임상적 징후와 정규 교환에 의한 말초정맥관 교환이 정맥염과 혈류감염 발생에 미치는 영향

• 영문명: Influence of Peripheral Venous Catheter Exchange on Occurrence of Phlebitis and Bloodstream Infection in Adult Patients: Routine Versus Clinically Indicated Replacement
• 발행기관: 한국근거기반간호학회
• 저자명: 윤지선(Yun, Ji Seon) 김은옥(Kim, Eun Ok) 서유선(Seo, Yu Sun) 고은아(Koh, Eun Ah) 이수열(Lee, Su Yeol) 장주희(Jang, Joo
• 간행물 정보: 『근거와 간호』제4권 제1호, 23~32쪽, 전체 10쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2016.12.31

영문 초록

Purpose: The purpose of this study is to compare the efficacy of the current evidence based practice on peripheral venous catheter replacement. Methods: After ethics approval, 140 patients (480 intravenous devices) were enrolled in our survey. Data were analyzed by statistical methods such as t-test, frequency analysis, χ2 square, Fisher’s exact test, Kaplan-Meier survival analysis using SPSS 21 program. Results: First, the average number of inserted peripheral venous catheters in the experimental group was 2.7 (3.0 in the control group), the number of days of maintenance of the peripheral venous catheters was 3.0 days (1.8 in the control group), and the maximum maintenance day of the peripheral venous catheter was 8 days. Second, there were no differences in the incidence of phlebitis and bloodstream infection between the two groups. Third, the risk of phlebitis in the experimental group increased sharply from the 6th day after insertion of peripheral venous catheter. Conclusion: As a result of this study, peripheral venous catheter replacement by clinical signs is recommended, and after 6 days, side effects should be carefully observed. We propose an iterative study on the effect of clinical signs on peripheral venous catheter replacement by expanding the number of patients.

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키워드

Adult Catheterization Peripheral