Journal of Holistic Nursing And Midwifery
مجله پرستاری و مامایی جامع نگر
JHNM
Literature & Humanities
http://hnmj.gums.ac.ir
1
admin
2588-3712
10.32598
en
jalali
1398
3
1
gregorian
2019
6
1
29
3
online
1
fulltext
en
Complications of Peripheral Intravenous Catheters During 72 Hours After Insertion
عمومى
General
پژوهشي
Research
Introduction: Peripheral Intravenous catheterization is the most commonly used invasive treatment method in patients admitted to the hospitals, but it has some complications. The indwell time of catheter is one of the factors associated with the occurrence of complications, especially phlebitis. In spite of the instructions for replacing the catheters after 72 hours, sometimes the complications occur sooner. Thus early catheter replacement becomes necessary, and sometimes the catheter is replaced after 72 hours without any complication.<br>
Objective: This study aimed to determine the incidence of complications and related factors using Peripheral Intravenous (PI) catheters during 72 hours after insertion.<br>
Materials and Methods: This is an analytical cross-sectional study conducted on 154 patients of cardiac surgical wards selected using convenience sampling technique. The study instruments were phlebitis assessment and infiltration rate scale developed by the Infusion Nurses Society (INS). All Intravenous pathways were evaluated for data collection using these tools. The collected data were analyzed using descriptive statistics and statistical tests (Fisher’s exact-test and the Chi-squared test).<br>
Results: About 48.7% of the study patients did not have any complications during 72 hours of catheter placement, and the reason for the replacement of catheters after 72 hours was the hospital’s instructions. Complications that lead to catheter replacement before 72 h were phlebitis (24.7%), obstruction (14.3%), drug leakage outside of the catheter (2.6%), and drug leakage into the patient’s tissue (2.6%). Complications were significantly higher in women (P=0.013), and on the second day of catheterization compared to other days (P=0.0001).<br>
Conclusion: Since nearly half of the patients with catheters in this study had no complications after 72 hours, it seems that further studies should be done to reassess replacing uncomplicated catheters after 72 hours. In addition, complications of catheter insertion are more common in women than in men. This finding calls for more attention and care in this area.
Peripheral Intravenous Catheterization, Phlebitis, Catheter Obstruction
137
144
http://hnmj.gums.ac.ir/browse.php?a_code=A-10-454-81&slc_lang=en&sid=1
Sarah
Amouei Foumani
0000-0002-2601-8124
No
Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Ezzat
Paryad
e_paryad@gums.ac.ir
0000-0001-8823-3471
Yes
Instructor, GI Cancer Screening and Prevention Research Center (GCSPRC), Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
Atefeh
Ghanbari Khanghah
0000-0002-7949-5717
No
Associate Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
Ehsan
Kazemnezhad Leili
0000-0002-9195-9094
No
Associate Professor, Bio-Statistics, Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran