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정맥요법 중 발생하는 침윤조기감지기기 개발을 위한 침윤감지 현황 및 요구조사

Survey on the Current Status of Intravenous Infiltration Detection for Developing Early Detection Device

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주제분류간호학

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Abstract

Purpose: This study aimed to identify the current status of intravenous (IV) infiltration prevention and management and to assess the need for developing the IV infiltration early detection device (IEDD). Methods: This was a cross-sectional study with 290 nurses who are working at medical, surgical and pediatric wards in the 3 general hospitals. The instrument was a structured self-administrative questionnaire including 7 items of general or infiltration-related characteristics, 5 items of current status of IV infiltration prevention/management and 6 items of need for IV IEDD. Data were analyzed with descriptive statistics using SPSS win (ver 23.0). Results: The mean perceived occurrence of infiltration per 10 IV insertion was 1.9. Nurses usually found the infiltration from patients’ complaint (37.7%), and one third of the edema size when the infiltration was found was 0.7-1.0cm. Over 80 percent of nurses perceived the IV IEDD was necessary and had intention to use IEDD. The portable type of IEDD was preferred. Conclusion: Most nurses needed IEDD, and necessity was higher among nurses who had worked for 3-4.9 years or working at pediatric wards. We recommend to develop the IEDD in portable type and can measure the infiltration in 10 seconds.

참고문헌 (25)

  1. Robert E. Helm, "Accepted but Unacceptable: Peripheral IV Catheter Failure", Journal of Infusion Nursing, 38(3), pp.189~203 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
  2. Claire M Rickard, "Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial", The Lancet, 380(9847), pp.1066~1074 (2012), Elsevier BV[DOI]
  3. McCullen KL, "A retrospective chart review of risk factors for extravasation among neonates receiving peripheral intravascular fluids", The Journal of Wound Ostomy Continence Nursing, 33, pp.133~139 (2006)
  4. Jinlin Wu, "Vascular catheter-related complications in newborns", Journal of Paediatrics and Child Health, 48(2), pp.E91~E95 (2012), Wiley[DOI]
  5. Fang L, "Factors affecting the unplanned peripheral reinsertion in pediatric patients from a teaching hospital in Taiwan", Journal of Infusion Nursing, 34, pp.366~372 (2011)[DOI]
  6. 김지수, "보호자에 대한 구조화된 정맥주사관리 간호중재가 영유아의 정맥주사 유지에 미치는 영향", Child Health Nursing Research, 18(3), pp.135~142 (2012), 한국아동간호학회[DOI]
  7. Christine E. Coyle, "Eliminating extravasation events: a multidisciplinary approach", Journal of Infusion Nursing, 38(Supplement 6S), pp.S43~S50 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
  8. 박휘진, "Compartment syndrome due to extravasation of peripheral parenteral nutrition: extravasation injury of parenteral nutrition", Clinical and Experimental Pediatrics, 58(11), pp.454~458 (2015), 대한소아청소년과학회
  9. Simon G. Talbot, "Pediatric Compartment Syndrome Caused by Intravenous Infiltration", Annals of Plastic Surgery, 67(5), pp.531~533 (2011), Ovid Technologies (Wolters Kluwer Health)[DOI]
  10. Infusion Nurses Society, "Policies and procedures for infusion nursing" (2011), Infusion Nurses Society
  11. Lynn Hadaway, "Development of an Infusion Alliance", Journal of Infusion Nursing, 33(5), pp.278~290 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
  12. Sauerland C, "Vesicant extravasation part 1 : mechanisms, pathogenesis, and nursing care to reduce risk", Oncology Nursing Forum, 33, pp.1134~1141 (2006)[DOI]
  13. J. Boulanger, "Comite de l’evolution de la pratique des soins pharmaceutiques (CEPSP); Comite de l’evolution des pratiques en oncologie (CEPO). Management of the extravasation of anti-neoplastic agents", Supportive Care in Cancer, 23(5), pp.1459~1471 (2015), Springer Science and Business Media LLC[DOI]
  14. Lynn Hadaway, "Infiltration and Extravasation", AJN, American Journal of Nursing, 107(8), pp.64~72 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  15. Kelli Rosenthal, "Reducing the risks of infiltration and extravasation", Nursing, 37, pp.4~ (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  16. Fabian B, "Infusion nursing: an evidence-based approach", pp.2010, Saunders
  17. National Association of Neonatal Nurses (NANN), "Policies, Procedures, and Competencies for Neonatal Nursing Care" (2011), NANN
  18. Bouton CE, "Experimental detection of subcutaneous contrast extravasation using radio frequency permittivity sensing", Journal of Computer Assisted Tomography, 33, pp.824~827 (2009)
  19. Alley MS, "Wireless Application in Intravenous Infiltration Detection System", 30th Annual International IEEE EMBS Conference, pp.20~24 (2008)
  20. Ishihara T, "Evaluation of a near-infrared–type contrast medium extravasation detection system using a swine model", Journal of Computer Assisted Tomography, 38, pp.285~292 (2014)
  21. "ivWatch Breakthrough in IV safety. Whiterpaper" (2015)[URL]
  22. "ivWatch Model 400: device validation for infiltrated tissues" (2014)[URL]
  23. Ministry of Government Legislation, "Patient Article 4. (Act No. 13113)", ~ (2016)
  24. "Statistics from the national extravasation information service green card reporting database, 1987–2006" (2017)[URL]
  25. Polovich M, "Chemotherapy and biotherapy guidelines and recommendations for practice" (2005), Oncology Nursing Society

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