Kuş Betül, Büyükyılmaz Funda
Health Science Faculty, Yozgat Bozok University, Yozgat, Turkey.
Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Jpn J Nurs Sci. 2020 Jul;17(3):e12328. doi: 10.1111/jjns.12328. Epub 2020 Feb 20.
This study was to determine the effects of the two types of catheter material (vialon biomaterial and teflon) on pain intensity, dwell time, and phlebitis score for peripheral intravenous catheter (PIVC) placement.
Participants (N = 208) were randomly assigned to the vialon biomaterial group (n = 104), the teflon group (n = 104). After the PIVC placement, the intensity of pain and phlebitis score were evaluated. Catheter dwell mean time was determined.
The pain intensity scores were similar immediately after inserting the PIVC. No difference was observed between the pain scores in both groups (p ≥ .050). Catheter dwell mean time for the vialon biomaterial catheter group (4.72 ± 1.20 days) was significantly longer compared to the teflon catheter group (4.10 ± 0.92 days) (p ≤ .001). It was determined that the catheter was removed due to phlebitis development in 16.3% of the vialon biomaterial catheter group and 53.8% of the teflon catheter group. An advanced level of statistically significant difference was found between the two groups in terms of phlebitis development scores (p ≤ .001).
This study concluded that vialon biomaterial catheter (BD Insyte™ Autoguard™ BC winged) demonstrates longer dwell time of PIVC, lower phlebitis rate and phlebitis score than teflon catheter (BD Venflon™).
本研究旨在确定两种类型的导管材料(维纶生物材料和聚四氟乙烯)对外周静脉导管(PIVC)置入时的疼痛强度、留置时间和静脉炎评分的影响。
参与者(N = 208)被随机分配到维纶生物材料组(n = 104)、聚四氟乙烯组(n = 104)。在PIVC置入后,评估疼痛强度和静脉炎评分。确定导管的平均留置时间。
插入PIVC后即刻,两组的疼痛强度评分相似。两组的疼痛评分之间未观察到差异(p≥0.050)。维纶生物材料导管组的导管平均留置时间(4.72±1.20天)显著长于聚四氟乙烯导管组(4.10±0.92天)(p≤0.001)。确定维纶生物材料导管组16.3%的导管因静脉炎发展而拔除,聚四氟乙烯导管组为53.8%。两组在静脉炎发展评分方面存在高度统计学显著差异(p≤0.001)。
本研究得出结论,维纶生物材料导管(BD Insyte™ Autoguard™ BC翼形)与聚四氟乙烯导管(BD Venflon™)相比,显示出PIVC更长的留置时间、更低的静脉炎发生率和静脉炎评分。