Determination of Phlebitis Rate with Visual Infusion Phlebitis Diagnostic Scale; An Observational Study

Year 2023, Volume: 11 Issue: 2, 221 - 228, 31.08.2023

Elçin Efteli , Handan Özdemir

https://doi.org/10.24998/maeusabed.1325676

Abstract

Phlebitis is the inflammation of the tunica intima layer of the vein and is a common preventable complication of peripheral intravenous catheters (PIC). The aim of this study was to determine the rate of phlebitis development in patients with PIC implantation using the Visual Infusion Phlebitis Diagnostic Scale and to determine the associated factors. The study was conducted in the internal and surgical clinics of a public hospital between September 1, 2022 and February 1, 2023. The 'Patient Information Form', 'Peripheral Intravenous Catheter Evaluation Form' and 'Visual Infusion Phlebitis Diagnosis Scale' were used to collect the study data. In 30.3% of the patients with PIC, phlebitis developed and 48.9% of the phlebitis cases were grade 1. the variables such as sex and presence of a chronic disease did not affect the development of phlebitis. Phlebitis development was more common in patients in the 40-64 age group, on the wrist, on the left arm and on the actively used arm, in sites where the PIC was inserted in two or more attempts, in patients in whom 16 Fr or 18 Fr catheters were inserted, and in patients taking antibiotics.

Keywords

Phlebitis, Intravenous catheter, Phlebitis Diagnostic Scale

Görsel İnfüzyon Flebit Tanılama Skalası ile Flebit Oranının Belirlenmesi; Gözlemsel Bir Çalışma

Abstract

Flebit; venin tunika intima tabakasının inflamasyonudur ve yaygın görülen önlenebilir bir periferik intavenöz katater (PİK) komplikasyonudur. Çalışmada PİK takılı olan hastalarda flebit gelişme oranlarının ile belirlenmesi ve ilişkili faktörlerin ortaya konması amaçlanmıştır. Çalışma, 1 Eylül 2022-1 Şubat 2023 tarihleri arasında bir devlet hastanesinin dahili ve cerrahi kliniklerinde yürütülmüştür. Veriler ‘Hasta bilgi formu’, ‘Periferik İntravenöz Kateter Değerlendirme Formu’ ve ‘Görsel İnfizyon Flebit Tanılama Skalası’ ile toplanmıştır. Hastalara uygulanan 122 PİK girişiminin %30.3’ünde flebit geliştiği ve gelişen flebitlerin % 48,9’unun 1. Derece flebit olduğu belirlenmiştir. Cinsiyet ve kronik hastalık varlığının flebit oluşumunu etkilemediği, 40-64 yaş grubunda, el bileğinde, sol tarafta ve aktif olarak kullanılan tarafta, ikinci veya tekrarlı denemelerde, 16 ve 18 numara kateterle takılan PİK’lerde ve antibiyotik kullanan hastalarda flebit oluşumunun arttığı belirlenmiştir.

Keywords

Flebit, İntravenöz katater, Flebit Tanılama Skalası

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