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急诊科外周静脉导管相关性静脉炎和渗出的描述性研究。

Peripheral Intravenous Catheter-Related Phlebitis and Infiltration in an Emergency Department: A Descriptive Study.

机构信息

Author Affiliations: Operating Room Services Program, Department of Medical Services and Techniques, Vocational School of Health Services, Yuksek Ihtisas University (Bakcek Akcelik); Gulhane Faculty of Nursing, University of Health Sciences, Ankara, Türkiye (Ayhan).

Özgü Bakcek Akcelik, PhD, RN, is an assistant professor in the Yuksek Ihtisas University Department of Medical Services and Techniques, Operating Room Services Program. She spent 5 years working as an emergency nurse. She has been working as an academician for 2 years. She focuses on peripheral intravenous catheter application and patient safety.

出版信息

J Infus Nurs. 2024;47(3):155-162. doi: 10.1097/NAN.0000000000000548. Epub 2024 May 10.

Abstract

This study aims to analyze the incidences of peripheral intravenous catheter-related phlebitis and infiltration and the associated risk factors in emergency departments. This descriptive cross-sectional, nonexperimental study was conducted with 300 participants in the emergency department of a university hospital in Türkiye between January 15 and February 15, 2018. The incidence of peripheral intravenous catheter-related phlebitis was 31%, which was grade 1 in 29.7% and grade 2 in 1.3% of the emergency department participants. Additionally, the incidence of peripheral intravenous catheter-related infiltration was 55.4%, including grades 1, 2, and 3 in 36.0%, 12.7%, and 6.7% of the participants, respectively. Incidences of phlebitis and infiltration were related to age, duration of peripheral intravenous catheterization longer than 24 hours, and repeated use of the catheter insertion site. The findings of this study may draw attention to the factors that trigger phlebitis and infiltration due to peripheral intravenous catheter insertions in the emergency department and may guide practices to prevent these complications before they develop. In this context, the Phlebitis Scale and Infiltration Scale developed by the Infusion Nurses Society are recommended to be used in the emergency department.

摘要

本研究旨在分析急诊中外周静脉导管相关性静脉炎和渗出的发生率及相关危险因素。这是一项在 2018 年 1 月 15 日至 2 月 15 日期间在土耳其一所大学医院急诊部进行的描述性横断面、非实验性研究,共纳入 300 名参与者。外周静脉导管相关性静脉炎的发生率为 31%,其中 29.7%为 1 级,1.3%为 2 级。此外,外周静脉导管相关性渗出的发生率为 55.4%,其中 36.0%、12.7%和 6.7%的参与者分别为 1 级、2 级和 3 级。静脉炎和渗出的发生率与年龄、外周静脉置管时间超过 24 小时以及导管插入部位的重复使用有关。本研究的结果可能会引起人们对急诊中外周静脉导管插入引发静脉炎和渗出的因素的关注,并可能在这些并发症发生之前指导预防这些并发症的实践。在这方面,建议在急诊部使用静脉炎和渗出量表(由输液护士协会开发)。

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