Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2022 Jun 10;56:e20210398. doi: 10.1590/1980-220X-REEUSP-2021-0398en. eCollection 2022.
To identify risk factors for peripheral intravenous catheter-related phlebitis in adult patients.
This is a post hoc analysis of a randomized clinical trial, totaling 1,319 patients. Demographic and clinical variables related to therapy and phlebitis were investigated. For data analysis, frequencies, measures of central tendency and dispersion were calculated, and Pearson's chi-square test and Fisher's exact test were used, with logistic regression, ROC curve, and Odds Ratio calculation (95% confidence interval; 5% significance level) being implemented.
Of the 1,319 participants, 80 (6.1%) developed phlebitis. The following were associated with the occurrence of phlebitis: reduced mobility (p = 0.015), family history of deep vein thrombosis (p = 0.05), catheterization of veins on the back of the hand (p = 0.012), pain (p < 0.01), Amoxicillin-Potassium Clavulanate (p = 0.015), and Omeprazole Sodium (p = 0.029).
Risk factors for phlebitis involved intrinsic and extrinsic factors to the patient, indicating preventive nursing interventions such as promoting patient mobility, not catheterizing veins in the dorsal arch of the hand, cautious infusion of risk drugs, and valuing pain complaints.
确定成人患者外周静脉导管相关性静脉炎的危险因素。
这是一项随机临床试验的事后分析，共纳入 1319 名患者。调查了与治疗和静脉炎相关的人口统计学和临床变量。数据分析采用频率、集中趋势和离散度的测量方法，进行 Pearson 卡方检验和 Fisher 确切检验，并实施逻辑回归、ROC 曲线和优势比计算（95%置信区间；5%显著性水平）。
在 1319 名参与者中，有 80 名（6.1%）发生了静脉炎。以下因素与静脉炎的发生相关：活动受限（p=0.015）、深静脉血栓形成家族史（p=0.05）、手背静脉置管（p=0.012）、疼痛（p<0.01）、阿莫西林-克拉维酸钾（p=0.015）和奥美拉唑钠（p=0.029）。
静脉炎的危险因素涉及患者的内在和外在因素，提示采取预防性护理干预措施，如促进患者活动、避免在手背拱部置管、谨慎输注有风险的药物、重视疼痛主诉。
