Determination of Nursing Interventions in The Prevention of Peripheral Intravenous Catheter-Related Phlebitis: A Systematic Review

Yıl 2024, , 666 - 677, 29.06.2024

Şule Bıyık Bayram , Emel Gülnar , Nurcan Çalışkan

https://doi.org/10.37989/gumussagbil.1137981

Öz

This systematic review study was conducted to identify nursing intervention in the prevention of peripheral intravenous catheter-related phlebitis. The databases Türk Medline, Ulakbim, Ulusal Tez Merkezi, COCHRANE, Google Scholar, Science Direct, Pubmed, and CINAHL were screened using the key words “Phlebitis and prevention” between January and February 2021. Two authors screened the literature, chose relevant articles, collected data, and made quality evaluations independently. They used the JBI Checklist to assess quality. Fifteen studies met the eligibility criteria for this study. It was determined that the patients included in the studies were between the ages of 20-99. In the prevention of peripheral intravenous catheter-related phlebitis; It was determined that practices such as training the nurses, using sesame oil, quercetin cream, chamomile cream on the catheter area, dressing the catheter area with alcohol or chlorhexidine, administering saline or heparin from the catheter, and inserting a vein valve. According to the results of the study, it was determined that nurses made different nursing interventions to prevent peripheral intravenous catheter-related phlebitis and the rate of phlebitis decreased. It can be suggested that more studies be conducted, as there is no standard in the interventions to prevent the development of phlebitis.

Anahtar Kelimeler

Phlebitis, Nursing care, catheterization

Periferik İntravenöz Kateter ile İlişkili Flebitin Önlenmesinde Hemşirelik Girişimlerinin Belirlenmesi: Sistematik Derleme

Öz

Bu sistematik derleme çalışması, periferik intravenöz kateter ile ilişkili flebitin önlenmesinde hemşirelik girişimlerinin belirlenmesi amacıyla yapılmıştır. Taramalar Ocak- Şubat 2021 tarihleri arasında “Flebit ve önleme” ve “Phlebitis and prevention”, anahtar kelimeleri ile Türk Medline, Ulakbim, COCHRANE, Google Scholar, Science Direct, Pubmed ve CINAHL veri tabanlarında üzerinde yapılmıştır. Çalışmada taramalar, makalelerin seçimi, veri çekme ve kalite değerlendirme işlemleri iki yazar tarafından bağımsız olarak yapılmıştır. Araştırmaların kalite değerlendirilmesinde JBI Kontrol Listesi kullanıldı. Bu çalışmada 15 makale uygunluk kriterlerini karşıladı. Çalışmalara alınan hastaların 20-99 yaş aralığında olduğu belirlenmiştir. Periferik intravenöz kateter ilişkili flebitin önlenmesinde; hemşirelere eğitim verilmesi, kateter bölgesine susam yağı, quersetin krem, papatya kremi kullanılması ve kateter bölgesinin alkol veya klorheksidin ile pansuman yapılması, kateterden serum fizyolojik veya heparin verilmesi ve ven valfi/üçlü musluk takılması gibi uygulamalar yapıldığı belirlenmiştir. Çalışma sonuçlarına göre, hemşirelerin periferik intravenöz kateter ilişkili flebitin önlenmesinde farklı hemşirelik girişimlerin yapıldığı ve flebit oranının azaldığı belirlenmiştir. Bu sonuçlar doğrultusunda flebit gelişimini önlemeye yönelik yapılan girişimlerde bir standart olmaması nedeniyle bu konuda daha fazla çalışma yapılması önerilmektedir.

Anahtar Kelimeler

Flebit, Hemşirelik bakımı, Kateterizasyon

Kaynakça

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