수술환자 18 Gauze 말초 정맥관 유지시간과 정맥염 발생률
The Development of Phlebitis in Relation to 18 Gauge Peripheral Intravenous Catheter Dwell Time among Surgical Patients
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
목적: 수술환자의 18Gauge 말초 정맥관 유지시간에 따른 정맥염 발생률을 조사하여 18G 말초 정맥관 정규 교환시기를 재 사정하는 것이다. 방법: 수술을 목적으로 입원한 18세 이상 환자 200명을 대상으로 수술 전 18G 말초 정맥관을 삽입한 후 연구자가 하루 한번 순회하면서 관찰하고 특별한 합병증이 없으면 96시간 까지 유지하도록 하였다. 결과: 총 정맥염 발생률은 25.7% 였다. 성별, 삽입부위, 수액 삼투압, 약물의 pH는 정맥염 발생에 영향을 미치지 않는 것으로 나타났으며 연령, 수액 주입속도는 영향을 미치는 요인 으로 나타났다. 누적 정맥염 발생률은 정맥주사 유지 48시간후에 12.9%로 가장 높게나타났다. 결론: 18G 말초 정맥관 교환 시기는 삽입후 24∼48시간이 적절할 것으로 사료 되며 삽입후 세심한 관찰이 필요할 것으로 사료 된다.
Abstract
The purpose of this study was to evaluate the appropriateness of the replacement time intervals of 18 gauge peripheral intravenous catheters (PICs) by investigating the development of phlebitis. Methods: The subjects were 200 hospitalized patients over 18 yrs old aged who have 18 gauge PICs placed for surgery. After the insertion of PICs, the researcher monitored the insertion site daily for 96 hours for any signs of phlebitis. Results: Phlebitis developed in 25.7% of patients. Patients who developed phlebitis were significantly older and were receiving fluids with faster infusion rate. However, patients with and without phlebitis were not different by gender, insertion site, fluid osmolality, or pH of drugs administered. The incidence rate of phlebitis was higher than 10%(12.9%) starting 24~48 hours after the insertion of 18 gauge PICs. Conclusion: It is recommended to replace 18 gauge PICs within 24~48 hours after insertion. Close monitoring of the PICs insertion site for the signs of phlebitis is recommended.
참고문헌 (18)
- Gu MO, "Evidence-based clinical nursing practice Guideline in Intravenous infusion", Korean Hospital Nurses Association, 1~91 (2012)
- Grune F, "Phlebitis rate and time kinetics of short peripheral intravenous catheters", Infection, 32(1), pp.30~32 (2004)
- Korean Society for Hospital Infection Control, "Infection Control Guidelines" (2001), Medical Publishers
- Park JY, "Complications of intravenous administration", Nursezine, 8, pp.84~88 (2003)
- Pratt RJ, "Epic2: National evidence based guidelines for preventing healthcare associated infection in NHS hospitals in England", The Journal of Hospital Infection, 65(5), pp.S1~S64 (2007)
- Idvall E, "Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis:a systematic review", Journal of Advanced Nursing, 55(6), pp.715~722 (2006)[DOI]
- Im MR, "Incidence of phlebitis according to intravenosus therapy in inpatients", 석사, pp.2008
- Catney MR, "Relationship between peripheral intravenous catheter dwell time and the development of phlebitis and infiltration", Journal of Infusion Nursing, 24(5), pp.332~341 (2001)
- Cornely OA, "Peripheral teflon catheters : Factors determining incidence of phlebitis and duration of cannulation", Infection Control and Hospital Epidemiology, 23(5), pp.249~253 (2002)
- Choi JS, "Epidemiologic study of phlebitis associated with shortterm intravenous catheter. Focused on 6 hospital in Seoul or Gyonggi-do", Korean Journal of Noscomial Infection Control, 8(2), pp.95~102 (2003)
- 윤희숙, "정맥염 발생률에 근거한 말초 정맥관의 정규교환 시기 연장에 대한 연구", 임상간호연구, 16(1), pp.145~153 (2010), 병원간호사회
- O'Grady NP, "Guidelines for the prevention of intravascular catheter-related infections", Centers for Disease Control and Prevention, 51(RR10), pp.1~26 (2002)
- The Catholic University of Korea Yeouido St. Mary's Hospital, "Infection Control & Prevention Manual", The Catholic University of Korea Yeouido St. Mary's Hospital, ~ (2013)
- Hospital Nurses Association, "Evidence based clinical nursing practice guideline: Intravenous infusion", Korean Hospital Nurses Association, 1~59 (2012)
- "VIP Score" (1999)[URL]
- Nassaji-Zavareh M, "Peripheral intravenous catheter-related phlebitis and related risk factors", Singapore Medicine Journal, 48(8), pp.733~736 (2007)
- Sandra SP, "The Infusion Nurse and Patient Complication Rates of Peripheral Short Catheters : A Prospective Evaluation", Journal of Intravenous Nursing, 24(2), pp.113~123 (2001)
- Joan Webster, "Developing a Research base for Intravenous Peripheral cannula re-sites (DRIP trial). A randomised controlled trial of hospital in-patients", International Journal of Nursing Studies, 44(5), pp.664~671 (2007), Elsevier BV[DOI]