Çağlar Seda, Büyükyılmaz Funda, Bakoğlu İlkay, İnal Sevil, Salihoğlu Özgül
Pediatric Nursing Department (Dr Çağlar) and Fundamentals of Nursing Department (Dr Büyükyılmaz), Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey; Neonatal Intensive Care Unit, Bakirköy Dr Sadi Konuk Education and Research Hospital, Health Sciences University, Istanbul, Turkey (Ms Bakoğlu and Dr Salihoğlu); and Department of Midwifery, Health Sciences Faculty, İstanbul University-Cerrahpasa, Istanbul, Turkey (Dr İnal).
J Perinat Neonatal Nurs. 2019 Jan/Mar;33(1):61-67. doi: 10.1097/JPN.0000000000000385.
The aim of this randomized controlled trial was to examine the efficacy of vein visualization devices and the routine method for insertion of peripheral intravenous catheters (PIVCs) in preterm infants. The study was conducted between June 2016 and April 2017 in the neonatal intensive care unit of Bakırköy Dr Sadi Konuk Education and Research Hospital. Participants (N = 90) were randomly assigned to the infrared group (n = 30), the transilluminator group (n = 30), or the control group (n = 30). Time to successful cannulation was significantly lower for the infrared group (8.70 ± 2.56 seconds) than for the transilluminator group (45.27 ± 30.83 seconds) and the control group (17.30 ± 8.40 seconds) (P ≤ .001). Success of the first attempt was significantly higher in the infrared and transilluminator groups than in the control group (P ≤ .05). Dwell time of the PIVC in place was significantly higher in the infrared group than in the transilluminator and control groups (P ≤ .05). Neonatal Infant Pain Scale scores were significantly higher in the transilluminator group (0.60 ± 0.855) than in the infrared (0.33 ± 0.182) and control groups (0.33 ± 0.182) while seeking an appropriate vein (P ≤ .001). The use of an infrared device provides efficacy in time to successful cannulation, success of the first attempt, length of the time the catheter is in place, and technique-related pain.
这项随机对照试验的目的是检验静脉可视化设备和常规方法用于早产儿外周静脉导管（PIVC）插入的效果。该研究于2016年6月至2017年4月在巴克尔柯伊萨迪·科努克教育与研究医院的新生儿重症监护病房进行。参与者（N = 90）被随机分配到红外组（n = 30）、透照器组（n = 30）或对照组（n = 30）。红外组成功插管的时间（8.70±2.56秒）显著低于透照器组（45.27±30.83秒）和对照组（17.30±8.40秒）（P≤0.001）。红外组和透照器组首次尝试的成功率显著高于对照组（P≤0.05）。红外组PIVC的留置时间显著高于透照器组和对照组（P≤0.05）。在寻找合适静脉时，透照器组的新生儿婴儿疼痛量表评分（0.60±0.855）显著高于红外组（0.33±0.182）和对照组（0.33±0.182）（P≤0.001）。使用红外设备在成功插管时间、首次尝试成功率、导管留置时间以及与技术相关的疼痛方面均有效。
