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与住院成年患者发生不良事件静脉炎相关的危险因素。

Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients.

机构信息

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2024 Oct 7;77(5):e20240162. doi: 10.1590/0034-7167-2024-0162. eCollection 2024.

Abstract

OBJECTIVES

to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients.

METHODS

an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively.

RESULTS

from the analysis of 31 quantitative primary studies, the following risk factors were summarized: length of stay; use of antibiotics; peripheral intravenous catheter dwell time; receive less nursing care; catheter inserted multiple times; patients with infection and comorbidities; presence of pain at catheter insertion site; Teflon® catheter use; reduced patient mobility; quality of patient's vein; skin elasticity; unsuccessful insertion.

CONCLUSIONS

it is necessary to standardize the format for measuring occurrence of this adverse event and develop new studies with a higher level of evidence.

摘要

目的

综合关于住院成年患者发生不良事件静脉炎相关危险因素的知识。

方法

这是一项综合文献回顾,在 CINAHL、PubMed、Virtual Health Library、Embase、Web of Science 和 Scopus 数据库中进行。两个评审员独立进行了各个阶段的工作,并对数据进行了描述性分析。

结果

通过对 31 项定量原始研究的分析,总结出以下危险因素:住院时间;使用抗生素;外周静脉导管留置时间;接受的护理较少;导管多次插入;感染和合并症患者;导管插入部位疼痛;使用特氟龙®导管;患者活动减少;患者静脉质量;皮肤弹性;插入失败。

结论

有必要规范测量这种不良事件发生的格式,并开展具有更高证据水平的新研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9756/11458144/7bfd20fcdf60/0034-7167-reben-77-05-e20240162-gf01.jpg

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