Yaqoob Muhammad, Masih Sarfraz, Rasheed Abdur, Shah Yousaf, Uddin Nadeem, Siddiqui Faraz, Rehan Muhammad, Khan Rasheed Ahmed, Ahmed Fahad, Rehan Muhammad, Qasim Rubina
Dow Institute of Nursing and Midwifery, Dow University of Health Sciences, Karachi, Pakistan; Program Director for Post-Graduate Nursing Programs, Dow Institute of Nursing & Midwifery, Dow University of Health Sciences, Karachi, Pakistan.
Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.
Br J Nurs. 2024 Jul 18;33(14):S30-SIV. doi: 10.12968/bjon.2024.0235.
This study aimed to determine the incidence of peripheral intravenous catheter (PIVC)-induced phlebitis and its predictors among adult patients hospitalized at Dow University Hospital, Karachi, Pakistan.
A sample of 258 adult patients admitted in the selected wards and planned for peripheral intravenous catheter insertion were recruited through consecutive sampling during March to May 2019. Daily follow-ups were performed to observe signs of phlebitis using a validated tool. The cohort was followed until discharge, removal of peripheral intravenous catheter, or study conclusion.
Of 258 patients studied, 139 (53.9%) were females. A significant number of the participants 104 (40.3%) were young adults of age 20-40 years. The incidence of phlebitis was 39.1%. Tuberculosis (TB), peripheral intravenous catheter dwell time before initial assessment, administration of IV fluids, and dissatisfactory nursing care at Day 1 were associated significantly with the development of phlebitis. There was a doseresponse relationship between the catheter dwell time in hours before initial assessment and the development of phlebitis.
This study found an increased incidence (39.1%) in three months of PIVC-induced phlebitis among adult patients. In addition to patient-related and PIVC-related risk factors considered in this study, PIVC-induced phlebitis is found to be significantly associated with the level of PIVC care provided by nurses. Continuous nursing education, developing standard care plans for PIVCs, and proper documentation of care are recommended.
本研究旨在确定巴基斯坦卡拉奇道大学医院成年住院患者中，外周静脉导管（PIVC）引起的静脉炎发生率及其预测因素。
2019年3月至5月期间，通过连续抽样选取了258名计划在选定病房进行外周静脉导管插入术的成年患者作为样本。使用经过验证的工具进行每日随访，以观察静脉炎的迹象。对该队列进行随访，直至出院、拔除外周静脉导管或研究结束。
在研究的258名患者中，139名（53.9%）为女性。相当数量的参与者104名（40.3%）为20至40岁的年轻人。静脉炎的发生率为39.1%。结核病（TB）、初次评估前外周静脉导管留置时间、静脉输液给药以及第1天护理不满意与静脉炎的发生显著相关。初次评估前导管以小时计的留置时间与静脉炎的发生存在剂量反应关系。
本研究发现成年患者中，PIVC引起的静脉炎在三个月内发生率增加（39.1%）。除了本研究中考虑的患者相关和PIVC相关风险因素外，还发现PIVC引起的静脉炎与护士提供的PIVC护理水平显著相关。建议持续开展护理教育、制定PIVC标准护理计划并妥善记录护理情况。
