소아 정맥주사 침윤발생 위험요인 분석
Risk Factors of Intravenous Infiltration in Children
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Abstract
Purpose: The study was aimed to survey the infiltration conditions of the intravenous injection in pediatric patients and analyze the risk factors related to the infiltration. Methods: The researcher developed an intravenous injection record form. The subjects were 224 children aged between newborn and 6, who had been hospitalized in a pediatric department of an university hospital. Results: The incidence of infiltrations were significantly (p<.05) related to such variables, i.e., neural diseases, hypertonic solution used for intravenous injection, drug added to the injection solution, antibiotics of the Aminoglycosides family put into the solution, anti-convulsion drug put into the solution, small movement during intravenous injection and during ordinary activities. The risk of infiltration in IV injection increased with some cases such as neural diseases almost three times more than the internal diseases, hypertonic solution 3.808 times the hypotonic one, drug added to the solution 2.439 times the normal solution, and anti-convulsion drug put into the solution 2.437 times the normal solution. In addition, those children who had less movement during IV injection suffered from the infiltration 2.102 times the children who had more movement. The hyperactive children suffered 2.265 times the normally active children. Conclusion: There is a necessity to arrange an intravenous injection guideline for pediatric patients in order to reduce the IV injection infiltration and prevent its secondary complications.
참고문헌 (31)
- 김금순, "정맥치료의 원리와 간호" (1997), 서울: 현문사
- 김선영, "학령기 입원아동과 비입원 아동의 불안과 공포에 관한 연구" (1989)
- 김효정, "입원 아동의 정맥주사 재 삽입 관련 요인" (2005)
- 박선경, "일 대학 병원의 의료 질향상(QI)활동에 관한 연구-입원생활 안내문과 정맥주사관리 중심-" (2004)
- 박선희, "정맥내 주사로 인한 정맥염 발생에 관한 조사연구-정맥주사 전문 간호사가 관리하는 환자를 대상으로-", 9(1), pp.33~43 (1997)
- 박정윤, "정맥주사의 합병증 관리", 9, pp.94~98 (2003)
- 오향순, "어린이병원에 입원중인 환아에게 실시하는 정맥주사요법에 대한 실태조사", 2(1), pp.29~39 (1997)
- 유종옥, "소아병동 간호사의 업무분석 및 소요시간에 관한 연구" (1989), 한양대학교 석사학위논몬
- 이금선, "입원아동의 정맥주사 유지 관련 요인" (2005)
- 이분심, "정맥주사 삽입시 작동인형을 적용한 관심전환이 학령전기 아동의 통증에 미치는 효과" (2004)
- 이인승, "소아에서 정맥 주사의 혈관외 삼출에 의한 피부 결손의 임상 치험예", pp.539~545 (1984)
- 정진희, "입원아동의 주사 불안 감소를 위한 음악 감상의 효과 연구" (2003)
- 최은숙, "현행 정맥주입관리에 대한 실태조사(40개 3차 의료기관을 중심으로)", 12(1), pp.151~167 (1998)
- 황정해, "소아병원 정맥주사팀 활동에 대한 조사연구", 6(1,2), pp.92~106 (1999)
- 홍창의, "소아과학(완전개정7판)" (2003), 서울: 대한교과서(주)
- Alex, "Infusion failure caused by phlebitis and extravasation", pp.630~634 (1991)
- Ann Corrigan, M. A, "Core curriculum for Infusion nursing" (2002)
- Gupta, P, "Life span of peripheral intravenous cannula in a neonatal intensive care unit of a developing country", 9, pp.83~90 (2003)
- James, W. W, "Pediatric Use of Intravenous and Intramuscular Phenytoin", pp.811~814 (1998)
- Janet, P, "Assessment of an Infant with a Peripheral Intravenous Device", 3(5), pp.230~240 (2003)
- Dunne, "Peripheral Intravenous Catheter Complication in Critically Ill Children", pp.1145~1150 (1992), Wincek
- Kagel, R, "Intravenous catheter complication in the hand and forearm", 56(1), pp.123~127 (2004)
- & Shirley, "How to Avoid Extravasation", pp.42~46 (1993)
- McCullen, K., L, "A Retrospective Chart Review of Factors for Extravasation Among Neonates Receiving Peripheral Intravascular Fluid", 33(2), pp.133~139 (2006)
- Montgomery, L. A, "Guideline for i.v. infiltration in pediatric patient", 25(2), pp.167 173~9 180 (1999)
- Oishi, L, "The necessity of routinely replacing peripheral intravenous catheters in hospitalized children a review of the literature", 24(3), pp.174~179 (2001)
- "Treatment of infusion-related phlebitis", pp.282~286 (1993)
- Rosenthal, K, "Infiltration: An ounce of prevention", 1(2), pp.60~62 (2003)
- Stephanie, "Risk factors affecting infiltration of peripheral venous lines in infants", pp.384~389 (1987)
- Yucha, "Characterization of intravenous infiltrates"
- Wynsma, Linda A, "Negative Outcome of Intravascular Therapy in Infants and Children", 9(1), pp.49~63 (1998)