Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. Nursing / 護理學系所
  4. The related factors of peripheral phlebitis in neurosurgery intensive care unit
 
  • Details

The related factors of peripheral phlebitis in neurosurgery intensive care unit

Date Issued
2014
Date
2014
Author(s)
Pan, Yu-Han
URI
http://ntur.lib.ntu.edu.tw//handle/246246/277537
Abstract
Background: Peripheral intravenous catheter is the fastest and most common ways of administering treatments to inpatients. However, this still poses the risk of complications such as phlebitis. Although factors of phlebitis have been widely investigated, uncertainties still remain on different researches, rarely appear in intensive care unit patients. Objective: The purpose of this study was to investigate the incidence rate and related factors of phlebitis in patients in neurosurgery intensive care unit (NICU). Methods: This study used a prospective observation research design and convenience sampling. Subjects were recruited from NICU of a medical center in Taipei from February to May 2014. Structured questionnaire which including personal-related, material-related and human-related factors, combined with Infusion Nursing Society (INS) phlebitis scale and Jackson Visual Infusion Phlebitis (VIP) Score were used for data collection. Catheter insertion sites were monitored every 24hours during catheter insertion and 48hours after removal of the catheter. Data were analyzed by SPSS version 20.0. Results: A total of 98 patients and 196 insertion sites were evaluated. The findings were as follows: (1)Incidence of phlebitis was 13.3% for NICU patients; (2)Diagnosis with Intracranial Hemorrhage(ICH) (Relative risk[RR]=6.67, p<0.05), insertion site with edema (RR=2.27, p<0.05), insertion site at lower limb(RR=2.94, p<0.05) or antecubital fossa (RR=2.63, p<0.05), agitation (RR=4.20, p<0.05), physical restraint (RR=2.78, p<0.05), medicine administered 1~3types/day(RR=1.19, p<0.05) or ≥4 types/day (RR=1.21, p<0.05), using sedatives (RR=3.33, p<0.05), inotropic or hypotensive agents (RR=2.27, p<0.05), medicine administered 1~3times/day (RR=1.29, p<0.05) or ≥4times/day (RR=1.09, p<0.05), catheter inserted at Emergency Room(ER) or ward (RR=2.38, p<0.05) had significant higher risk with phlebitis; (3)On the whole, the odd ratio of patients that were diagnosed with ICH, had catheter inserted at lower limbs or the antecubital fossa, were agitated, were physical restrained, were administered four or more types of medicine per day, were using sedatives, were administrated medicine 1~3times/day, and had catheter inserted at the ER or ward was 1.19 times than that of other patients (OR=1.19, 95%CI=0.13~0.21, χ2=494.20, p<0.01). Conclusions: Phlebitis rate of this study is higher than the recommended 5%. The results of this study reveal that personal-related, material-related and human-related factors are correlated with phlebitis incidence. In addition, the INS phlebitis scale is a rigorous, valid and reliable tool for the assessment of phlebitis. The results of this study provide reference for healthcare and shed light on the factors that contribute to phlebitis in NICU patients. With timely assessments and measures, medical personnel can increase the comfort of patients, reduce medical costs, and increase healthcare quality.
Subjects
phlebitis
INS phlebitis scale
Jackson VIP score
Neurosurgery Intensive Care Unit
SDGs

[SDGs]SDG3

Type
thesis
File(s)
Loading...
Thumbnail Image
Name

ntu-103-R00426022-1.pdf

Size

23.32 KB

Format

Adobe PDF

Checksum

(MD5):b3582cf025059d54f56e19f1a0228c94

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science