임상간호연구 (Journal of Korean Clinical Nursing Research)
- 제21권2호
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- Pages.188-195
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- 2015
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- 1598-9186(pISSN)
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- 2287-3694(eISSN)
DOI QR Code
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
- 최정희 (가톨릭대학교 여의도 성모병원) ;
- 강민자 (가톨릭대학교 여의도 성모병원) ;
- 박연희 (가톨릭대학교 여의도 성모병원) ;
- 홍보라 (가톨릭대학교 여의도 성모병원) ;
- 이동숙 (가톨릭대학교 여의도 성모병원)
- Choi, Jung Hee (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
- Kang, Min Ja (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
- Park, Youn Hee (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
- Hong, Bo Ra (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
- Lee, Dong Sook (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital)
- 투고 : 2015.01.30
- 심사 : 2015.06.26
- 발행 : 2015.08.31
초록
Purpose: 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.