Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Factors Related to Extravasation of Non-chemotherapy Vesicant Drugs in Peripheral Vein Catheters

말초 정맥주사를 통해 비항암제 발포성 약물을 투약한 성인 환자의 일혈 발생과 위험요인

  • Lee, Jong Min (Department of Nursing, Asan Medical Center) ;
  • Lee, JuHee (College of Nursing, Mo-Im Kim Nursing Reaserch Institute, Yonsei University) ;
  • Jang, Yeon Soo (College of Nursing, Mo-Im Kim Nursing Reaserch Institute, Yonsei University) ;
  • Kim, Yeon Hee (Department of Nursing, Asan Medical Center)
  • 이종민 (서울아산병원) ;
  • 이주희 (연세대학교 간호대학, 김모임 간호학연구소) ;
  • 장연수 (연세대학교 간호대학, 김모임 간호학연구소) ;
  • 김연희 (서울아산병원 간호부)
  • Received : 2018.03.12
  • Accepted : 2018.05.19
  • Published : 2018.06.30
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Abstract

Purpose : This study aimed to investigate the incidence of intravenous extravasation and the risk factors associated with the use of peripheral intravenous catheters in adults. Method : This prospective observational study included 203 adult patients admitted to the general ward who received non-chemotherapy vesicant drug infusion treatments. Data were analyzed using frequencies, percentage, means, standard deviations, and odds ratios (ORs) from multiple logistic regressions. Results : The incidence of extravasation was 43.3%. Risk factors for intravenous extravasation included continuous injections (OR=5.35, 95% CI [1.38, 20.83]), and parenteral nutrition (OR=3.53, 95% CI [1.43, 8.73]). Conclusion : The present findings revealed that gastrointernal medicine problems, continuous injection, and parenteral nutrition were related to intravenous extravasation. Further research is necessary to reduce the incidence of extravasation related to peripheral intravenous catheterization in adults, and to prevent secondary complications. Finally, patients should be provided appropriate and continuous care based on the type of intravenous infusion.

Keywords

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