Department of Community and Mental Health Nursing, Al-alBayt University, Mafraq, Jordan.
Department of Maternal and Child Health Nursing, Al-alBayt University, Mafraq, Jordan.
J Pediatr Nurs. 2020 Jan-Feb;50:89-93. doi: 10.1016/j.pedn.2019.11.006. Epub 2019 Nov 27.
Phlebitis is one of the most common complications of peripheral intravenous catheter (PIVC) that can lead to many complications, including higher medical costs and longer hospital stays.
To identify the incidence of phlebitis associated with PIVC and determine its risk factors among hospitalized pediatric patients.
An observational and cross-sectional design was used. Data such as patient's demographics, medical diagnosis, place of admission, and other PIVC characteristics were recorded. In addition, observations of PIVC sites over 12-hour intervals were conducted to measure PIVC complications using the Visual Infusion Phlebitis (VIP) scale.
Over a period of six months, a sample consisting of 307 children from five governmental hospitals that are located in north and middle Jordan were targeted. The sample consists of patients under 12 years old with PIVCs who were hospitalized in pediatric departments.
PIVC catheterization has been associated with several complications such as phlebitis (N = 164; 53.4%), extravasation (N = 107, 34.9%), pain (N = 37; 12.1%), leakage (N = 37; 12.1%), and obstruction (N = 26; 8.5%). The main risk factors for phlebitis were: children admitted to wards, PIVC inserted by novice nurse, catheter inserted in the lower limbs, and catheter with contaminated dressing.
This study enriches knowledge of PIVC complications and risk factors of phlebitis to help nurses avoid complications and initiate prompt treatment, leading to decrease financial burden as well as patient pain and discomfort.
静脉炎是外周静脉导管（PIVC）最常见的并发症之一，可导致许多并发症，包括更高的医疗费用和更长的住院时间。
确定与 PIVC 相关的静脉炎发生率，并确定住院儿科患者的危险因素。
采用观察性和横断面设计。记录患者的人口统计学数据、医疗诊断、入院地点和其他 PIVC 特征等数据。此外，还对 PIVC 部位进行了 12 小时间隔的观察，使用视觉静脉炎（VIP）量表测量 PIVC 并发症。
在六个月的时间里，从位于约旦北部和中部的五家政府医院中抽取了 307 名年龄在 12 岁以下、患有 PIVC 并住院于儿科病房的儿童作为样本。
PIVC 置管与多种并发症相关，如静脉炎（N=164；53.4%）、渗出（N=107，34.9%）、疼痛（N=37；12.1%）、渗漏（N=37；12.1%）和阻塞（N=26；8.5%）。静脉炎的主要危险因素包括：病房收治的患儿、由新手护士置管的 PIVC、下肢置管的导管以及污染敷料的导管。
本研究丰富了对 PIVC 并发症和静脉炎危险因素的认识，有助于护士避免并发症的发生并及时进行治疗，从而减轻经济负担，减轻患者的痛苦和不适。
