J Clin Pract. 2018 Jul;21(7):827-831. doi: 10.4103/njcp.njcp_337_17.
Development of phlebitis is a painful and common complication in the application of peripheral intravenous catheter (PIC). This is a prospective observational study performed to identify development rate of phlebitis in application of PIC and the factors that affect the development of phlebitis.
The study universe comprises of catheters applied on inpatients in the internal diseases clinic of a state hospital, and the sample comprises of catheters eligible to be included in the study. Five hundred and thirty-two PICs applied on a total of 317 patients were reviewed. The patient identification form, information form for peripheral venous catheter and treatment, and visual infusion phlebitis (VIP) assessment scale were used to collect data.
31.8% had phlebitis and a large number of them (79.2%) were Level I phlebitis. There was a significant relationship between having a chronic disease, duration of catheterization and type of fluid used and the development rate of phlebitis.
The phlebitis in individuals receiving intravenous (IV) treatment was higher than the rate defined by both the centers for disease control and prevention and IV nurses society. It may be recommended to assess phlebitis by VIP assessment scale and to take preventive measures specifically for development of phlebitis.
静脉炎的发生是外周静脉导管(PIC)应用过程中一种常见且令人痛苦的并发症。本研究为前瞻性观察性研究,旨在确定PIC应用中静脉炎的发生率以及影响静脉炎发生的因素。
研究总体包括一家国立医院内科病房住院患者所使用的导管,样本包括符合纳入研究条件的导管。共对317例患者应用的532根PIC进行了评估。使用患者识别表、外周静脉导管及治疗信息表和视觉静脉炎(VIP)评估量表收集数据。
31.8%的患者发生了静脉炎,其中大部分(79.2%)为I级静脉炎。患有慢性病、置管时间和所用液体类型与静脉炎发生率之间存在显著关联。
接受静脉输液治疗患者的静脉炎发生率高于疾病控制与预防中心及静脉输液护理学会所定义的发生率。建议采用VIP评估量表评估静脉炎,并针对静脉炎的发生采取专门的预防措施。