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Peripheral intravenous catheters in situ for more than 96 h in adults: What factors affect removal?
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Dec2016, Vol. 22 Issue 6, p529-537, 9p
- Publication Year :
- 2016
-
Abstract
- Peripheral intravenous catheters (PIVC) are widely used in clinical nursing, but indwelling time remains a subject of debate. This study aimed to assess the risk factors for PIVC phlebitis in adults and provide a basis for indwelling time decisions. A total of 189 first-time PIVC patients in the emergency ward were assessed between May and October 2015. Data were retrieved for patient characteristics and PIVC assessment records. This study showed that over two-thirds (67.72%) of PIVCs were removed because of phlebitis, including oedema (37.57%), rubefaction (33.33%), pain (32.28%), slow infusion speed (13.23%) and accidental extrusion (2.12%). PIVC indwelling time in the planned removal group was higher than that obtained for the unplanned removal group: 152.42 (74.58) vs. 94.64 (50.15) h, P < 0.001. At indwelling times > 96 h, 28.57% ( n = 54) of catheters caused phlebitis, although 23.28% ( n = 44) showed no phlebitis. PIVC phlebitis was associated with treatment with compound amino acid infusion (OR: 2.624), site at the elbow joint (OR: 3.049), haemoglobin level (OR: 2.492), white cell count (OR: 2.196) and catheter size (OR: 1.837). Study findings suggest that PIVC might be used for longer durations based on nursing assessments and health education. [ABSTRACT FROM AUTHOR]
- Subjects :
- AGE distribution
CATHETERIZATION
CHI-squared test
EDEMA
FACTOR analysis
HEMOGLOBINS
HOSPITAL wards
INTRAVENOUS catheterization
LONGITUDINAL method
MULTIVARIATE analysis
NURSING assessment
SCIENTIFIC observation
PAIN
PHLEBITIS
SEX distribution
STATISTICAL hypothesis testing
T-test (Statistics)
TIME
LOGISTIC regression analysis
CROSS-sectional method
OSMOLAR concentration
MEDICAL device removal
VASCULAR catheters
DESCRIPTIVE statistics
CATHETER-related infections
LEUKOCYTE count
ODDS ratio
SYMPTOMS
SAFETY
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 22
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 119880503
- Full Text :
- https://doi.org/10.1111/ijn.12492