Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil.
Instituto Nacional de Câncer José Alencar Gomes da Silva, Hospital do Câncer IV, Rio de Janeiro, RJ, Brasil.
Rev Lat Am Enfermagem. 2022;30:e3623. doi: 10.1590/1518-8345.5825.3623.
to identify the occurrences related to peripheral venipuncture and hypodermoclysis among patients hospitalized in a general hospital and in an exclusive hospital institution for the care of patients in palliative cancer care.
an observational, descriptive and multicenter study. The consecutive and non-probabilistic sample consisted of 160 cancer patients hospitalized in Palliative Care. The outcome variable corresponded to the occurrences and complications related to each type of puncture. A questionnaire containing the sociodemographic and clinical variables and a structured script for monitoring and daily evaluation of the puncture were used. Descriptive statistics were employed for data analysis.
the occurrences related to venipuncture at a general hospital were blood soiling at catheter insertion (17.4%) and expired use period (15.8%), while at a specific service for the care of patients under palliative care they were expired use period (32%) followed by infiltration (18.9%). As for hypodermoclysis, there were two subcutaneous punctures with phlogistic signs (1.0%) at the general hospital and a hematoma at the catheter insertion site (0.5%). At the specific service for the care of patients under palliative care there were three subcutaneous punctures with phlogistic signs (5.7%).
the number of occurrences related to peripheral venipuncture was higher than those related to hypodermoclysis.
识别在综合医院和专门的姑息治疗癌症患者护理机构住院的患者中，与外周静脉穿刺和皮下滴注相关的发生情况和并发症。
这是一项观察性、描述性和多中心研究。连续且非概率抽样的样本包括 160 名姑息治疗癌症患者。结果变量与每种穿刺类型相关的发生情况和并发症相对应。使用了一份包含社会人口统计学和临床变量的问卷以及一份用于监测和每日评估穿刺的结构化脚本。采用描述性统计进行数据分析。
在综合医院进行静脉穿刺时，发生的情况包括导管插入时的血液污染（17.4%）和过期使用期（15.8%），而在专门的姑息治疗患者护理服务机构中，发生的情况则是过期使用期（32%），其次是渗漏（18.9%）。对于皮下滴注，在综合医院有两例出现炎症迹象的皮下穿刺（1.0%），在导管插入部位有一例血肿（0.5%）。在专门的姑息治疗患者护理服务机构中，有三例出现炎症迹象的皮下穿刺（5.7%）。
与外周静脉穿刺相关的发生情况数量高于与皮下滴注相关的发生情况数量。
